• RONAK MUHAMMAD NAAMAN College of Nursing, University of Duhok, Kurdistan Region-Iraq
  • SANA THANOON AHMED College of Nursing, University of Duhok, Kurdistan Region-Iraq
Keywords: Quality of Life, Chronic Kidney Disease, Hemodialysis, Caregivers, Renal Failure


BACKGROUND: Caregivers of hemodialysis (HD) patients play a critical role in their care which can influence their quality of life. As a result, the present study aimed to examine the quality of life among hemodialysis caregivers and their relationship with some characteristics of caregivers and patients.

SUBJECT AND METHODS: This descriptive cross-sectional survey was directed to assess the quality of life among family caregivers of hemodialysis patients. consecutive sampling was done and included (139) caregivers who had inclusion criteria. The period of data collection was from the 2nd of November 2021 to the 10th of February 2022. The Short Form 36 questionnaire was used to collect data. a p-value of < 0.05 was statistically significant.

RESULTS: Of 139 caregivers, the mean quality of life, physical and mental component scores were 59.49 ± 22.13, 63.2 ± 25.5, and 52.7 ±27.8 respectively. The scores of the physical functioning domain had the highest score (75.4 ± 24.74), while the Energy/Fatigue domain obtained the lowest score (46.19±25.86). There was a significant negative correlation between age and the quality of life (r=-0.3858, P<0.0001). Additionally, the quality of life was higher among younger, male, single, educated, and employed caregivers at a p-value (<0.0001, =0.0003, <0.0001, =0.0022, and =0.0091) respectively.  

CONCLUSION: Caregivers of hemodialysis patients had a satisfactory total quality of life score. Energy/Fatigue and mental health, on the other hand, were the most affected domains. These findings emphasize the necessity of addressing the mental health of caregivers, as well as providing them with financial and psychological support


Download data is not yet available.


