Assessment of Psychological Health and Drug Use Pattern among the Patients Undergoing Hemodialysis DRUG USE PATTERN AMONG THE PATIENTS UNDERGOING HEMODIALYSIS

Abstract

Introduction: Hemodialysis(HD) plays a significant role in the treatment of chronic renal disease and indetermining the Quality of life (QOL) of patients undergoing hemodialysis.Kidneyfailureaffects a patient's physical and emotional health in manyways. ^[2]

Objective: The study goal was to assess the psychological health of the patients and to quantify drug use pattern.

Methods:Theinstrument usedtomeasuretheQOLwasHealthrelatedQualityoflife(HRQOL) SF-12 Ortho Toolkit.

Result: A total of 120 patients took part in the research and 3 dropped out and study was carried out among 117 patients. Because of the difference in pre-and post-dialysis weight, themaximumamountofweightlosswas5.9kg.Andtheaverageweight losswasdiscoveredto be2.88kg.Bloodpressure(BP)wasmeasuredwhere 39patients (P=0.0017) hadsystolicBPranging from0to10mmHganddiastolicBPranging from0to10mmHginatotalof72patients (P=0.4636).When thePhysicalComponentScore(PCS)wasassessed,61patients(52.13%) exhibited a difference (-20 to -11)(P<0.0001). In the instance of the Mental Component Score (MCS), 42 patients(35.89%)hadadifference1to10(P=0.0311).Physicalhealthwasmoreimpacted.

Conclusion: Physical health was the most affected aspect among the patients. Patient’s job status revealed that the hemodialysis procedure degrades and has an impact on physical health, as many patients ceased working after starting treatment. After monitoring the patient's BP, it was discovered that the SBP had increased, resulting in interdialytic hypertension.

Keywords: Blood pressure, HRQOL,patient counselling,QOL.