Abstract: PUB056
Effect of the Libyan Civil War on Quality of Life Among Patients Undergoing Maintenance Hemodialysis
Session Information
Category: Dialysis
- 801 Dialysis: Hemodialysis and Frequent Dialysis
Authors
- Alzawi, Maryam, University of Zawia College of Human Medicine, Az-Zāwiyah, Zawiya District, Libya
- Alshawish, Mohammed, University of Zawia College of Human Medicine, Az-Zāwiyah, Zawiya District, Libya
- Pietro, Rudaba Ahmed, University of Zawia College of Human Medicine, Az-Zāwiyah, Zawiya District, Libya
- Shkendali, Areej Fathi, University of Zawia College of Human Medicine, Az-Zāwiyah, Zawiya District, Libya
- Alhaej, Maram Abraheem, University of Zawia College of Human Medicine, Az-Zāwiyah, Zawiya District, Libya
- Baisho, Azar, University of Zawia College of Human Medicine, Az-Zāwiyah, Zawiya District, Libya
- Mohamed, Muner, Ochsner Health, New Orleans, Louisiana, United States
Background
prolonged civil war in Libya may negatively influence the quality of life of patients with chronic illnesses, particularly those requiring maintenance hemodialysis. End-stage kidney disease (ESKD) affects patients’ health-related quality of life (QoL). Assessment of multidimensional QoL may serve as a predictor of disease outcomes and psychosocial well-being .Data on QoL among patients with ESKD in Libya are scarce. This study aimed to assess QoL among Libyan patients undergoing hemodialysis (HD) and identify associated sociodemographic characteristics
Methods
A cross-sectional study was conducted among adult patients on maintenance HD for at least three months from three hospitals between July 23 and September 14, 2025. Data were collected through structured interviews and were analyzed using SPSS version 25, with p < 0.05 considered statistically significant. The demographic and quality of Life data were collected. The Missoula-Vitas Quality of Life Index (MVQOLI) was used to assess five domains: symptoms, function, interpersonal, well-being and transcendence Each domain score and total index were calculated.
Results
Of the 145 hemodialysis patients, 144 completed the survey. The mean total QoL score was (16.68 ± 2.36). Among the MVQOLI domains, the Interpersonal domain reflecting social and family support, scored highest (10.89 ± 12.18), whereas the transcendence domain, related to spiritual peace and meaning, showed the lowest mean score (–4.18 ± 8.60). The mean score for the symptom domain was (3.46 ± 6.67). Transcendence score was significantly associated with age groups, employment status and gender (P < 0.05). The interpersonal domain was significantly associated only with gender (P = 0.026)
Conclusion
These data highlight that hemodialysis patients in Libya are demonstrate profound spiritual and existential burden, especially under the current stressful environment of the civil war.