Supervisors info:
Μάτζιου Βασιλική, Καθηγήτρια ,Tμήμα Νοσηλευτικής, ΕΚΠΑ
Παϊκοπούλου Δήμητρα, Ε.ΔΙ.Π. ,Tμήμα Νοσηλευτικής, ΕΚΠΑ
Βλαχιώτη Ευφροσύνη ,Ακαδημαϊκός Υπότροφος,Tμήμα Νοσηλευτικής. ΕΚΠΑ
Summary:
Introduction: End-Stage Renal Disease (ESRD) is one of the most important causes of mortality with approximately 843.6 million deaths worldwide in 2017, with increasing predictions with the mortality rate reaching 14 per 100.000 peopleby 2030. The quality of life of Peritoneal Dialysis patients (PD) and Hemodialysis (HD) patients ,has concerned researchers, as it has negative effects on family, social and professional life, interpersonal relationships, financial status and psychological status of the patients.
Aim: The purpose of this systematic review is to compare the level of quality of life of PD and HD patients.
Material and Method: This paper is a systematic review of studies dealing with the quality of life of PD and HD patients. The search was carried out during November2020 in three electronic databases of published studies, PubMed, Science Direct and MEDLINE, which are distinguished for the scientific reliability and validity of the studies they publish. After identifying the studies, 11 studies were finally selected and systematically reviewed.
Results: The total of 11 studies resulted in a total sample of 63,887 ESRD patients, 43,990 HD patients (68.86%) and 19,897 PD patients (31.14%). The mean age of the HD group was 56.95±12.59 years and the PD group was 56.80±12.06 years. In two (2) studies, by Jung et al., (2019) and Goncalves et al., (2015) a higher level of Quality of Life was found in the HD Group compared to the PD Group, which constitute 18.18% of the total sample. More specifically, from the sample of 1,333 patients of the two studies, 874 who belonged to the HD Group reported a higher level of Quality of Life than 459 of the PD Group. While, in nine (9) studies by Hsu et al., (2020), Lee et al., (2016), Yang et al., (2015), Makkar et al., (2015), Heaf&Wehberg, (2014), Griva et al., (2013), Wakeel et al. (2012), Yeates et al., (2012) and Mendesde Abreu et al., (2011) resulted in a higher level of Quality of Life in the PD Group compared to the HD Group, which constitute 81.82% of the total sample. More specifically, of the sample of 62,554 patients of the nine studies, 43,166 belonged to the HD Group and reported a lower level of Quality of Life than 19,438 of the PD Group.
Conclusions: In conclusion, the findings of the research showed that the two methods PD and HD affect the quality of life of the patients. In particular, total QOL scores were significantly lower for HD patients than for PD patients. The relative risk of death was significantly lower in PD compared to HD. PD patients have a higher level of quality of life compared to HD patients.
Keywords:
Chronic kidney disease, End-stage chronic renal failure, Peritoneal cleansing, Hemodialysis, Quality of life
