Introduction: Chronic non-communicable disease are illnesses that require attention throughout life and they require people to make major changes to adapt their lives to these conditions: both for the patient and the patient’s family. The onset of endstage renal disease and subsequent recommendation of dialysis as a treatment option involves a change in lifestyle for both patients and close persons. Dialysis for chronic kidney disease patients can seriously impair patients’ health-related quality of life, strain resources, cause caregiver strain and drive a family to dysfunction. Objective: This study aimed to determine if there was an association between the Family APGAR and kidney disease quality of life (KD-QOL) among these hemodialysis (HD) patients of Southern Isabela Medical Center (SIMC). Methods: This is a cross-sectional, analytical study design. After consent was secured, the KDQOL Short Form version 1.3 questionnaire and Family APGAR tool were given to HD patients of SIMC from May 15 to June 15, 2020. The descriptive statistics (frequency and weighted mean) and Pearson product-moment correlation were used thru IBM SPSS™ for Windows™ version 20. Results: One hundred three HD patients were included in the study. Most of the participants were males (58%), single (62%), Asian/Pacific Islanders by complexion (40%), high school graduates (32%), disabled (24%), and were insured by PhilHealth and other institutions (78%). Most of the participants had diabetes mellitus (26%) and hypertension (24%) as co-morbidities. Majority of the participants responded affirmatively with little health limitations and restrictions from various daily life activities. The extent of the participants’ varied feelings in the past 4 weeks were felt “some of the time”. The participants’ perception on their health were ambivalent whether they felt sick or healthy. The participants also “don’t know” whether their condition interferes too much with their life. However, they were “moderately bothered” in terms of physical symptoms. They also felt that their condition “moderately bothered” some aspects in their daily lives. They were “somewhat satisfied” with the support of the family and friends, and “moderately satisfied with the services rendered by the HD staff of SIMC. Conclusion and Recommendation The study determined the clinical profile of 103 patients with CKD on HD and the relationship of KD-QOL to Family APGAR scores. The analysis showed that the relationship between overall Family APGAR score and KD-QOL score was inversely very weak and statistically non-significant (r = -0.005, n = 103, p = 0.947). It is recommend that similar studies be conducted from various HD centers to validate the findings of this study and explore more areas of understanding the HD patients’ coping mechanism/s that could affect the QOL perception. Lastly, caregiver strain can also be conducted among family members of HD patients.
Quality of Life ; Renal Insufficiency, Chronic ; Renal Dialysis

BACKGROUND

Chronic Kidney Disease (CKD) patients often face critical treatment decisions that significantly affect their quality of life, making Shared Decision-Making (SDM), a collaborative approach between patients and healthcare providers, an essential component of patient-centered care.

OBJECTIVE

This study aimed to investigate the impact of SDM on decisional readiness and patient satisfaction among CKD patients undergoing hemodialysis (HD) at Southern Isabela Medical Center (SIMC).

METHOD

An analytical cross-sectional design was utilized. The Tagalog Version of SDM Q-9 questionnaire, Decision survey and CSAT survey tool were given to HD patients of SIMC from September – October 2024. Descriptive statistics, Pearson product-moment correlation and chi square test were used to report and analyze data.

RESULTS

One hundred eight (108) CKD patients on HD were included in the study. Shared decision-making score was high and overall satisfaction on health services was outstanding. Higher decisional readiness was associated with greater odds of reporting outstanding satisfaction (OR = 3.47, 95% CI: 2.563–4.688, p = 0.009). There was no significant association between patient satisfaction and SDM (r= 0.111, p =0.253.). Shared decision-making had a significant but weak positive correlation with decisional readiness (r =0.2043, p 0.035).

CONCLUSION

This study showed that fostering SDM positively enhances patients’ preparedness to make healthcare decisions. Decisional readiness is strongly associated with patient satisfaction, as confident patients are more likely to be satisfied with their care. The findings underscore the need for improved patient education to boost decisional readiness and support ongoing SDM practices. Integrating SDM into clinical workflows is essential to advancing patient-centered care and improving health outcomes for CKD patients undergoing hemodialysis.

Human ; Renal Insufficiency, Chronic ; Chronic Kidney Disease ; Renal Dialysis ; Hemodialysis ; Patient Satisfaction