คุณภาพชีวิตของผู้ป่วยไตวายเรื้อรังระยะสุดท้ายที่ได้รับการฟอกเลือดด้วยเครื่องไตเทียมตามสิทธิที่กฎหมายกำหนด กรณีศึกษาโรงพยาบาลเอกชนแห่งหนึ่ง

Abstract

The objective of this research was to evaluate the quality of life in End stage renal disease (ESRD) patients undergoing Hemodialysis according to the different health benefit schemes. The sample group was 76 patients undergoing Hemodialysis at a private hospital and the research tools used to collect datawere questionnaires. The results of this research showed that the overall quality of life among the sample group was in medium level ( X= 246.83). Considering each aspect of the quality of life, it was found that ESRD symptoms ( X= 71.40) and ESRD impacts ( X = 60.07) were higher than other aspects. On the other hand, ESRD burdens ( X=35.85) and physical health ( X= 34.86) had the lowest scores. When comparing based on the rights of medical treatment, the overall quality of life among those who had health insurance was better than the others who assumed the rights of government officers and who had to pay all medical costs by themselves. In comparing each aspect, the results of ESRD symptoms, ESRD impacts, ESRD burdens, and physical health were the same. The quality of life in terms of mental health among those who had rights in social security and national health security was better than the others who assumed the rights of government officers (P-value =0.024). The results also showed that each health benefit scheme had different treatment processes, for example, the excess costs of Hemodialysis and limited number of Hemodialysis. Moreover, it was found that most patients with national health security had better Hemodialysis Adequacy, which resulted in better quality of life (r=0.243). Meanwhile, the excess costs resulted in decreasing quality of life (r = 0.267). From the findings, it was summarized that the quality of life in terms of mental health and the overall quality of ESRD patients undergoing Hemodialysis with different health benefit schemes differ from one another. Therefore, there should be improvement of medical treatment processes in the way that can enhance the quality of life among the patients of all health benefit schemes.