Factors associated with quality of life among maintenance hemodialysis patients atThai Binh Medical University Hospital in 2025

Tóm tắt

Objective: This study aimed to identify factors associated with quality of life among patients undergoing maintenance hemodialysis at the Hemodialysis Department of Thai Binh Medical University Hospital in 2025.
Subjects and Methods: A cross-sectional study was conducted among 72 patients receiving maintenance hemodialysis at Thai Binh Medical University Hospital. Study participants were recruited using a purposive sampling method. Quality of life was assessed using the Kidney Disease Quality of Life-36 (KDQoL-36) instrument. Multivariable linear regression analysis was applied to determine factors independently associated with quality of life.
Results: The mean quality of life score was 40.9. The burden of kidney disease and physical health domains had the lowest mean scores, while the symptom/problem domain and the effects of kidney disease on daily life had the highest scores. Multivariable analysis showed that age ≥60 years (β = −5.364, p = 0.033) and being married (β = −5.862, p = 0.039) were significantly associated with lower quality of life. Patients with one comorbidity and those with two or more other than kidney disease had lower quality of life than those without any (with β = -7.719, p = 0.011 and β = -8.676, p = 0.009, respectively). Each additional year since chronic kidney disease diagnosis was associated with a 0.487-point decrease in quality of life (p = 0.021).
Conclusion: Factors including age, marital status, comorbidities, and disease duration were associated with quality of life among maintenance hemodialysis patients. Interventions focusing on comprehensive comorbidity management and long‑term supportive care may contribute to improving quality of life in this population.