The long-term consequences of chronic renal failure in the quality of life of the uremic patients

The survival and the quality of life depends on the recurred improvement of the biological parameters followed by the according technical support as it happens with patients of chronic renal failure. AIM: The aim of the present study was the evaluation of personality disorders disturbance and the consequences on quality of life. MATERIAL-METHODS: The facts were selected through a questionnaire (EPQ) which is estimated as reliable for the estimation of groups of patients belonging to the Greek population. In the present study 103 patients were included, 54 (55%) men between the age 51,5±15,4 and 49 (45%) women between the age 50,3±15,5, who belong to (CRH) one of the three medical units of artificial kidney in corresponding hospitals of Athens. The patients fulfills the above mentioned questionnaire, EPQ which contains 84 questions from which 24 for the control of psychotism, 22 for neurotism and 19 questions for the extroversion, 16 for the control of lie intention and the rest included diversion tactics. RESULTS: We concluded that all three scales of personality disorders appeared to be systematically affected in comparison with a group 138 healthy persons of the control group, matched according to their age and sex. In details, we recognized that males patients under the CRH program have been concentrated in a lower area of the scale of neurotism while female patients appeared to be concentrated in a lower area of scale of psychotism. The initial complaint, which provoked the initial disorder and the resultant need of incorporation into CRH program, was contributed to specific types of personality disturbance. Moreover, the patients with vascular complaints appeared with the tense to develop neurotism in a higher degree than patients with glomerulonephritis, whose account scale showed higher reduction. The disorder of neurotism appeared significantly reduced in patients with multicystic disease of the kidney. In the opposite side the disorder of psychotism reached a scale degree similar to that of patients with glomerulonephritis. The history of failed renal transplantation or the hope of transplantation in the future modulated the personality disorder appearance. Finally, the marital status of patients had serious impact on the modulation of personality disturbances. Specifically, it has been observed that larger number of single patients deal with problems related to the neurotism than married patients. This can be a proof of the fact that the contribution and support of the family during a CRH program may be a matter of crucial importance. CONCLUSIONS: in conclusion, the patients with chronic renal failure which comes as a result of systematic vascular complaints or uncurable pathological situations of urinary system appear to face personality disturbances. The type and the seriousness of those disorders depend on the sex, the age and the initial pathological base of the patients, which provoked the chronic renal failure and the need of incorporation into a program for chronic recurrent heamodialysis. Moreover, the type and the importance of the disorder is attributed to the history of the patient or the hope of cadaveric or live transplantation of kidney

Keywords: Chronic periodic heamodialysis, Quality of life for chronically heamodialysed patients, Personality disorders uremic patients