Health Related Quality of Life among Patients with Chronic Kidney Disease in Sri Lanka; a Review

Abstract

Abstract: Chronic Kidney Disease (CKD) gives a considerable burden to the Sri Lankan health care delivery system. Prevalence of CKD rise due to the high prevalence of noncommunicable diseases and unknown aetiologies. Health Related Quality of Life (HRQOL) reduced with the initiation and progression of the disease. Many factors significantly influenced HRQOL of CKD patients. This study reviews the state of HRQOL among Sri Lankan CKD patients and factors associated with the HRQOL. The search was done via PubMed, CINAHL, Web of Science, and Google Scholar according to the predefined criteria. Selected articles were reviewed and extracted the data which were relevant to the study. Extracted data were entered into the summary table and organized according to the research objectives. Seven articles selected for the final analysis. All the studies were cross-sectional studies. Sample size range from 120 to 1174. Haemoglobin level, being employed, high education level, and advanced stages of CKD were identified as factors that positively influenced HRQOL in CKD patients. Depression, psychological distress, symptom burden, and age negatively influenced on HRQOL. Depression and psychological distress are common among Sri Lankan patients with CKD. Impaired social support, perception of low social support, economic burden, high out pocket expenditure, unemployment are the main causes for the depression and psychological distress among patients with CKD in Sri Lanka. Health care professionals need to pay more attention on HRQOL and factors associated with HRQOL among patients CKD.