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.pdf
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https://doi.org/10.31032/IJBPAS/2025/14.5.9042