Elhadji Fary Ka¹, Jacques Vigan^2*, Ahmed Tall Lemrabott¹, Noriace Excelle Zohoun², Mohamedou Moustapha Cissé¹, Séraphin Ahoui², Maria Faye¹, Younoussa Keita¹, Khodia Fall¹, Bruno Léopold Agboton², Abdou Niang¹, Boucar Diouf¹

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¹ Nephrology Department, Aristide Le Dantec Hospital, Dakar, Senegal.
² Nephrology and Hemodialysis Clinic, Hubert Koutoukou Maga Teaching Hospital, Cotonou, Benin.
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Abstract: Introduction: The objectives of this work were to assess haemodialytic patients’ quality of life (QoL) and to identify factors affecting this QoL. Patients and Methods: It was a three (03) month monocentric and transversal study (from October 24, 2011 to January 27, 2012) conducted in the haemodialysis unit at Hubert Koutoukou Maga Teaching Hospital (CNHU-HKM) in Cotonou. Patients included were residents of Benin, aged 18 years and above, chronic haemodialysis in this unit for over 3 months, and willfully gave their consent. Quality of life was evaluated using questionnaire on Kidney Disease Quality of Life Short-Form French version 1.2 (KDQoL-SF 36). Epidemiological data, nephropathy etiologies and purification parametres were recorded in patients files. Data statistical analysis was performed using SPSS software 11.5. Results: In total 131 patients were involved in the study. The average age was 50.27 ± 12.17 years with a sex ratio of 1.69. Nephroangiosclerosis was the 1st cause. Most patients 128 (97.71 %) received two haemodialysis sessions on weekly basis. The Average Overall Score (AOS) based respectively on SF 36 and KDQoL was 48.55 and 58.55. The average of both SF 36 and KDQoL AOS was 53.55. Factors affecting hemodialytic patients quality of life were vitality, limitations related to mental health and physical condition, burden of kidney disease, effect of the disease on daily life and occupational status. The study revealed that: Patients education level was correlated with vitality (p < 0.017); The number of haemodialyses sessions was correlated with the consequences of kidney disease on daily life (p < 0.025). Conclusion: It is necessary to streng-then the staff by providing a psychologist and a dietician and also build new haemodialysis centres.

Keywords: Quality of Life, Haemodialysis Patients, Chronic Kidney Disease, Benin

Cite this paper: Ka, E. , Vigan, J. , Lemrabott, A. , Zohoun, N. , Cissé, M. , Ahoui, S. , Faye, M. , Keita, Y. , Fall, K. , Agboton, B. , Niang, A. and Diouf, B. (2014) Quality of Life of Chronic Haemodialytic Patients at Cotonou Teaching Hospital (BENIN). Open Journal of Nephrology, 4, 131-141. doi: 10.4236/ojneph.2014.44019.

References

[1]   MerkusM.P.,Jager, K.J., Dekker, F., Boeschoten, E.W., Stevens, P. and Krediet, R.T. (1997) Quality of Life in Patients on Chronic Dialysis: Self-Assessment 3 Months after the Start of Treatment. American Journal of Kidney Diseases, 29, 584-592. http://dx.doi.org/10.1016/S0272-6386(97)90342-5

[2]   Boini, S., Leplege, A., Loos, C., Français, P., Ecosse, E. and Briançon, S. (2007) Mesure de la qualité de vie dans l’insuffisance rénale chronique terminale. Adaptation transculturelle et validation du questionnaire spécifique kidney disease quality of life. Néphrologie et Thérapeutique, 3, 372-383. http://dx.doi.org/10.1016/j.nephro.2007.05.005

[3]   Hays, R.D., Kallich, J.D., Mapes, D.L., Coons, S.J., Amin, N. and Carter, W.B. (1994) Development of the Kidney Disease Quality of Life (KDQOL) Instrument. Quality of Life Research, 3, 329-338.
http://dx.doi.org/10.1007/BF00451725

[4]   Martin, P. and Ferreri, M. (1997) Le concept de qualité de vie. Ardix Medical, 45, 345-375.

