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The association between hope and quality of life in haemodialysis patients

26 November 2020
13 min read
Volume 29 · Issue 21

Abstract

Background:

Hope is important for patients with end-stage renal disease receiving haemodialysis (HD) and hope is associated with quality of life (QoL). Studies examining hope among the HD population are limited and, as far as the authors know, have not been undertaken in Jordan.

Aims:

To examine levels of hope and QoL and to examine the association between hope and QoL in HD patients in Jordan.

Methods:

A cross-sectional design was used. A convenience sample of 202 patients from six different dialysis centres was recruited. The World Health Organization QOL-BREF and the Herth Hope Index were used.

Findings:

Moderate levels of hope (M=32.3±4.1) were reported. Respondents reported low mean scores for the physical domain of QoL (M=48.3±21.1) but not for the psychological and social relationship domains. Higher hope scores were associated with better QoL.

Conclusion:

The findings suggest a positive relationship between the level of hope and QoL in people receiving HD. Encouraging hope while caring for HD patients in clinical settings may improve their QoL. Understanding the relationship between hope and QoL may help healthcare providers to improve the quality of care for patients and their families.

End-stage renal disease (ESRD) is characterised by losing 85% or more of the kidneys' functioning (National Kidney Foundation, 2020). It is considered one of the major diseases that affect the quality of life (QoL) of patients (Rahimipour et al, 2015). In Jordan, the total number of patients with ESRD by the end of 2016 was 5352; of them, 5130 patients were receiving haemodialysis (HD) treatment and 380 patients out of the 5130 HD patients died during that same year. In the latest report from Jordan, the number of new cases of ESRD for the year 2016 was 829 patients, which is considered a significant rise when compared with previous years (Al-Quaisi and Assad, 2016). In addition, there is a high rate of under-diagnosed renal disease among Jordanians (Khalil et al, 2018). According to the Centers for Disease Control and Prevention (CDC) (2013), renal disease is among the top 10 causes of death in Jordan (4%), which also include ischaemic heart disease at 18% and diabetes at 7%.

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