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العنوان
Comparison between Two Different Methods of Measuring Dialysis Adequacy and its Relation to Health Related Quality of Life in Prevalent Hemodialysis Patients/
المؤلف
El Sheimy,Mohamed Rashad Mohamed .
هيئة الاعداد
باحث / محمـــد رشـــاد محمــد الشيمــى
مشرف / إيمــــان ابراهيم سرحــــان
مشرف / أحمد شعبـــان ســــراج الديــــن
تاريخ النشر
2016.
عدد الصفحات
122.p;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب الباطني
تاريخ الإجازة
01/10/2016
مكان الإجازة
جامعة عين شمس - كلية الطب - Nephrology
الفهرس
Only 14 pages are availabe for public view

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from 122

Abstract

Background
The factors that influence HRQOL in patients with ESRD have received little attention. Single pool KT/V equation used to assess hemodialysis adequacy, nPCR equation used to assess patient nutrition. In this study we Compared between the two previous equations for measuring hemodialysis adequacy and their relation to health related quality of life in prevalent hemodialysis patients.
Methods
This descriptive analytic study included the available data in hemodialysis patients in Port-Said General Hospital Hemodialysis Unit. Data was collected between June and July 2015. 100 patients answered KDQOL questionnaire and we compared the 3 main scales PCS,MCS and KDCS scores and the total questionnaire score to KT/V and nPCR equations results to assess which of them is better to measure hemodialysis adequacy.
Results
The mean result for KDQOL questionnaire for all patients was 41.2±16, the mean result for KT/V equation was 1.02±0.28, the mean result for nPCR equation was1.01±0.25, correlation between KDQOL questionnaire score and Adequacy of hemodialysis by both formulas (KT/V and nPCR ) was assessed and Both showed positive strong correlations which were statistically significant (both p=0.0001) , however KT/V formula showed a stronger correlation than nPCR calculation, The result revealed a strong, direct, positive and significant correlation(p=0.0001)between KT/V equation results and the results of the 3 main scales of KDQOL questionnaire (PCS, MCS and KDCS), There was a strong, positive and significant correlation between nPCR equation results and the results of only 2 of the 3 scales of KDQOL questionnaire: Physical Component Scale and Kidney Disease Component Scale (PCS and KDCS), There was a weak, positive and significant correlation(p=0.003) between nPCR equation results and Mental Component Scale results (MCS).
Conclusion
To assess hemodialysis adequacy we can use two equations, KT/V and nPCR, but KT/V is more accurate to assess all parameters of KDQOL questionnaire: physical, mental and kidney disease component scales.