Quality of life for the patients with End-Stage Renal failure

Abstract

As life expectancy increases and medical science is able to prolong life, kidney failure can be a devastating medical, social, and economic problem to patients and their families. After replacement therapy is initiated, other problem becomes more prominent. Social adjustments to the dependency reduced quality of life the low likelihood of returning to work, substantially elevated mortality risks, and dramatic economic are all parts of the problem Usrds, (1990), smeltzer, et al., (2000). Afifi (1996) said that the prevalence of end stage renal failure vary from country to country and sometimes from region to region within the same country. The prevalence is reported increasing all over the world and highly prevalent in topics as compared to Europe and USA Aziz, (1995), Douglas, (1998). Added that Figures range between 89-92 million populations in Africa. The most common causes of chronic renal failure in Egypt are, urinary tract obstruction, glomerulonephritis related to schistosomiasis, especially for inhabitants in the suburban areas close to banks of river Nile, and diabetes mellitus type II. The patient under regular dialysis treatment is 14636 Soliman (1995) and Barsoum, (1997). It is difficult to give exact incidence of renal failure in Egypt,

however, 200 new cases (million inhabitants) year is areasouable estimate

Elsherif, (1997).

In Assiut Governerate it was found in a study by Shams, (1999) that the proportion of chronic renal failure was 295 patient's with renal dialysis units it was observed that the highest percentage was Hypertensive glomerulopathy (22.11%), followed by idiopathic