| dc.description.abstract | Introduction: End-stage renal failure has a significant
impact on patients’ daily lives, which can be measured by
quality of life questionnaires. The objective of this study
was to assess the health condition related to quality of life
in hemodialysed patients in three semi-urban hospitals of
Senegal and to determine the factors associated with it.
Materials and methods: During an observational, trans-
versal, descriptive and analytical study conducted for 2
months, between March 1st and April 30th, 2016, the patients’
records, in 3 cities, maintained under regular hemodialysis
for at least 3 months and at least 18-years-old, have been
analysed. The health-related quality of life assessment was
executed by an interview with patients using the French
version of the KDQOL-SF-1.3 questionnaire. Association
levels between health domain values and sociodemograph-
ic, clinical and paraclinical criteria were investigated using
non-parametric Wilcoxon or Kruskal-Wallis tests where 2 or
more groups are compared.
Results: We included 79 out of 94 chronic hemodialysed
patients during the study period. Sixty-four patients (64)
effectively participated in the study. The average age was
43.3 ± 14.9 years. The KDQOL-SF-36 questionnaire was
completed by 64 patients. Among them eight patients did
not answer the question which assesses the quality of sexual activity. In Saint Louis, the field that had the lowest
score was “General Health” (54.9), and the one with the
highest score was “Limitations due to mental state” with
92.8. In the Tambacounda’s unit, the lowest score was
in the “Limitations due to physical condition” side (41.0),
and the highest score was in the “Life and relationships
with others” field at 68.0. According to the KDQOL, the
“Professional Status” dimension had the lowest score and
the “Encouragements received from the dialysis team”
the highest score in Kaolack and Saint-Louis whereas in
Tambacounda the “Professional Status” dimension had the
lowest score (16.0) and that “Quality of the entourage” the
highest score (87.7). Women were significantly better (93.8)
than men (83.3) compared to the “Dialysis Staff Incentives”
category (p = 0.02). Married patients scored significantly
lower, compared to unmarried patients, in the “Sexual
Function” field (55.8 versus 96.1, p = 0.006) and “Patient’s
Satisfaction” (74.8 vs. 87.2; p = 0: 01).
Conclusion: Studies of the hemodialysed patients’ quality
of life in semi-urban settings are rare in sub-Saharan Africa.
This allows us to note a diversity of quality of life according
to geographical areas. | en_US |
