Original Research
Perceived predictors of quality of life in patients with end-stage renal disease on dialysis
Submitted: 23 April 2021 | Published: 20 September 2021
About the author(s)
Pretty N. Mbeje, Department of Nursing, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South AfricaNtombifikile Mtshali, Department of Nursing, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
Abstract
Background: Reduced quality of life (QOL) is associated with shorter survival, and is more marked in patients with end-stage renal disease (ESRD). Predictors of health, which include policymaking, social factors, health services, individual behaviour, biology and genetics, have an impact on the QOL of patients with ESRD. Patients with ESRD in South Africa are cared for in public and private hospitals, with public health institutions characterised by several challenges.
Objective: To explore and analyse the perceived predictors of QOL in patients with ESRD in the three district hospitals that provide renal services in KwaZulu-Natal.
Methods: An exploratory, descriptive qualitative research approach based on grounded theory research design was used and three focus group discussions (FGDs) were conducted. The researcher recruited 18 participants, 6 in each focus group. Three phases of data analysis were followed: open coding, axial coding, and selective coding.
Results: Predictors of QOL that emerged were the geographic location of the patients, accessibility of haemodialysis centres, patients’ adaptation and acceptance of the condition, self-management, support by family members and caregivers and availability of adequately trained nurses.
Conclusion: Predictors of QOL in patients with ESRD are associated with an increased risk of morbidity and mortality resulting from dialysis. The broad range of dimensions of life is negatively affected and requires intervention by the renal team and policymakers to improve the QOL of patients.
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Crossref Citations
1. Factors affecting access to dialysis for patients with end‐stage kidney disease in Sub‐Saharan Africa: A scoping review
Milipaak Japiong, Christine Kurtz Landy, Mary T. Fox, Joseph Mensah, Peter Adatara
Nursing Open vol: 10 issue: 10 first page: 6724 year: 2023
doi: 10.1002/nop2.1970