Quality of life of patients on peritoneal dialysis treatment - cross sectional study in the Czech Republic
Abstract
With the development of dialysing and treating process the life expectancy is extended and the patient's need of an improved quality of life (QoL) arises as well, but still not enough close to the level of a healthy population. We performed an area assessment of quality of life (QoL) in patients on peritoneal dialysis (PD) in the Czech Republic (n = 95; male/female = 49/46, average age 56.9 +- 12.8; total time on PD from 0.25 to 224 months; average time of PD 29.1 +- 32.4 months).
Rating in QoL of patients with end stage renal disease (ESRD) treated with peritoneal dialysis (PD) is significantly decreased as compared with average values of Czech standards, especially in the domain "physical health" (p < 0.001). Significantly higher average rating was found in the domain of "environment" (p < 0.001) and "DIS module" (p = 0.035).
In addition to quality of the health care nonmedical interventions that support the improvement of QoL, especially in the domain of physical health, should be also included in the treatment plan, and thus support the aging population of dialysis patients maintaining self-sufficiency and self-care. One of the possibilities is exercise intervention, which should be seen as the way to improve the treatment.
It should be seen as cost effective, efficient and acceptable for patients.