Adherence to hemodialysis and factors affecting Quality of life (QOL) among End Stage Renal Disease (ESRD) patients

Introduction: End-stage renal disease (ESRD) is becoming a global health problem for everyone and it has two main leading causes Hypertension and Diabetes Mellitus. The main treatments for ESRD are hemodialysis, renal transplant and conservative treatment. There were lot many factors that directly affect the Quality of Life (QOL) of ESRD patients and non-adherence to the regimen as missed hemodialysis sessions was a sign of poor compliance. The present study aimed to assess the adherence to hemodialysis & factors affecting QOL among patients with ESRD Method: A quantitative research approach and descriptive research design were used to conduct with 116 ESRD patients, purposive sampling technique was used and the study data was collected by interview method by administering three tools i.e. Sociodemographic data, a structured questionnaire on adherence to hemodialysis and standardized WHOQOL-BREF for assessing QOL. Result: The findings suggested that 87.1% of ESRD patients didn’t miss their hemodialysis session/treatment. The mean and standard deviation of the Physical Health domain of QOL was computed as (45.24 ±17.901) which was lowest among other three domains as psychological domain, Social Relationship and environmental domain. Physical domain of QOL with age in years (P=0.006), gender (P =0.018) and psychological domain of QOL with gender (P =0.031) were significant at the level of (P˂0.05). Conclusion: It was concluded that patients adhered to hemodialysis treatment but their quality of life was poor in the physical domain.