Quality of life and Depression among Children with End Stage Renal Disease attending Hemodialysis units in Gaza Governorates
Date
2015-01-05
Authors
Jomaa Waleed. Younis
جمعة وليد يونس
Journal Title
Journal ISSN
Volume Title
Publisher
Al-Quds University
Abstract
Background The Quality of life and the depression among End Stage Renal Disease children and the NON –ESRD children, an important health problem with higher incidence and clinical severity, gain its importance from defining the quality of life and depression among these groups and from the way, they react in the case of ESRD. Since more children with ESRD are reaching adult age, the best care in the pediatric nephrology units requires attention to the psychosocial and developmental factors with the intention to support the successful transition of pediatric patients to adulthood.
Aim: the aim of this study was to compare the quality of life (QOL) and depression among children with end stage renal disease attending to hemodialysis in Gaza governorates.
Methodology: The design of this study was case control study to compare the quality of life and depression among children, study sample consists 47(cases) 95(control).This design was to describe the quality of life and depression in children with ESRD in compare with the children have other chronic disease at five hospital of the ministry of health, Data collection instrument (demographic sheet and Quality of life questionnaire and Birlesone Depression scale) face to face interview.
Results: The results showed that the mean of depression in case was 20.13% and for control was 12.63%. There were statistically significant differences in depression between the two groups toward End Stage Renal failure. The mean of the total quality of life for End Stage Renal failure was 48.98% compared to 52.75% in control group. There were statistically significant in quality of life toward control group. Physical functioning mean for End Stage Renal failure was 14.02% and for control was 21.24%. There were statistically significant in Physical functioning toward case group. Emotional functioning for End Stage Renal failure was 14.04% and control mean was 9.68%. There were statistically significant in emotional functioning toward control group. Social functioning mean in End Stage Renal failure was 9.96% and 8.32% for control group. There were statistically significant in social functioning toward End Stage Renal failure. School functioning mean in End Stage Renal failure was 11.38% and 12.77 %for control group. There were statistically significant in school functioning toward control group.
Conclusion: the findings showed that end-stage renal disease children have positive perceptions about their quality of life (emotional, social), negative perception of (physical, school), compared to control group who have positive perception (physical, school)about their quality of life and negative perception of (social, emotional), and confirm high level of depression among ESRD than control group.
Key words: End-Stage Renal Disease, Depression, Children, Quality Of