Health Status among End Stage Kidney Disease on Hemodialysis and non-Hemodialysis Patients in Kirkuk city: Comparative Study Hemodialysis and non-Hemodialysis Patients in Kirkuk city: Comparative Study

Abstract

Abstract

Background

Hemodialysis is a treatment for end-stage renal disease (ESRD) in which a machine filters waste and excess fluids from the blood for patients whose kidneys can no longer perform this function on their own. The health status of a hemodialysis patient can vary depending on several factors, including the underlying cause of their kidney disease, their overall health and medical history, the effectiveness of their dialysis treatments, and their adherence to their treatment plan..This study aims to compare the health status among end stage kidney disease on hemodialysis and non-hemodialysis patients at Kirkuk city .

Methodology : a cross –sectional study design was used in their study to assessment health status among end stage kidney disease on hemodialysis and non-hemodialysis patients in Kirkuk city: comparative study during the period from 10/10/2023 to22/2/2024. Instrument of the study were consists of from three main domain includes   demographic data, medical data and health status domine and four sub domain which includes (independency, daily physical activity, psychosocial, and life adaptation, health status measurement were by mean of  score  , if mean of score  less than 1.8 refers to low significant  while between 1.8 to 2.39 refers to moderate significant and between 2.4 to 3  high significant. Prior to actual collection of data, a formal administrative approval was obtained from the scientific committee at college of nursing and Kirkuk Directorate of Health to conduct the study .The data were prepared, organized and entered into the computer file; Statistical Package for Social Science (SPSS) (23 version) At (P. value equal or less than 0.05), was employed for data analysis. The descriptive data analysis (frequencies, percentages, and inferential by use Anova and T, test.

Results: 1.      The results shows the male more than female and constitute 60 (60.0%), and 67 (67.0%) in the hemo and non-hemodialysis patients respectively, and most of "Age Groups", between (50-59) years and constitute 35.0% in the dialysis patients while non hemodialysis patients between (50-59) years and represent32.0%   .

Conclusions: The findings are based on the results of data analysis. the conclusions are health status of patients with hemodialysis and non-dialysis patients  different according to independency, daily physical activities, psycho- social aspects, and adaptation of life. Mean score for hemodialysis patients were high and moderate in most items while low in most of items of non- hemodialysis patients ,Health status of hemodialysis patients were poor in compare with non- hemodialysis were good health status , also the result appear  significant effect  for socio-demographic characteristics of hemodialysis patients such as age, gender , marital status and occupation  while non- significant for non -hemodialysis patients