QUALITY OF LIFE OF DIALYSIS PATIENTS

Mjerenje kvalitete života povezane sa zdravljem (engl. Health Related Quality Of Life - HRQOL) dio je općeg koncepta kvalitete života. Prema istraživanjima, u bolesnika na dijalizi kvaliteta života je značajno niža u odnosu na opću populaciju. Cilj rada je prikazati važnost i utjecaj kvalitete života bolesnika na dijalizi na ishode liječenja. Za izradu rada korišten je pregled literature baze podataka MEDLINE i EBSCO u listopadu 2016. godine, za razdoblje od 2005. do 2016. godine. Transplantacija bubrega nudi bolju HRQOL od dijalize, dok između bolesnika na hemodijalizi i onih na peritonejskoj dijalizi nema nema značajne razlike u HRQOL. Dobra klinička praksa u liječenju bolesnika na dijalizi zasniva se na individualnom pristupu i poboljšanju kvalitete života, za što je nužna suradnja obiteljskih liječnika i konzultanata-nefrologa. U svakodnevnoj praksi, korištenjem upitnika o kvaliteti života pacijenata na dijalizi povećala bi se svijest o iznimno važnom segmentu skrbi za dijalizirane bolesnike, jer je kvaliteta života mjera ishoda liječenja tih bolesnika.Measuring the Health Related Quality of Life (HRQOL) is part of the general concept of quality of life. According to the survey, quality of life in dialysis patients is signifi cantly lower as compared to general population. The aim is to show the importance and impact of the quality of life in dialysis patients on treatment outcomes. In October 2016, the MEDLINE and EBSCO databases were searched for the 2005-2016 period. Kidney transplantation offers better HRQOL as compared to dialysis, since there is no signifi cant difference in HRQOL between patients on hemodialysis and those on peritoneal dialysis. Good clinical practice in the treatment of dialysis patients is based on individual approach and on improving the quality of life, for which collaboration of family doctors and consultant nephrologists is necessary. In daily practice, using questionnaires on the quality of life of dialysis patients would increase the awareness of this very important segment of care for dialysis patients because quality of life is an outcome measure of treatment in these patients