Health-related Quality of Life of Patients With and Without Diabetes on Hemodialysis in China: A Comparative Correlational Study
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Issued Date
2025-01-01
Resource Type
ISSN
08574421
eISSN
2586940X
Scopus ID
2-s2.0-105014212759
Journal Title
Journal of Health Research
Volume
39
Issue
4
Start Page
368
End Page
379
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Health Research Vol.39 No.4 (2025) , 368-379
Suggested Citation
Han Z., Sriyuktasuth A., Phligbua W. Health-related Quality of Life of Patients With and Without Diabetes on Hemodialysis in China: A Comparative Correlational Study. Journal of Health Research Vol.39 No.4 (2025) , 368-379. 379. doi:10.56808/2586-940X.1154 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/111911
Title
Health-related Quality of Life of Patients With and Without Diabetes on Hemodialysis in China: A Comparative Correlational Study
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Abstract
Background: Limited evidence exists on differences in health-related quality of life (HRQOL) and its determinants between diabetic and non-diabetic hemodialysis patients in China. This comparative correlational study aimed to compare HRQOL and identify associated determinants among patients with and without diabetes in Xinxiang, China. Methods: A total of 300 hemodialysis patients (150 diabetic, 150 non-diabetic) were recruited through convenience sampling. Data were collected using a personal information form, the Kidney Disease Quality of Life Short-Form (KDQOL-SF), the Treatment Adherence Scale for Maintenance Hemodialysis, and the Family Support Scale. Independent t-tests compared HRQOL scores between groups, and multiple linear regression identified HRQOL determinants. Results: Diabetic patients had significantly lower HRQOL scores (99.00 ± 19.29) compared to non-diabetic patients (108.42 ± 17.86; p < 0.001). Age and family support were significant determinants in both groups. In the diabetic group, sex was also a significant factor, with females reporting lower HRQOL than males. Conclusion: Diabetic patients on hemodialysis experience poorer HRQOL than non-diabetic patients. Key determinants of reduced HRQOL include older age, female sex (in diabetics), and low family support. Healthcare providers should regularly assess HRQOL, especially in older diabetic women with limited family support. Interventions should actively involve families and be culturally appropriate for the Chinese context.