Implementing Teaching Guidelines on Quality of Life and Adaptation on Hemodialysis Patients.

Background: Quality of life (HRQOL) of patients End Stage Renal Disease (ESRD) is influenced by the disease itself and by the type of replacement therapy. Clinical practice guidelines were established to provide recommended ranges for parameters associated with management of ESRD patients. The aim of this study is to assess the QOL and adaptation in patients with ESRD on regular HD and to study the implantation of teaching of the European best practice guidelines on those types of patients. Methods:Prospective study which was carried out on 95 patients. Two different tools were used in data collection to all subjects: Tool 1: Assessment sheet consists of four parts includes patients\' socio demographic criteria, medical history, clinical data and laboratory investigations. Tool 2: QOL and adaptation assessment using Arabic form of SF-36 and brief cope. Results: There were statistically significant improvement of HB, creatinine level, urea reduction ratio, phosphorus and albumin level after teaching of the guidelines. There were no statistically significant improvement of WBC, PLT, calcium level, kt/v and PTH level.There was statistically no-significant increased QOL in all domains after teaching of guidelines. There was sever decrease in all QOL domains . Median range of physical function was 54.50 (27.70 – 100) and mean limitation due to both physical health and emotional problems was 51.35 ± 21.08 and 51.40 ± 20.61 respectively. While mean energy feeling, Emotional wellbeing, Social functioning, Pain, General health were 48.91 ± 18.13, 49.56 ± 18.33, 43.83 ± 18.76, 58.20 ± 23.86 and 55.10 ± 18.89 in order. Conclusion:HRQOL is much lower for HD patients. The implementation of teaching guidelines has a positive effect on the studied patients\' total knowledge and most of laboratory parameterswhile it hasno significant effect on QOL for studied patients regarding almost domains.Continuous education should be provided by the healthcare team for patients.