The Predictors of Quality of Life among selected adults with Chronic Kidney Disease on Hemodialysis

Hemodialysis is both life-saving and life-altering, as it changes
patients’ patterns of daily living. The degrees of lifestyle change
needed from adherence to diet and medications to the symptom
burden affect patients’ quality of life (QOL). For people
living on hemodialysis, QOL scores become both a critical
outcome as well as an indicator of morbidity and mortality.
Therefore it is essential to examine the predictors that can affect
QOL among HD patients in order to help improve their
daily living and medical treatment. This study examined the relationship
of predictors like age, weight, treatment adherence,
social support and educational level on the QOL scores: Physical
Composite Score (PCS), Mental Composite Score (MCS),
& Kidney Disease Component Summary (KDCS). The respondents,
adult CKD patients on hemodialysis in a private tertiary
hospital in the Philippines were chosen through convenience
sampling. A validated Filipino version of Kidney Disease
Quality of Life Short Form Version 1.3 was utilized. Bivariate
correlation and multiple linear regression were then used in
data analysis. It is concluded that PCS might be predicted by
treatment adherence while social support and educational level
could be predictors to MCS. In contrast with previous studies,
it was found out that rare treatment adherence can seemingly
have a positive effect with MCS. It might be due to fact that
the treatment-related lifestyle restrictions could affect patients’

Author(s): Jerland Salazar Casilan,

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