Role of Time of Hemodialysis Shifts on Quality of Life: A Comparative Study between Morning versus Evening Conventional Hemodialysis at Nephrology & Urology Unit, Minia University Hospital

Document Type : Original Article

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Abstract

Background: End-stage renal failure (ESRF) is a prevalent problem at national and global levels. It’s a public health concern. Quality of life (QOL) conception had evolved over time but still emerging in Egypt. Reduced QOL of hemodialysis (HD) patients has been linked to non-compliance to treatment, a surge in hospital admissions, hemodialysis complications, and mortality.
Objective: It was to evaluate QOL of the hemodialysis patients in Minia, Egypt.
Patients and Methods: A cross-sectional study was carried out at Nephrology and Urology Unit, Minia University Hospital on 60 patients. A validated questionnaire was utilized.
Results: The study revealed that the patients aged 33.5-60 years and most (56.7%) of them were males. There were significant differences between patients at morning and night shift regarding kidney disease effect, disease burden, cognitive function, and sleep (p-values = 0.001, 0.027, 0.002, and 0.001; respectively). There was a significant negative correlation between hemoglobin level and the effect and burden of kidney disease, cognitive function as well as social function (p= 0.035, 0.033, 0.02, and 0.031; respectively). Nevertheless, there was no correlation between total and ionized calcium, phosphorus, PTH, URR, KT/V, or S. albumin and QOL.  
Conclusions Time of hemodialysis, either morning or night shift, has an impact on QOL of HD patients as the morning shift was significantly associated with better QOL in contrast to the night shift in our study in terms of kidney disease effect, kidney disease burden, cognitive function, and sleep.
 

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The Egyptian Journal of Hospital Medicine
Volume 88, Issue 1
July 2022
Pages 3284-3292

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