PMID- 31240768 OWN - NLM STAT- MEDLINE DCOM- 20191224 LR - 20200108 IS - 1365-2702 (Electronic) IS - 0962-1067 (Linking) VI - 28 IP - 21-22 DP - 2019 Nov TI - The health-related quality of life among patients on maintenance haemodialysis: Evaluation using the "EQ-5D". PG - 4004-4011 LID - 10.1111/jocn.14974 [doi] AB - PURPOSE: We conducted a cross-sectional investigation of health-related quality of life (HRQOL) among maintenance haemodialysis (MHD) patients, and determined important predictive factors of HRQOL in these patients. METHODS: Psychological factors were evaluated with the Hospital Anxiety and Depression Scale (HADS), the Pittsburgh Sleep Quality Index (PSQI) and the General Self-Efficacy Scale (GSES). HRQOL was evaluated with the EQ-5D. Laboratory data (albumin, haemoglobin and C-reactive protein) were collected for medical evaluation. We also collected participants' demographic data, including gender, age, et al. This study was in compliance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. RESULTS: The mean EQ-5D score was 0.86 +/- 0.12, mean HADS-anxiety score was 5.27 +/- 3.41, mean HADS-depression score was 5.29 +/- 3.58, mean PSQI score was 7.00 +/- 4.23 and mean GSES score was 6.86 +/- 2.03. Participants' mean haemoglobin was 108.18 +/- 16.45 g/L, mean albumin was 41.80 +/- 4.61 g/L and mean C-reactive protein was 8.88 +/- 18.50 mg/L. HRQOL was negatively correlated with HADS-anxiety (r = -0.390, p < 0.001), HADS-depression (r = -0.385, p < 0.001), PSQI (r = -0.285, p < 0.001) and C-reactive protein (r = -0.198, p = 0.034). HRQOL was positively correlated with GSES (r = 0.205, p = 0.007). Age (p < 0.001), anxiety (p < 0.001), depression (p = 0.002), and postdialysis unemployment (p < 0.001) were independent risk factors for HRQOL. CONCLUSION: Different health interventions should be implemented to improve patients' HRQOL. RELEVANCE TO CLINICAL PRACTICE: The results will provide evidence for establishing healthcare interventions to maintain or improve HRQOL among this patient population. CI - (c) 2019 John Wiley & Sons Ltd. FAU - Yuan, Huaihong AU - Yuan H AD - Department of Nephrology, West China Hospital, Sichuan University, Chengdu, China. FAU - Yang, Yujie AU - Yang Y AD - Department of Nephrology, West China Hospital, Sichuan University, Chengdu, China. FAU - Zhang, Yinjun AU - Zhang Y AUID- ORCID: 0000-0002-6292-8045 AD - Department of Nephrology, West China Hospital, Sichuan University, Chengdu, China. FAU - Xue, Guifang AU - Xue G AD - Department of Nephrology, West China Hospital, Sichuan University, Chengdu, China. FAU - Chen, Lin AU - Chen L AD - Department of Nephrology, West China Hospital, Sichuan University, Chengdu, China. LA - eng GR - 17PJ311/Health and Family Planning Commission of Sichuan Province/ PT - Journal Article PT - Observational Study DEP - 20190710 PL - England TA - J Clin Nurs JT - Journal of clinical nursing JID - 9207302 MH - Adult MH - Aged MH - Anxiety/diagnosis/psychology MH - Cross-Sectional Studies MH - Depression/diagnosis/psychology MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Quality of Life MH - Renal Dialysis/*psychology MH - Risk Factors MH - Surveys and Questionnaires MH - Young Adult OTO - NOTNLM OT - anxiety OT - depression OT - haemodialysis OT - health-related quality of life OT - sleep EDAT- 2019/06/27 06:00 MHDA- 2019/12/25 06:00 CRDT- 2019/06/27 06:00 PHST- 2019/02/22 00:00 [received] PHST- 2019/06/11 00:00 [revised] PHST- 2019/06/16 00:00 [accepted] PHST- 2019/06/27 06:00 [pubmed] PHST- 2019/12/25 06:00 [medline] PHST- 2019/06/27 06:00 [entrez] AID - 10.1111/jocn.14974 [doi] PST - ppublish SO - J Clin Nurs. 2019 Nov;28(21-22):4004-4011. doi: 10.1111/jocn.14974. Epub 2019 Jul 10.