中国血液净化

中国血液净化

• 临床研究 • 上一篇    下一篇

太原市维持性血液透析患者生存质量及影响因素的多中心研究

  

  1. 山西医科大学第二医院肾内科,山西省中医院血液净化中心,山西省第二人民医院肾移植透析中心,太原市中心医院肾内科,西山煤电集团公司职工总医院肾内科,武警山西总队医院肾内科,解放军264医院肾内科,山西省人民医院肾内科
  • 收稿日期:2012-03-10 出版日期:2012-07-12 发布日期:2012-09-20
  • 通讯作者: 李荣山 rongshanli@yahoo.com.cn

Multi-center investigation of life quality and its influence factors in patients with maintenance hemodialysis in Taiyuan city

  • Received:2012-03-10 Online:2012-07-12 Published:2012-09-20

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摘要： 【摘要】目的 了解太原市血液透析2年以上患者的生存质量现状及其影响因素，为提高透析患者生存质量提供依据。方法 采用多中心问卷调查的方法，选取太原市八家血液净化中心125名血液透析2年以上的患者作为调查对象，调查患者一般情况、临床资料，并应用SF-36量表问卷进行生存质量调查。 结果 ①血液透析2年以上患者生存质量SF-36 总体评分为：107.55±14.50； ②年龄(P＜0.05,F=4.972)和性别(P＜0.01,t=3.993)对生存质量总体有影响，差异具有统计学意义。③文化程度在精神健康方面(P＜0.05,Z=-0.838)、有无残余尿量在精力方面(P＜0.05,Z=-2.465)、是否为糖尿病肾病在生理机能方面影响患者生存质量(P＜0.05,Z=-2.062)，差异具有统计学意义。④费用来源、婚姻状况、不同的透析方式对患者生存质量无影响。结论 太原市血液透析2年以上患者生存质量较其他城市较高，但其影响因素相对较少。对于血液透析患者，开始透析前两年积极配合治疗对保证其生存质量、生活满意度非常重要。

关键词: 血液透析, 生存质量, SF-36量表

Abstract: 【Abstract】Objective This study was designed to evaluate the quality of life (QOL) and the factors affecting QOL in patients on hemodialysis (HD) for more than two years in Taiyuan city, and to obtain information useful for the improvement of patients’ QOL and clinical practice. Methods We used a multicenter questionnaire survey, and recruited 125 patients on HD for more than two years from dialysis units in the 8 hospitals in Taiyuan city. Patients’ general condition and clinical data were collected. The Short Form-36 (SF-36) was used to measure the QOL scores. Results ① The overall SF-36 scores were 107.55±14.50 in patients on HD for more than two years. ② Age (F=4.972, P＜0.05) and gender (t=3.993, P＜0.01) affected the overall score of QOL. ③ Educational level affected QOL in their mental health (Z=-0.838, P＜0.05), residual urine volume related to QOL in their energetic level (Z=-2.465, P＜0.05), and diabetic nephropathy decreased QOL in their physiological function (Z=-2.062, P＜0.05). ④ The source of medical expanse, marital status, and different dialysis modalities had no effect on patients’ QOL. Conclusion QOL of patients on HD for more than two years was higher in Taiyuan city than in other cities. Relatively fewer factors affect QOL. Active compliance with dialysis treatment especially during the first two years is essential to increase QOL and life satisfaction.

Key words: Hemodialysis, Quality of life, SF-36 scale