مقايسه كيفيت زندگي بيماران تحت همودياليز از ديدگاه پرستاران و بيماران

A Comparative Study of Hemodialysis Patientsʹ QOL from Patientsʹ and Nursesʹ Perception

Introduction: Patients with chronic renal disease are arced with numerous problems and complications. And it affects all aspects of patients life and eventually the quality of it. Objective: This comparative - descriptive study was conducted to compare dialysis patientsʹ Quality of Life from patients and nursesʹ perception admitted to Razi Educational Dialysis Center in 2002 Materials and Methods: The sample chosen by survey, consisted of 18 nurses and 126 patients undergoing hemodialysis_ The data collection instrument included demographic characteristics and three scales of QOL. (Contrilʹs Self -- Anchoring Striving Scale, Index of well-being, and ʹlʹime - T Trade -- Off Health State Utility Score). Descriptive - analytical statistics (Independent T - test, Analysis variance and Pearsonʹ s correlation test) were used for data analysis_ Results: The results from patientsʹ perception showed a significant relationship between their QOL, and level of education and income in all three scales. In addition a significant relationship b/w their QOL, and place of living (P<0.03) and occupation (P<1.005) in index of well- being scale and between age (P<0.003) and place of living (P<0.00 I) in Cantrellʹs Self- anchoring striving scale was shown and it indicated that the independent variable of QOL is positively correlated with dependent variables of occupation, number of children, predisposing diseases. The results from nursesʹ perceptions of patients QOI, indicated a significant relationship with sex (IWB) and with marital status and work experience in hemodialysis wards (SASS). Overall in all three scales, there was a significant correlation between patients and nursesʹ perceptions of QOL. T- test analyses showed a significant difference between the scores in both groups; in IWB (p<0.001) in SASS (P<0.{)2) an in TTO (p<0.005) Patientsʹ perception of their QOL. is lower than nursesʹ perception of patients QOL. Conclusion: Identifying the difference between nurses and patientsʹ perception on QOL is important in care planning and intervention and it also helps nursing managers to assess the quality of nursing care provided to these patients.