The Comparison Of Quality Of Life In Hemodialysis And Peritoneal Patients With A Socioeconomics And Demographic Evidence In Iran

2072 words - 8 pages

Introduction
Chronic diseases have lots of negative impacts on people’s quality of life.[1] These diseases not only cause a lot of physical and mental problems for patients [2], but also costs on patient’s family So their impacts will be shown in both patient and society [3]. The treatment of kidney patients as chronic disease is one of the most important issues for world’s health [4]because this disease has high rates of prevalence and incidence[5] and its treatment is associated with high cost and low recovery.[6] The National Kidney Foundation in United States has defined chronic kidney disease as kidney failure or Glomerular filtration less than 60 ml at 1/73 square meter of body surface area for three months or later [7]. In the recent years the number of kidney patients are increasing too[8]. For example corresponds in United States show that this figure reached from 58220 patients in 1980 to 514642 ones in 2007[9].such increases could be seen in Iran too, so that the number of patients in this country in 1992 was 3670 ones. It increased to 8500 patients in 2002 and 32000 ones in 2011.[10]
Hemodialysis (blood dialysis) is the most general method for treating end stage kidney failures. Hemodialysis removes waste products, toxins and excess of fluid from the blood and has roles like kidney roles in body. [11] The numbers of people who receive Hemodialysis treatment are increasing yearly about 15% in Iran. [12] The quality of life for people who received Hemodialysis is lower than others. These patients generally must be treated 3 times a week and it makes a lot of limitations for them.[13] Most of kidney patients can be treated successfully with both methods of Hemodialysis and transplantation. Kidney transplantation is a constant treatment but Hemodialysis is not. If the patient were able to choose between methods – without considering financial circumstances- they would prefer kidney transplantation because it is much easier and it doesn’t lead to wasting time and is a constant treatment. [14] Addition to these methods, there is a third one that named peritoneal. [15] For the first time, it was described by Popovitch and Moncrieff in 1976 which received considerable interest at the sixteenth congress of the European Dialysis and Transplant Association held in Amsterdam. (10) Also an Iranian physician reported 9 case of treatment by this method and expressed the success of it on the chemical control of uremia and out disorders of enough water and salt. In this research, 9 patients in 136 weeks treatment were evaluated. [16] In 2005 10% of patients with kidney failures in the United States chose to be treated with this method[17]and nowadays the number of peritoneal dialysis have increased to 12%.[18] In Iran, for the first time peritoneal dialysis was used in 1997. Patients treating with this method are increasing in Iran so that the number of patients reached to 1100 ones in 2008 while the number were 680 ones in 2004 and 980 ones in...

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