Facts and Factors Affecting Quality of Life of Patients Undergoing Haemodialysis: A Review
DOI:
https://doi.org/10.26463/rjns.15_2_10Keywords:
Structured Teaching Program, Elderly, Management, Osteoarthritis, Cataract, Hearing lossAbstract
In India, diabetes and hypertension contribute to 40-60% of chronic kidney disease (CKD) cases. According to the Indian Council of Medical Research (ICMR), the prevalence of diabetes among adults has reached 7.1%, ranging from 5.8% in Jharkhand to 13.5% in Chandigarh. Among urban populations over 40 years, this prevalence can rise to 28%. Hypertension affects about 17% of adults, with rural prevalence at 14.8% and urban at 21.4%. A 17.4% prevalence among adults aged 20-59 in a Delhi slum-resettlement colony has been reported. The increasing burden of these comorbidities makes individuals with CKD a priority for targeted interventions. CKD affects around two million people in India, many of whom require dialysis or kidney transplantation. However, only 10-12% receive dialysis, mainly due to financial barriers or limited access. Even among urban patients with access, frequent dialysis remains unaffordable. The Bangalore Kidney Foundation (BKF) addresses this gap by offering free or subsidized dialysis services, along with medicines, nutrition, and diagnostics, enabling patients to receive regular care. For those ineligible for transplantation, this support allows for a more stable, functional life. The World Health Organization (WHO) defines quality of life (QOL) as an individual’s perception of their position in life, shaped by cultural context and value systems. QOL encompasses various domains, including health, employment, environment, education, relationships, spirituality, and personal safety-making it an essential consideration in chronic illness management, especially for patients undergoing lifelong dialysis.
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