[5]   Ouattara, F. (2008) Qualité de vie des hémodialysés à dakar. Thèse Med, Dakar, No. 120.

[6]   Korevaar, J.C., Jansen, M., Merkus, M.P., Dekker, F.W. and Boeschoten, E.W. (2000) Quality of Life in Predialysis End-Stage Disease Patients at the Initiation of Dialysis Therapy. Peritoneal Dialysis International, 20, 69-75.

[7]   Gentile, S., Delarozière, J.-Ch., Fernandez, C., Tardieu, S., Devictor, B., Dussol, B., Daurès, J.-P., Berland, Y. and Sambuc, R. (2003) Qualité de vie et insuffisance rénale chronique terminale: Le point sur les différents questionnaires existants. Néphrologie, 24, 291-299.

[8]   Rebollo, P., Ortega, F. and Baltar, J.M. (2001) Is the Loss of Health-Related Quality of Life during Renal Replacement Therapy Lower in Elderly Patients than in Younger Patients? Nephrology Dialysis Transplantation, 16, 1675-1680.
http://dx.doi.org/10.1093/ndt/16.8.1675

[9]   Wu, A.W., Fink, N.E., Cagney, K.A., Bass, E.B. and Rubin, H.R. (2001) Developing a Health-Related Quality-of-Life Measure for End Stage Renal Disease: The Choice Health Experience Questionnaire. The American Journal of Kidney Diseases, 37, 11-21.

[10]   Boini, S., Bloch, J. and Briançon, S. (2011) Surveillance de la qualité de vie des sujets atteints d’insuffisance rénale chronique terminale. Néphrologie et Thérapeutique, 7, S215-S300. http://dx.doi.org/10.1016/S1769-7255(11)70021-9

[11]   Mohamed, N., Mohamed, H.A., Sami, K., Dhia, N.B. and Anouar, G. (2008) L’hémodialyse et son impact sur la qualité de vie. Néphrologie et Thérapeutique, 4, 21-27. http://dx.doi.org/10.1016/j.nephro.2007.07.008

[12]   Jose, A.D.B., Edmund, G.L. and Nancy, L.L. (2000) Quality-of-Life Evaluation Using Short Form 36: Comparison in Hemodialysis and Peritoneal Dialysis Patients. American Journal of Kidney Diseases, 35, 293-300.

[13]   Peter, B.D. (1997) Hemodialysis Patient-Assessed Functional Health Status Predicts Continued Survival, Hospitalization, and Dialysis-Attendance Compliance. American Journal of Kidney Diseases, 30, 204-212.
http://dx.doi.org/10.1016/S0272-6386(97)90053-6

[14]   Sayin, A., Mutluay, R. and Sindel, S. (2007) Quality of Life in Hemodialysis, Peritoneal Dialysis, and Transplantation Patients. Transplantation Proceedings, 39, 3047-3053. http://dx.doi.org/10.1016/j.transproceed.2007.09.030

[15]   Anca, S., Liviu, S. and Constantin, V. (2008) Factors Affecting the Quality of Life of Haemodialysis Patients from Romania: A Multicentric Study. Nephrology Dialysis Transplantation, 1, 1-4.

[16]   Valderrabano, F. (2000) Quality of Life Benefits of Early Anemia Treatment. Nephrology Dialysis Transplantation, 15, 23-28. http://dx.doi.org/10.1093/oxfordjournals.ndt.a027972

[17]   Neto, J.F., Ferraz, M.B. and Cendoroglo, M. (2000) Quality of Life at the Initiation of Maintenance Dialysis Treatment—A Comparison between the SF-36 and the KDQ Questionnaires. Quality of Life Research, 9, 101-107.
http://dx.doi.org/10.1023/A:1008918609281