Kontakt 2009, 11(2):424-432 | DOI: 10.32725/kont.2009.065

Quality of life of haemodialysis patients in the Czech Republic as related to their physical activityBiomedicine

Andrea Mahrová1,*, Jitka Prajsová2, Václav Bunc1
1 Laboratoř sportovní motoriky, Fakulta tělesné výchovy a sportu Univerzity Karlovy v Praze
2 Laboratoř sociální psychiatrie, Psychiatrické centrum Praha

Testing the physical fitness of patients with chronic renal failure and beneficial effects of regular physical activity on the adjustment of their general functional condition and quality of life is frequently dealt with in the foreign literature. This theme has still been only sparingly discussed in the Czech Republic.
The target of our work was to evaluate the effect of a 6-month application of a controlled movement activity in the course of the haemodialysis on the health-related quality of life HRQOL.
The sample group included 44 haemodialysis patients (average age = 66.5 ± 14.3 years). The assessment of the quality of life in relationship to the interventional movement programme was implemented at two stages as input and output examinations with the use of standardized questionnaires WHOQOL-BREF and SF-36.
The evaluation of the HRQOL with the help of SF-36 before the intervention demonstrated that the patients monitored agreed with the population standard in the evaluation of only one area - EWB "emotional wellbeing (mental health)" only. In the other dimensions considered, the quality of life was considerably lower. After experiencing the interventional movements, the evaluation of the QoL was slightly, statistically not significantly, increased. The HRQOL before the intervention evaluated with the help of the WHOQOL-BREF was considerably lower compared to the population average in the domain physical health. The other domains evaluated achieved the lower limit of normal values or were comparable to it. After the application of the interventional movements, we observed a statistically significant improvement (p < 0.02) in the evaluation of the quality of life in the domain "mental health" compared with the all-state average. In other dimensions, the evaluation of the quality of life was slightly increased, but the difference in average values has never been statistically significant.
The movement activity of a certain volume and intensity is a suitable tool for affecting the quality of life of haemodialysis patients and it should be a supplementing part of the non-pharmacological component of the complex treatment.

Keywords: haemodialysis; physical activity; quality of life

Received: January 16, 2009; Accepted: October 1, 2009; Published: December 18, 2009  Show citation

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Mahrová A, Prajsová J, Bunc V. Quality of life of haemodialysis patients in the Czech Republic as related to their physical activity. Kontakt. 2009;11(2):424-432. doi: 10.32725/kont.2009.065.
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