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inconveniences. Hemodialysis (HD) patients have to spare four hours a day, three days a week regardless of individual schedules. In continuous ambulatory peritoneal dialysis patients, people must carry three, two-liter bags of dialysis fluid to perform day-time dialysis. This is not only inconvenient, but it also becomes increasingly burdensome because people get frailer1 as dialysis duration increases because dialysis initiation cannot halt the deterioration of the underlying causes of CKD. In addition, it is hard for dialysis patients to maintain their job, which ultimately lowers their socioeconomic status.2 Therefore, it is natural for CKD patients to be unhappy, and the overall health-related quality of life (HRQL) cannot be high with the progression of CKD.3

Potential Role of Psychosocial Factors on Health-Related Quality of Life in Hemodialysis Patients