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Published: 2026-06-29
Abstract Views: 10
DOI: https://doi.org/10.52163/yhc.v67iCD7.5583
Issue
Vol. 67 No. CĐ7- Trường ĐH Y Dược Hải Phòng
Section
Articles
How to Cite
Anh, P. T. V., & Khôi, B. M. (2026). QUALITY OF LIFE AND FACTORS ASSOCIATED WITH PALLIATIVE CARE NEEDS AMONG PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING MAINTENANCE HEMODIALYSIS AT THUY NGUYEN MEDICAL CENTER. Vietnam Journal of Community Medicine, 67(CĐ7- Trường ĐH Y Dược Hải Phòng). https://doi.org/10.52163/yhc.v67iCD7.5583

QUALITY OF LIFE AND FACTORS ASSOCIATED WITH PALLIATIVE CARE NEEDS AMONG PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING MAINTENANCE HEMODIALYSIS AT THUY NGUYEN MEDICAL CENTER

Pham Thi Van Anh1, Bui Minh Khoi2
1 Hai Phong University of Medicine and Pharmacy
2 Thuy Nguyen Medical Center

Main Article Content

Abstract

Objective: (1) To describe the quality of life (QoL) of patients with chronic kidney disease (CKD) undergoing maintenance hemodialysis and (2) to identify factors associated with their palliative care needs.


Methods: A cross-sectional study was conducted on 72 patients with end-stage renal disease (ESRD) undergoing periodic hemodialysis at Thuy Nguyen Medical Center. Data were collected using the VietPOS and EQ-5D-5L instruments.


Results: Regarding QoL, the most significantly affected domain was pain/discomfort (69.4%), followed by anxiety/depression (48.6%) and mobility (47.2%). The mean EQ-VAS score was 62.3 ± 14.8. Factors significantly associated with higher palliative care needs included low income (p=0.031), smaller household size (p=0.048), high ECOG performance status (p=0.004), and low hemoglobin levels (p=0.022).


Conclusion: Patient quality of life is substantially impaired, primarily by pain and discomfort. Palliative care needs are strongly influenced by economic factors, family support, and performance and anemia status.

Article Details

Keywords

palliative care, quality of life, chronic kidney disease, periodic hemodialysis

References

[1] Xie K, Cao H, Ling S, Zhong J, Chen H, Chen P, et al. Global, regional, and national burden of chronic kidney disease, 1990-2021: a systematic analysis for the global burden of disease study 2021. Frontiers in Endocrinology. 2025 Mar 5;16(1526482).
[2] Francis A, Harhay MN, Ong ACM. Chronic kidney disease and the global public health agenda: an international consensus. Nat Rev Nephrol. 2024;20(7):473–485. doi:10.1038/s41581-024-00820-6
[3] World Health Organization. Palliative care [Internet]. Geneva: World Health Organization; 2020 Aug 5 [cited 2024 May 22]. Available from: https://www.who.int/news-room/fact-sheets/detail/palliative-care
[4] Mai VQ, Hoang-Anh T, Vo TQ, et al. An EQ-5D-5L value set for Vietnam. Qual Life Res. 2020;29(7):1923-1933.
[5] Bộ Y tế. Hướng dẫn chăm sóc giảm nhẹ: Ban hành kèm theo Quyết định số 183/QĐ-BYT ngày 25/01/2022. Hà Nội: Bộ Y tế; 2022.
[6] Moore C, Santhakumaran S, Martin GP, Wilkinson TJ, Caskey FJ, Magadi W, et al. Symptom clusters in chronic kidney disease and their association with people’s ability to perform usual activities. PLOS ONE. 2022 Mar 2;17(3):e0264312.
[7] So S, Brown MA, Li K. Factors associated with quality of life in patients with kidney failure managed conservatively and with dialysis: a cross-sectional study. BMC Nephrology. 2023 Oct 27;24(1).
[8] Ng MSN, Wong CL, Choi KC, Hui YH, Ho EHS, Miaskowski C, et al. A Mixed Methods Study of Symptom Experience in Patients With End-Stage Renal Disease. Nursing Research. 2020 Sept 28;70(1):34–43.
[9] Gunarathne TGNS, Tang LY, Lim SK, Nanayakkara N, Damayanthi HDWT, Abdullah KL. Factors Associated with Symptom Burden in Adults with Chronic Kidney Disease Undergoing Hemodialysis: A Prospective Study. International Journal of Environmental Research and Public Health. 2022 May 3;19(9):5540.
[10] Liu J, Purtell L, Bonner A. Kidney Supportive Care for Working-Age Adults with Chronic Kidney Disease: A Profile of Characteristics and Symptom Burden. Nephron. 2023 July 10;148(1):34–42.