Assessment of Quality of Life and its Determinants Among Hemodialysis Patients: Dialysis Units of East Azerbaijan Province in Iran in 2021

Background: Chronic renal failure (CRF) is a major public health problem affecting individuals’ quality of life (QOL). Hemodialysis is one of the most common treatments for CRF. Although hemodialysis increases the life expectancy of CRF patients, it also arouses several problems affecting these patients’ QOL. Objectives: This study aimed to detect factors affecting QOL in hemodialysis patients in the East Azerbaijan province, Iran. Methods: This cross-sectional study was conducted in the East Azerbaijan Province in 2021. Data collection instruments were the SF-36 Quality of Life Questionnaire and a demographic information checklist. The collected data were analyzed with SPSS software version 25 using Spearman’s rank correlation, Kruskal-Wallis, and Mann-Whitney U tests. Results: The mean score of QOL was 42.6 ± 7.6, and the mean scores of the physical and psychological dimensions of QOL were 40.7 ± 9.9 and 43.4 ± 7.4, respectively. The highest mean score of QOL was 44.6 ± 6.2 for men, 42.7 ± 5.8 for the married, and 41.2 ± 6.9 for those with high levels of education. The mean score of QOL was not significantly correlated with any of the individual characteristics and clinical factors, except for age (P = 0.03), level of education (P = 0.03), and duration of each dialysis session (P = 0.05). From the QOL dimensions, physical dimension had a significant relationship with marital status (P = 0.03), age (P = 0.04), and duration of each dialysis session (P = 0.02). Moreover, psychological dimension was significantly correlated with marital status (P = 0.01). Conclusions: Patients undergoing hemodialysis have low QOL and need further attention from the authorities in terms of care and social support.

The Relationship Between Observing Religious Beliefs and Suffering in Hemodialysis Patients

Chronic renal failure is an advanced and irreversible renal dysfunction. It is also one of the common health problems in the world. Therefore, the aim of this study was to investigate the relationship between observing religious beliefs and suffering in hemodialysis patients. This descriptive-correlational study was performed on 130 hemodialysis patients attending the hospitals of Gonbad Kavous city, Iran. Data collection tools included the temple observing religious beliefs questionnaire and Scholz's experience and perception of suffering questionnaire. The data after collected were entered into SPSS software version 16 to be analyzed using descriptive statistics. This study showed high level of belief in religious practices with the mean and standard deviation of 72.16 ± 11.36 and the level of suffering with 37.28 ± 6.94. Spearman's correlation coefficient showed a significant difference between observing religious beliefs and suffering (r = - 0.18, P = 0.03), so that with the increase in belief in religious practice, the level of patients' suffering decreased. Nurses are required to take the necessary interventions to improve the spiritual and religious dimension of patients.