腹膜和血液透析患者的生活质量:一个横截面研究
Fadel AlRowaie1, Abdullah Alaryni2, Abdullah AlGhamdi2
1Nephrology Department, King Fahad Medical City, Riyadh 12231, Saudi Arabia.
Clinics and practice
|October 27, 2023
概括
末期病 (ESKD) 患者的生活质量 (QoL) 对于生存至关重要. 这项研究发现收入和透析持续时间影响了QOL,腹膜透析患者报告的结果比血液透析患者更好.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 生活质量研究 研究 生命质量研究
- 患者的治疗结果.
背景情况:
- 生活质量 (QoL) 是透析患者末期病 (ESKD) 存活的关键预测因素.
- 血液透析 (HD) 和腹腔透析 (PD) 是ESKD的主要替代疗法.
- 了解影响透析患者的 QoL 的因素对于改善患者护理至关重要.
研究的目的:
- 在沙特阿拉伯利雅得接受PD或HD的ESKD患者中确定影响QoL的因素.
- 为了比较PD和HD患者之间的QoL.
- 评估人口统计和治疗相关因素对患者生活质量的影响.
主要方法:
- 在2021年6月至7月进行了一项横截面研究.
- 包括210名ESKD患者在PD或HD至少一年.
- 通过使用阿拉伯版的生命质量指数-透析 (QLI-D) 版本III的阿拉伯版来评估QOL.
主要成果:
- 整体QLI得分为21.73±4.2的时间. 亚尺度得分各不相同,家庭 (24.95 ± 4.5) 和心理/精神 (23.94 ± 4.9) 的得分最高.
- 在PD (21.80 ± 4.4) 和HD (21.72 ± 4.1) 患者之间,整体QOL没有显著差异.
- 社会和经济分级 (SOCSUB) 与收入相关 (p=0.031). 质量水平,健康/功能,SOCSUB,以及与透析多年相关的心理/精神子表 (p<0.05).
结论:
- 患者报告对家庭,健康/功能和社会/经济领域的满意度最高.
- 透析的收入和持续时间是ESKD患者的QoL的显著预测因素.
- 腹腔透析患者在这个队列中,与血液透析患者相比,表现出更好的QOL趋势.
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