Effects of Palliative Care Program on the Quality of Life of End-Stage Renal Disease with Denial Renal Replacement Therapy in Thalang Hospital.

Abstract

Abstract

         A quasi-experimental research study with a single group aimed to examine the effectiveness of a palliative care program on the quality of life of patients with chronic kidney failure. The sample consisted of 44 patients with end-stage chronic kidney disease denial kidney replacement therapy at Thalang Hospital. The palliative care program, designed to improve the quality of life of patients with chronic kidney disease denial kidney replacement therapy, applied the 4C principles: 1) Center at patient and family, 2) Comprehensive, 3) Coordinated, and 4) Continuous, over a 3-month period. The data collection tool was a questionnaire that included personal characteristics, health information, and quality of life measures. Data analysis to test the research hypothesis was performed using the Paired Simple t-test to compare pre- and post-intervention results. The findings indicated that after the intervention, patients with end-stage chronic kidney disease denial kidney replacement therapy at Thalang Hospital, Phuket, had significantly higher average quality of life scores compared to before the palliative care program (P-value<0.05). When comparing quality of life across different aspects, significant differences were found in the following areas: Role physical, Bodily pain, General health, Mental health, Role emotional, Social function, Vitality, Symptom/problem list, Effect of kidney disease, Work status, Quality of social interaction, Sexual function, Sleep, Dialysis staff encouragement and Patient satisfaction were found to be significantly difference (P-value<0.05). As for Physical functions, Burden of kidney disease, Cognitive function, and Social support that there were no significantly. The results reflect that end-stage chronic kidney disease patients receiving palliative care without dialysis can achieve a better quality of life through a systematically organized palliative care approach that is more aligned with the patients' problems and needs.