Department of Pharmacy Practice, Nirmala College of Pharmacy, Muvattupuzha, Kerala, India.
Saudi J Kidney Dis Transpl. 2021 Sep-Oct;32(5):1382-1387. doi: 10.4103/1319-2442.344758.
Life in end-stage renal disease (ESRD) is miserable; food and fluid restrictions are mandatory due to impaired renal function. Patient involvement forms a key role in the management of ESRD. Hence, a direct impact of patient counseling on treatment adherence and quality of life (QOL) could be established, which forms the basis of this study. We conducted a prospective interventional study of 10 months, where the ESRD-Adherence Questionnaire and Kidney Disease QOL (KDQOL) data were used to study the effect of patient counseling. A total of 121 patients enrolled in the study with mean age of 62.14 ± 11.41 years. The adherence factors indicated that 97% were adherent to dialysis sessions, followed by 67.77% toward diet and 60.33% toward fluid. On assessing the influence of counseling on QOL and adherence to various factors affecting ESRD, a positive correlation could be observed, which indicates the impact of pharmacist intervention in improving the QOL and patient compliance, thus the need for periodic counseling was established as an effective way to improve health-related QOL and awareness in ESRD.
终末期肾病（ESRD）患者的生活苦不堪言；由于肾功能受损，必须限制食物和液体的摄入。患者参与是 ESRD 管理的关键。因此，可以确定患者咨询对治疗依从性和生活质量（QOL）的直接影响，这也是本研究的基础。我们进行了为期 10 个月的前瞻性干预研究，使用 ESRD 依从性问卷和肾脏病生活质量（KDQOL）数据来研究患者咨询的效果。共有 121 名平均年龄为 62.14 ± 11.41 岁的患者入组研究。在评估咨询对 QOL 和对影响 ESRD 的各种因素的依从性的影响时，可以观察到正相关，这表明药师干预在改善 QOL 和患者依从性方面的作用，因此需要定期咨询，这是提高 ESRD 患者健康相关 QOL 和意识的有效途径。
