A Study On Determination Of Factors Influencing The Overall Quality of Life In Long-Term Hemodialysis Patients

Abstract

Nutritional status concerns are prevalent among hemodialysis patients and have a significant influence on health-related quality of life (HRQoL). This research aims to use hemodialysis patients from the Kidney Foundation Bangladesh to look at how the Mini Nutritional Assessment (MNA) relates to health-related quality of life (HRQoL). The study used a crosssectional approach and included 200 patients. Data was collected via in-person interviews using the SF-36 Health Survey and the MNA. For the statistical assessment, which comprised HRQoL measurements, MNA scores, and sociodemographic knowledge about SPSS Statistics software was used. Participants' socioeconomic status and level of education varied, and 52% were female and 48% were male. Based on clinical parameters, the average Body Mass Index (BMI) was 22.09 ± 6.60, accounting for 20.5% underweight, 22% overweight, and 8% obese. Nutritional status was determined to be normal for 32% of participants, at risk for malnutrition for 56%, and malnourished for 12%, according to MNA evaluations. Surprisingly, those in the starving group reported higher physical functioning than those in the at-risk or normalnutrition groups (p = 0.008). HRQoL ratings varied across dimensions. Other HRQoL measures, such as role emotions, physical pain, social function, energy/fatigue, and overall health, did not show any significant variations.The results emphasize both undernutrition and overnutrition among patients, illuminating the complicated link between nutrition and HRQoL. The surprisingly elevated physical functioning ratings observed in malnourished people raise the possibility of sampling bias or compensating mechanisms. In order to improve HRQoL in hemodialysis patients, this emphasizes the need for focused nutritional therapies and additional study into the interactions between nutritional status, mental health, and social support