CKD (chronic kidney disease) is a disease or structural abnormalities of renal function over a period of three months (1) by normal kidney function excrete waste through urine. If renal dysfunction, it makes the driver of a malfunction. This will affect the functioning of other organs, kidney disease, which are caused by the kidney or directly from the patient's underlying disease such as diabetes or high blood pressure. If patients do not respond to treatment or do not get the right treatment can make renal function deteriorates and chronic kidney disease. Divided into five stages based on the filtration rate of the kidneys ie the one with filtration rate
90-100% range, the second a filtration rate 60-89% Phase 3 filtration rate 30-59% Phase 4. filtration rate is 15-29%, and the five or the last phase. A filtration rate less than 15% of end-stage chronic kidney disease, which is a treatment for complicated and costly to maintain very high, including renal replacement therapy. And kidney transplant (2) for renal replacement therapy can be done two ways to dialysis with artificial kidneys. (hemodialysis) and peritoneal dialysis (peritoneal dialysis) in the kidney is a major public health problem in Thailand. Thailand has kidney disease patients who were treated by hemodialysis or peritoneal dialysis lot of Thai SEEK study in the year 2550 - 2552 patients with chronic kidney disease, or about 17.56 percent. 7.06 million, or 17.56 per cent (3) and the Office of Policy and strategy. Ministry of Public Health reported in 2557 that the deaths of 520,856 people with kidney failure (4) The number of patients with kidney disease who were treated by hemodialysis or peritoneal dialysis. It is seen that kidney disease is a major public health problems of
patients with end-stage renal disease requiring renal replacement therapy needs to be closely monitored. Because these patients are mainly elderly and often have joint disease or complications, according to which the care of chronically ill patients at home Haa becomes the responsibility of the family members of patients is mainly due to the care. the patient is hard work and requires a lot of effort. Administrators need to adapt and change their roles from the original that had existed as lost income and occupation. Since it takes time to care for patients at home. Resulting in loss of revenue from occupation. A tiring and cause stress, which affects caregivers themselves in physical, mental and social care. It also gives administrators a deviation that leads to health problems are the problems of patient care and personal problems. The administration may feel anxiety, guilt isolate themselves from society. The quality of life is lower. And which will contribute to the efficiency of care for patients with decreased
quality of life (quality of life) refers to the perceived quality and status of the person to life in society. The relationship with the goals and expectations of their own. Under the context of the cultural values of the society and other (5) Due to the quality of life is one of the important therapeutic results. The development of a quality life to many issues such as quality of life should be a component of quality of life index. Which is a measure of social importance. The World Health Organization has developed a generic quality of life ... .. Include (WHOQOL - 100), which consists of 100 questions and an abridged version (WHOQOL- BREF) questionnaire consisting of 26 questions which measure the quality of life of the World Health Organization, this series stands. It has been developed as Thailand. (WHOQOL-BREF-THAI) by Suwat Mhat eternal Committee and the Board. Used for measuring quality of life in general. The specific quality of life measures, such as the burden of care of patients with chronic Version Thailand. There are a number of questions to 22 questions used to assess the burden of care of chronic patients. (6)
The cross-sectional study of Belasco and colleagues (2006) conducted a study of the quality of life of patients with chronic kidney disease receiving dialysis. (hemodialysis) and dialysis, the abdominal cavity (peritoneal dialysis) Dialysis dialysis clinics in the city of Sao Paulo, Brazil, were studied in patients over the age of 65 years and dialysis. hHemodialysis 84 caregivers who Peritoneal dialysis and 40 patients younger than 65 years old and not up to the dialysis. hHemodialysis 77 people and caregivers perform dialysis
, abdominal peritoneal dialysis were 40 (the tool used to measure quality of life, including a questionnaire to measure a questionnaire, interview the Mmedical Ooutcomes survey Study 36-Iitem short. Short form form Hhealth Ssurvey (SF - 36), which is designed to measure quality of life in general. A measure of quality of life related to health, Ccaregiver Bburden (CB) scale, which is used to measure the burden of caring for patients and Cognitive Depression Index (CDI) cognitive index of depression, which is a measure that can be used. measure the stress level of patient care. The study found that those patients who do peritoneal dialysis peritoneal dialysis. Scores from the survey questionnaire SF-36 is lower than the caregivers perform dialysis, hemodialysis, which showed the most relative to the psychological component, such as physical strength, vitality (vitality) to get. the adoption of social, emotional and mental wellbeing. Apart from the
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