Belasco, A., Barbosa, D., Bettencourt, A. R., Diccini, S. & Sesso, R. (2006). Quality of Life of Family Caregivers of Elderly Patients on Hemodialysis and Peritoneal Dialysis. Am J Kidney Dis, 48 (6), 955-63.DOI:10.1053/j.ajkd.2006.08.017
Eirini, G. & Georgia, G. (2018). Caregivers of Patients on Haemodialysis. In: Mollaoglu (ed.) Caregiving home care. Croatia: In Tech. Available at: http://dx.doi.org/10.5772/intechopen.72400.
Farzi, S., Farzi, S., Moladoost, A., Ehsani, M., Shahriari, M. & Moieni, M. (2019). Caring Burden and Quality of Life of Family Caregivers in Patients Undergoing Hemodialysis: a Descriptive-Analytic Study. Int J Community Based Nurs Midwifery, 7 (2), 88-96.DOI:10.30476/IJCBNM.2019.44888.
Francisquini, P. D., Soares, M. H., Machado, F. P., Luis, M. A. V. & Martins, J. T. (2020). Relationship Between Well-Being, Quality of Life and Hope in Family Caregivers of Schizophrenic People. Rev Bras Enferm, 73 Suppl 1, e20190359.DOI:10.1590/0034-7167-2019-0359
Gatua, M. (2017). Burden of Care and Health-Related Quality of Life Among Caregivers of Patients Undergoing Maintenance Hemodialysis at The Renal Unit of Kenyatta National Hospital. Doctoral dissertation, University of Nairobi.
Gerasimoula, K., Lefkothea, L., Maria, L., Victoria, A., Paraskevi, T. & Maria, P. (2015). Quality of Life in Hemodialysis Patients. Mater Sociomed, 27 (5), 305-9.DOI: 10.5455/msm.2015.27.305-309.
Ibrahim, S., Darwish, H. & Fayed, A. (2015). Late Initiation of Dialysis in Diabetic Egyptian Patients. J The Egyptian Journal of Internal Medicine, 27 (2), 58-62.DOI: 10.4103/1110-7782.159450.
Jafari, H., Ebrahimi, A., Aghaei, A. & Khatony, A. (2018). The Relationship Between Care Burden and Quality Of Life in Caregivers of Hemodialysis Patients. BMC Nephrol, 19 (1), 321.DOI:10.1186/s12882-018-1120-1
Luyckx, V. A., Tonelli, M. & Stanifer, J. W. (2018). The Global Burden of Kidney Disease and the Sustainable Development Goals. Bulletin of the World Health Organization, 96 (6), 414.DOI: 10.2471/BLT.17.206441.
Martinez-Santos, A. E., Facal, D., Vicho De La Fuente, N., Vilanova-Trillo, L., Gandoy-Crego, M. & Rodriguez-Gonzalez, R. (2021). Gender Impact of Caring on the Health of Caregivers of Persons with Dementia. Patient Educ Couns, 104 (9), 2165-9.DOI:10.1016/j.pec.2021.02.017
Mashayekhi, F., Pilevarzadeh, M. & Rafati, F. (2015). The Assessment of Caregiver Burden in Caregivers of Hemodialysis Patients. Mater Sociomed, 27 (5), 333-6.DOI: 10.5455/msm.2015.27.333-336.
Mirhosseini, S., Bazghaleh, M., Basirinezhad, M., Abbasi, A. & Ebrahimi, H. (2021). Health-Related Quality of Life and Caregiver’s Burden in Patients with Chronic Diseases: a Cross-Sectional Study. Family Medicine & Primary Care Review, 23 (1), 29-35.DOI:10.5114/fmpcr.2021.103184
Monarrez-Espino, J., Delgado-Valles, J. A. & Ramirez-Garcia, G. (2021). Quality Of Life in Primary Caregivers of Patients in Peritoneal Dialysis and Hemodialysis. J Bras Nefrol, 43 (4), 486-94.DOI:10.1590/2175-8239-JBN-2020-0229
Nagarathnam, M., Sivakumar, V. & Latheef, S. A. A. (2019). Burden, Coping Mechanisms, and Quality of Life Among Caregivers of Hemodialysis and Peritoneal Dialysis Undergoing and Renal Transplant Patients. Indian J Psychiatry, 61 (4), 380-8.DOI:10.4103/psychiatry.IndianJPsychiatry_401_18
Nagasawa, H., Sugita, I., Tachi, T., Esaki, H., Yoshida, A., Kanematsu, Y., Noguchi, Y., Kobayashi, Y., Ichikawa, E., Tsuchiya, T. & Teramachi, H. (2018). The Relationship Between Dialysis Patients' Quality of Life and Caregivers' Quality of Life. Front Pharmacol, 9, 770.DOI:10.3389/fphar.2018.00770
Queiroz, R. S. d., Camacho, A. C. L. F., Gurgel, J. L., Assis, C. R. d. C. d., Santos, L. M. d. & Santos, M. L. S. C. d. (2018). Sociodemographic Profile and Quality Of Life of Caregivers of Elderly People With Dementia. J Revista Brasileira de Geriatria e Gerontologia, 21, 205-14.DOI:10.1590/1981-22562018021.170170
Rha, S. Y., Park, Y., Song, S. K., Lee, C. E. & Lee, J. (2015). Caregiving Burden and the Quality of Life of Family Caregivers of Cancer Patients: the Relationship and Correlates. Eur J Oncol Nurs, 19 (4), 376-82.DOI:10.1016/j.ejon.2015.01.004
Rodrigue, J. R., Dimitri, N., Reed, A., Antonellis, T., Pavlakis, M., Johnson, S. R. & Mandelbrot, D. A. (2010). Spouse Caregivers of Kidney Transplant Patients: Quality of Life and Psychosocial Outcomes. Prog Transplant, 20 (4), 335-42; quiz 43.DOI:10.7182/prtr.20.4.g65r17525j278251
Sajadi, S. A., Ebadi, A. & Moradian, S. T. (2017). Quality of Life Among Family Caregivers of Patients on Hemodialysis and its Relevant Factors: a Systematic Review. J International journal of community based nursing midwifery, 5 (3), 206.
Sajadi, S. A., Farsi, Z., Akbari, R., Sadeghi, A. & Akbarzadeh Pasha, A. (2021). Investigating the Relationship Between Quality of Life and Hope in Family Caregivers of Hemodialysis Patients and Related Factors. BMC Nephrol, 22 (1), 383.DOI:10.1186/s12882-021-02578-6
Schoolwerth, A. C., Engelgau, M. M., Rufo, K. H., Vinicor, F., Hostetter, T. H., Chianchiano, D., Mcclellan, W. M. & Warnock, D. G. (2006). PEER REVIEWED: Chronic Kidney Disease: A Public Health Problem that Needs a Public Health Action Plan. J Preventing chronic disease, 3 (2), Available from: http://www.cdc.gov/pcd/issues/2006/apr/05_0105.htm.
Sharma, M., Lakhara, P., Kumar Sharma, S., Jelly, P. & Sharma, R. (2021). The Burden of Caregivers of Patients Undergoing Hemodialysis. Journal of Holistic Nursing and Midwifery, 31 (2), 69-75.DOI:10.32598/jhnm.31.2.2089.
Shdaifat, E. A. & Manaf, M. R. A. (2012). Quality of Life of Caregivers and Patients Undergoing Haemodialysis at Ministry of Health, Jordan. J Int J Appl, 2 (3), pp. 78-85.
Tejada-Tayabas, L. M., Partida-Ponce, K. L. & Hernandez-Ibarra, L. E. (2015). Coordinated Hospital-Home Care for Kidney Patients on Hemodialysis from the Perspective of Nursing Personnel. Rev Lat Am Enfermagem, 23 (2), 225-33.DOI: 10.1590/0104-1169.0058.2546.
Toulia, G. & Koutsopoulou, V. (2015). Quality of Life in Hemodialysis Patients. J Perioperative Nursing, 4 (1 ), 10-8.
Zou (2014). Study on the Present Situation and Influential Factors of Care Burden of Family Caregivers for Patients with Dementia. J Hunan: Zhongnan University.
How to Cite
NAAMAN , R. M., & AHMED, S. T. (2022). QUALITY OF LIFE AMONG CAREGIVERS OF PATIENTS WITH CHRONIC RENAL FAILURE UNDERGOING HEMODIALYSIS IN DUHOK CITY. Journal of Duhok University, 25(2), 86-96. https://doi.org/10.26682/sjuod.2022.25.2.8
Pure and Engineering Sciences