Tertiary Hospital in China

Running Head: CRITICAL ANALYSIS
CRITICAL ANALYSIS
Name of the student:
Name of the university;
Author note:

CRITICAL ANALYSIS
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Background:
According to the studies done by Karimi and Brazier (2016), quality of life is defined as
the general well-being of the individual and the social environment which outlines the negative
and positive aspects of life. It observes the standard of living which includes physical health,
family, employment, wealth, religious belief and the social environment. Rendering to the study
conducted by Younossi et al. (2016), the quality of life of the patient receiving hemodialysis is
often decreased leading to quality of sleep, pain, vomiting and chronic fatigue. In the case of
patient suffering from kidney complications, dialysis is done. Dialysis is defined as the process
which filters and purifies the blood by using the machine. It helps in maintaining the electrolytes
and fluids balance of the body. There are two type of dialysis commonly observed in case of
patient with kidney disease includes peritoneal dialysis and hemodialysis (Jin et al., 2016). It is
noted that in both the case the patient suffers from various side effect such as, psychological and
medical complications which decreases the quality of life. By reviewing a number of studies, it
can be stated that mental and physical wellness is more in case of peritoneal dialysis as compared
to that of the hemodialysis. The study states that HRQOL in terms of hemodialysis and
peritoneal dialysis is equally responsible. In order to evaluate the Health Related Quality of
Living in case of patient suffering from kidney complications, two quantitative and two
qualitative studies is performed. In the discussion, the Health Related Quality of Living in case
of peritoneal dialysis and hemodialysis is compared along with the method, result and findings.
The primary aim of nursing is to provide safe and appropriate care to the patient which
can be done by the aid of evidence based research where the nurse gets proper information about
the effective treatment of particular disease. The chief objective of the discussion is to evaluate

CRITICAL ANALYSIS
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the difference of quality of life observed during hemodialysis and peritoneal dialysis which can
be used while treating a patient to improve their physical and mental wellbeing.
The formulated PICO question is “How do patients’ quality of life compare after
undergoing peritoneal dialysis (PD) and hemodialysis (HD) for some time?”. P refers to the
patient aged 50-73 suffering from end stage renal disease that undergoes replacement therapy. I
refer to educating the patient about the pre-dialysis and post dialysis treatment method. C
denotes the comparison between the two most common methods of dialysis which are
hemodialysis and peritoneal dialysis. O indicates the outcomes which are identifying the
difference of quality of life among the patient undergoing dialysis by assessing the mental and
physical health condition of the patient and by reviewing the mortality/survival and disease
progression rates
Evidence from articles:
According to the quantitative study conducted by Zhang et al. (2012), Health Related
Quality of Life in case of patient having dialysis is less as compared to that of the other
population. It is also noted that HRQOL also differs in case of different dialysis method. The
study is done to evaluate the difference of quality of life of the patient with kidney disease. To
evaluate the difference survey has been conducted which indicates that the rate of mental and
physical wellness in case of patient with peritoneal dialysis is more as compared to that of
hemodialysis. It also aid in answering the research question by stating that peritoneal dialysis is
more effective than hemodialysis in terms improving the QOL.
Another quantitative study, where the quality of life among the older population relying
on hemodialysis and peritoneal dialysis is done by Iyasere et al. (2016), also answer the