中国血液净化

中国血液净化 ›› 2017, Vol. 16 ›› Issue (05): 310-312.doi: 10.3969/j.issn.1671-4091.2017.05.007

• 临床研究 • 上一篇    下一篇

农村地区维持性血液透析与腹膜透析患者生活质量及费用的对比研究

郑俊永1,吴丹2,孟雪艳1,郭义娟1   

  1. 1. 河北省唐山  玉田县医院
    2. 河北省唐山  玉田县中医医院
  • 收稿日期:2016-12-08 修回日期:2017-03-14 出版日期:2017-05-12 发布日期:2017-05-19
  • 通讯作者: 郑俊永 15222901@163.com E-mail:15222901@163.com

Comparative study on quality of life and medical expenses of patients on hemodialysis and peritoneal dialysis in rural area

  • Received:2016-12-08 Revised:2017-03-14 Online:2017-05-12 Published:2017-05-19

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摘要： 目的比较农村地区血液透析及腹膜透析患者的生活质量及费用，为农村肾脏病患者更好的选择血液净化模式以及卫生行政部门单病种付费提供依据。方法 选2014年8～11 月在玉田县医院肾内科血液净化中心规律血液透析患者33 例，腹膜透析患者18 例，所有患者行36 项简式健康调查问卷(short form 36 health survey questionnaire, SF-36)调查；并连续12w 收集患者直接医疗费用、直接非医疗费用。结果①SF-36 量表显示腹膜透析与血液透析组的生理综合得分和精神综合得分均无显著性差异，而腹膜透析组在精力方面优于血液透析患者(t=-2.507，P=0.013)；②血液透析组总费用明显高于腹膜透析透析组(t=75.999，P＜0.001)，主要体现在透析费用(t=3.352，P＜0.001)、药费(t=32.106，P＜0.001)、交通费(t=29.756，P＜0.001)及餐费上(t=14.623，P＜0.001)；数据显示血液透析患者的交通费及餐费是一笔不小的开支。结论农村地区血液透析与腹膜透析患者总体生活质量无差异，仅个别维度指标有差异；腹膜透析患者总费用明显低于血液透析患者。

关键词: 血液透析, 腹膜透析, 透析费用, 生活质量

Abstract: Objective To compare quality of life and medical expenses of hemodialysis and peritoneal dialysis patients in rural area in order to provide a rational selection of blood purification modalities for patients in rural areas and a basis for the required payment for the single disease by the health adminidtration department. MethodsWe recruited 33 patients on maintenance hemodialysis (MHD) and 18 patients on peritoneal dialysis (PD) treated in the Department of Nephrology, Yutian County Hospital during the period between Aug. 2014 to Nov. 2014. The Short Form 36 Health Survey Questionnaire (SF-36) was used to evaluate their
quality of life. Their direct medical expenses and indirect medical-related expenses in a period of 12 weeks were rcorded. Results (a) There were no significant differences in physiological and psychological scores between MHD and PD patients, but the energy score was higher in PD patients than in MHD patients (t=-2.507, P=0.013). (b) The expenses were significantly higher in MHD patients than in PD patients (t=75.999, P＜0.001), including the expenses of dialysis itself (t=3.352, P＜0.001), drugs (t=32.106, P＜0.001), traffic (t=29.756, P＜0.001) and food (t=14.623, P＜0.001). Conclusions There was no significant difference in quality of life between PD and MHD patients in rural areas. However, the total expenses were significantly lower in PD patients than in MHD patients.

Key words: Peritoneal dialysis, Hemodialysis, Medical expense, Quality of life