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[腹膜透析对老年人生活质量的影响]

Josafat Francisco Martínez-Magaña¹, Marycarmen Godínez-Victoria², Abraham Edgar Gracia-Ramos¹

¹Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital General "Dr. Gaudencio González Garza", Servicio de Medicina Interna y Geriatría. Ciudad de México, México.

Revista medica del Instituto Mexicano del Seguro Social

|November 7, 2023

概括

腹腔透析 (PD) 可能改善末期病的老年患者的生活质量 (QoL). 虽然整体QOL在2个月后没有显著变化,但PD显著提高了70多岁患者的QOL.

科学领域:

腎臟病學 (nephrology) 是一種醫學.
老年病的医生老年病的医生
生活质量研究研究生命质量研究

背景情况:

老年人群经历了长寿的增加,同时患病率和老年综合征的增加,可能会降低他们的生活质量 (QoL).
腹腔透析 (PD) 是一种脏替代疗法,旨在延长和增强QoL,但其在老年人群中的有效性仍然不确定.
在老年患者开始PD之前和之后评估QoL变化对于确定其治疗益处至关重要.

研究的目的:

评估腹膜透析 (PD) 对末期病老年患者生活质量 (QoL) 的影响.
为了比较QoL测量在PD治疗2个月之前和之后.

主要方法:

采用了一个纵向的,比较的,前性队列研究设计.
该研究包括患有末期脏病的老年患者,这些患者需要住院治疗PD发病.
使用KDQOL SF 1.3仪器在基线和PD2个月后评估生活质量,并进行统计分析,包括对联t测试和风险评估.

主要成果:

经过2个月的PD,与基线相比,观察到QoL的增加,尽管这种变化没有达到统计学意义 (63.47 [SD 16.63]与56.83 [16.01],P=0.22).
值得注意的是,PD显示了QoL显著改善13.01点 (P=0.04),特别是在生命第七十年内的患者中.

结论:

腹腔透析 (PD) 显示出改善老年患者生活质量的潜力.
在70多岁的老年患者中,发现了PD对QoL的显著积极影响.

关键词:

大人的市长.年长的老年人.他们的生活质量.群组研究群组研究腹腔内脏透析 (Peritoneal Dialysis) 是一种腹腔内脏透析.群体研究的研究.腹腔周围透析腹腔周围透析生活质量生活的质量.

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