Relationship of life-satisfaction and self-efficacy with prognostic markers in patients receiving hemodialysis

Abstract Objective: A questionnaire suggestive of patients’ health status is needed to assess their quality of life and improve their self-management skills. It is a descriptive, cross-sectional and multicenter study. The aim of this study was to assess the life-satisfaction and self-efficacy questionnaires verified in Japan which was more related to the biochemical and nutritional markers in patients receiving hemodialysis. A total of 196 outpatients receiving hemodialysis in four dialysis centers were included. The responses to the life-satisfaction and self-efficacy questionnaires were collected. Demographic and clinical characteristics of patients were obtained including life circumstances, in addition to nutritional indices such as normalized protein catabolism rate, creatinine generation rate and geriatric nutritional risk index. Results: Life-satisfaction scores were related to prognostic nutritional markers such as normalized protein catabolism rate and creatinine generation rate. Female sex and non-diabetic patients were more satisfied with the life undergoing hemodialysis. Elderly patients had higher self-efficacy scores, which was related to their life-satisfaction scores. However, self-efficacy scores were not associated with the biochemical and nutritional markers. This life-satisfaction questionnaire was simple and useful to assess the patient’s condition.