IMPACT OF PATIENT COUNSELLING IN QUALITY OF LIFE OF CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS -A PROSPECTIVE STUDY Authors: Nithin Manohar R , GEORGE A, THOMAS R, ABRAHAM CS, VARGHESE JM, MATHEW J, ANN SAJI S AND MATHEWS SM
ABSTRACT
Background: Chronic Kidney Disease is a condition which is characterised by worsening, progressive
and irreversible loss of patient’s kidney function (3 months or longer) which ultimately leads to dialysis
or transplantation. Quality of Life is a broad multidimensional concept that can be affected by one’s
disease or treatment. The main aim is to assess the impact of patient counselling in quality of life of
chronic kidney disease patients undergoing hemodialysis.
Methodology: A prospective observational study was conducted in the nephrology department in a
tertiary care setting. The study was carried out for a period of six months and a total of 81 subjects were
included in the study. Data was collected from November, 2022- April, 2023. Patients who satisfied
both inclusion and exclusion criteria were selected for the study.
Results: Majority of the patients belonged to the age group of 58-67 years (37%). Hypertension
(42.16%) was the most common comorbidity. Majority of patients were having 3 comorbidities
(43.21%). Most common complication was found to be anemia (27.95%). Structured questionnaire
scores before (45%) and after (55%) patient counselling were compared and results were statistically
significant. KDQOL SF-36 TM questionnaire scores before (37%) and after (63%) patient counselling
were compared and results showed significant improvement after patient counselling.
Conclusion: Patient counselling provided by the pharmacist must be implemented to gain more
understanding about the disease, the need for strict monitoring and for better understanding of treatment
options available and lifestyle modifications to be included in their daily life activities and thereby delay
the disease progression and improve their quality of life.
Keywords: Chronic Kidney Disease, Hemodialysis, Comorbidities, Quality of Life Publication date: 01/05/2025 https://ijbpas.com/pdf/2025/May/MS_IJBPAS_2025_9042.pdfDownload PDFhttps://doi.org/10.31032/IJBPAS/2025/14.5.9042