Abstract
Introduction: The Maintenance Haemodialysis (MHD) patients often experience poor Quality Of Life (QOL), low physical activity and performance, increased anxiety level. The overlapping between these factors and its effect in life quality is incomprehensible.
Aim: To determine the relationship between QOL, anxiety, physical activity and performance in MHD Patients.
Materials and Methods: A cross-sectional, descriptive study was conducted on and patients selected from four Haemodialysis (HD) unit at Shebin El-Koom city Menoufia governorate, Egypt from February 2020 to April 2020. Total 68 MHD patients were taken according to the selected criteria. Tools of the study were demographic data sheet, Kidney Disease and Quality Of Life (KDQOL (TM)-36), Beck Anxiety Inventory (BAI), 6 Minute Walk Test (6-MWT) and the 30 seconds Sit to Stand Test. Pearson's correlation coefficient was used. The level of significance for all statistical tests was set at p-value <0.05.
Results: The mean +/- SD age of the MHD patients were 59.73 +/- 11.45 years. A 58.8% of the participants were males. Total 67.7% of patients experienced severe anxiety. The mean and standard deviation of (6-MWT) and the 30 seconds Sit to stand test were 191.74 +/- 97.05 meters and 7.74 +/- 2.34 cycles, respectively. The BAI were negatively correlated with KDQOL, physical activity and Physical Performance (PP) where the r and p-values were (r=-0.36, p-value= 0.03; r=-0.87, p-value= 0.001; r=-0.73, p-value= 0.001, respectively). There was a positive correlation between KDQOL score and physical activity (r=0.40, p-value=0.01).
Conclusion: The study concluded that there were associations between the variables and recommended that greater attention should be paid to regular evaluations of QOL, anxiety, and physical activity. It also recommended treating anxiety effectively to help improve QOL, physical activity, and performance.