110例终末期肾病血液透析患者生活质量调查及影响因素分析.docVIP

精品论文 参考文献 110例终末期肾病血液透析患者生活质量调查及影响因素分析 玄先法 王玉新 刘晓平 纪美玉 张以勤 曹建南 吕天羽 叶婧(厦门市第二医院肾内科 361021) 【摘要】目的 调查终末期肾病维持中心血液透析患者的生活质量及影响因素，为改善其生活质量提供有效措施。方法 对我院维持血液透析治疗6月以上的患者，通过门诊随诊采访、问卷调查等方式，回顾性调查入选病人现阶段的生活质量（KDQOL－SF）。结果 完成病例调查110人，其生活质量SF-36各项指标显著低于一般人群，差异有统计学意义。影响因素有患者的年龄、费用支付方式、患病后家庭收入以及并发症个数等。结论 维持性血液透析患者生活质量显著下降，积极防治其并发症、进一步减轻患者经济负担、增加其家庭收入对改善生活质量有重要意义。 【关键词】终末期肾病 血液透析 生活质量 【中图分类号】R459.5【文献标识码】A【文章编号】2095-1752（2012）33-0122-03 The analysis of the quality of life and influencing factors of 110 patients with end-stage renal disease undergoing hemodialysis XUAN Xian-fa*，WANG Yu-xin，LIU Xiao-ping，et al.* Department of Nephrology，The Second Hospital of Xiamen，Xiamen，361021，China 【Abstract】　Objective:To investigate the quality of life (QoL) and influencing factors of patients with end-stage renal disease (ESRD) undergoing hemodialysis (HD) and provide utility measure to improve the QoL of HD patients.Method:Patients staying on HD for at least 6 months were reviewed about QoL by refering the medical records and answering questionnaire.QoL was evaluated by using KDQOL-SF questionnaire. Results:110 HD patients were investigated. The scores of all the scales of SF-36 in the hemodialysis patients were significantly lower than those in general population,the differences had statistical significance.The risk factors affecting the QoL of maintenance hemodialysis patients included age, mode of medical payment, income level and clinical complications, etc.Conclusion:The QoL of hemodialysis patients is impaired obviously. Itrsquo;s important that prevente clinical complications, reduce the economic burden, increase the income level for improving the QoL of HD patients. 【Key words】End-Stage Renal Disease(ESRD) Hemodialysis(HD) Quality of life (QoL) 各种慢性肾脏病未经有效治疗大多肾功能逐渐恶化，最终成为终末期肾病（ESRD）。随着血液净化技术的发展和普及，ESRD维持性血液透析(MHD)患者的存活期明显延长[1]。MHD患者的治疗目标也已从使患者存活下来的最初阶段，至减少并发症、充分及个体化透析，逐步发展为进一步提高患者的生活质量(QoL)及长期存活率。本研究即通过临床调查资料分析探讨MHD患者QoL及其影响因素。