›› 2006, Vol. 5 ›› Issue (10): 720-723.

• 论著 • 上一篇    下一篇

北京市郊区维持性血液透析患者生活质量调查

李向秋 邹海欧 董小革   

  1. 101300 北京,北京市顺义区中医医院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2006-10-12 发布日期:2006-10-12

  • Received:1900-01-01 Revised:1900-01-01 Online:2006-10-12 Published:2006-10-12

摘要: 目的 了解北京市郊区维持性血液透析(MHD)患者的生活质量。方法 采用肾脏病生活质量简表(KDQOL-SF)对62例北京市郊区MHD患者进行问卷调查。结果 ①北京市郊区MHD患者生活质量得分中最低的是躯体职能、最高的是透析鼓励;②SF-36部分各纬度分值显著低于一般人群;③与解放军总医院MHD患者比较在社会支持、透析鼓励、患者满意度、全面健康评价领域得分高于解放军总医院患者(P<0.05);而在社会功能、总体健康、躯体功能、躯体职能、情感职能、疼痛、精力状况、情感状况、症状与不适、肾病影响、性功能、睡眠、工作状况13个领域得分郊区患者显著低于解放军总医院患者(P<0.05);④男性在认知功能领域得分高于女性,具有统计学意义;⑤相关性分析显示年龄对生活质量分值有较大影响,未发现血红蛋白与生活质量分值有显著相关;⑥ANOVA分析显示不同医疗费来源的患者生活质量有所不同,医保或公费医疗组好于农村合作医疗和自费组。结论 北京郊区MHD患者生活质量整体水平较低,因此应把向患者提供有效的干预措施以改善患者的生活质量作为医疗和护理的重要目标。

关键词: 血液透析, 生活质量

Abstract: Objective To investigate the quality of life(QoL) of maintenance hemodialysis(MHD) patients in Beijing suburb.Method QoL of 62 MHD patients in Beijing suburb were measured using Kidney Disease and Quality of Life Short Form (KDQOL-SF ). Results ① Physical functioning was the lowest and perceptions of staff encouragement was the highest in these patients. ②these patients had a significant lower QoL by SF-36 than normal controls. ③Social support, perceptions of staff encouragement, patients satisfaction and general health perception were significantly higher(P<0.05) and social function, Physical health, physical functioning, role limitations due to physical health, role limitations due to emotional problems, pain, energy/fatigue, emotional well-being, symptoms/problems, effects of kidney disease, sexual function, sleep and work status were significantly lower(P<0.05) in these patients than in the patients from General Hospital of PLA. ④ The cognitive function of male patients were significantly higher than female patients. ⑤ Correlation analysis demonstrated that age affectd the QoL of MHD patients, yet hemoglobin(Hb) had no significant correlation with QoL. ⑥ QoL of patients with different types of medical expenditures had significant differences. Medical insurance group and socialized medicine group were better than cooperative medicine group and personal medicine group. Conclusions The QoL of MHD patients in Beijing suburb are low, so improve QoL of MHD patients by effective measures should be the target of medical treatment.

Key words: Quality of life

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