中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2011年
11期
1029-1031
,共3页
刘立春%张梅%吴汉利%张玉卉%李国政
劉立春%張梅%吳漢利%張玉卉%李國政
류립춘%장매%오한리%장옥훼%리국정
血液透析%生存质量%肾疾病%因素分析%临床调查
血液透析%生存質量%腎疾病%因素分析%臨床調查
혈액투석%생존질량%신질병%인소분석%림상조사
Hemodialysis%Quality of life%Kidney illness%Factor analysis%Clinic survey
目的 探讨血液透析患者生存质量状况及相关危险因素.方法 采用终末期肾脏疾病透析患者调查表(Kindeny disease quality of life short form,KDQOL-SFTM)评价血液透析患者的生存质量状况并采用多因素logistic回归模型分析相关危险因素.结果①血液透析患者肾脏病和透析相关生活质量、一般健康生活质量各维度得分均低于一般人群[生理机能( 39.69±19.56)分,(86.02±18.75)分；躯体疼痛(66.33±21.65)分,(81.55±20.83)分；精神健康(58.92±15.87)分,(73.23±16.54)分等].②影响透析患者生存质量的主要因素包括:性别[男:女(46.58±21.67)分:(50.37±22.56)分,P＜0.05]、年龄[≥55岁组:＜55岁组(38.78±16.78)分:(57.78±20.45)分,P＜0.05]、文化程度[高中以上:高中及以下(55.64±21.85)分:(42.59±21.65)分,P＜0.05]、糖尿病患病[非糖尿病:糖尿病(59.47±18.69)分:(47.67±11.33)分,P＜0.05]、医疗保障[自费:医保(43.54±16.85)分:(56.56±19.67)分,P＜0.05]、就业情况[就业:非就业(72.90±12.56)分:(60.87±11.45)分,P＜0.05].③糖尿病患病(OR =26.751)和医疗保障( OR=31.030)、年龄(OR =42.453)是影响血液透析患者生存质量的独立危险因素.结论糖尿病患病、社会保障、年龄是影响血液透析患者生存质量的主要危险因素.
目的 探討血液透析患者生存質量狀況及相關危險因素.方法 採用終末期腎髒疾病透析患者調查錶(Kindeny disease quality of life short form,KDQOL-SFTM)評價血液透析患者的生存質量狀況併採用多因素logistic迴歸模型分析相關危險因素.結果①血液透析患者腎髒病和透析相關生活質量、一般健康生活質量各維度得分均低于一般人群[生理機能( 39.69±19.56)分,(86.02±18.75)分；軀體疼痛(66.33±21.65)分,(81.55±20.83)分；精神健康(58.92±15.87)分,(73.23±16.54)分等].②影響透析患者生存質量的主要因素包括:性彆[男:女(46.58±21.67)分:(50.37±22.56)分,P＜0.05]、年齡[≥55歲組:＜55歲組(38.78±16.78)分:(57.78±20.45)分,P＜0.05]、文化程度[高中以上:高中及以下(55.64±21.85)分:(42.59±21.65)分,P＜0.05]、糖尿病患病[非糖尿病:糖尿病(59.47±18.69)分:(47.67±11.33)分,P＜0.05]、醫療保障[自費:醫保(43.54±16.85)分:(56.56±19.67)分,P＜0.05]、就業情況[就業:非就業(72.90±12.56)分:(60.87±11.45)分,P＜0.05].③糖尿病患病(OR =26.751)和醫療保障( OR=31.030)、年齡(OR =42.453)是影響血液透析患者生存質量的獨立危險因素.結論糖尿病患病、社會保障、年齡是影響血液透析患者生存質量的主要危險因素.
목적 탐토혈액투석환자생존질량상황급상관위험인소.방법 채용종말기신장질병투석환자조사표(Kindeny disease quality of life short form,KDQOL-SFTM)평개혈액투석환자적생존질량상황병채용다인소logistic회귀모형분석상관위험인소.결과①혈액투석환자신장병화투석상관생활질량、일반건강생활질량각유도득분균저우일반인군[생리궤능( 39.69±19.56)분,(86.02±18.75)분；구체동통(66.33±21.65)분,(81.55±20.83)분；정신건강(58.92±15.87)분,(73.23±16.54)분등].②영향투석환자생존질량적주요인소포괄:성별[남:녀(46.58±21.67)분:(50.37±22.56)분,P＜0.05]、년령[≥55세조:＜55세조(38.78±16.78)분:(57.78±20.45)분,P＜0.05]、문화정도[고중이상:고중급이하(55.64±21.85)분:(42.59±21.65)분,P＜0.05]、당뇨병환병[비당뇨병:당뇨병(59.47±18.69)분:(47.67±11.33)분,P＜0.05]、의료보장[자비:의보(43.54±16.85)분:(56.56±19.67)분,P＜0.05]、취업정황[취업:비취업(72.90±12.56)분:(60.87±11.45)분,P＜0.05].③당뇨병환병(OR =26.751)화의료보장( OR=31.030)、년령(OR =42.453)시영향혈액투석환자생존질량적독립위험인소.결론당뇨병환병、사회보장、년령시영향혈액투석환자생존질량적주요위험인소.
Objective To disclose the life quality of uremic patients undergoing hemodialysis in several bemodialysis institutions and its risk factors.Methods Logistic model was applied to analysis between the risk factors and uremic patients by using the universal kidney disease quality of life short form (KDQOL-SFTM).Resuits ①The scores of the patients kidney disease target area and short fort health survey questionnaire were worse than those of the common crowd ( RP:39.69 ± 19.56 vs 86.02 ± 18.75 ; BP:66.33 ± 21.65 vs 81.55 ±20.83 ; MH:58.92 ± 15.87 vs 73.23 ± 16.54 et al) ② The main affecting factors of the life quality for uremic patients undergoing hemodialysis was sex ( male group:female group 46.58 ± 21.67:50.37 ± 22.56,P ＜ 0.05 ),age ( ≥55y group:＜ 55y group 38.78 ± 16.78:57.78 ± 20.45,P ＜ 0.05 ),culture (above senior high school degree group:completed and below senior high school degree group 55.64 ± 21.85:42.59 ± 21.65 P ＜ 0.05 ),diabetes ( nondiabetes group:diabetes group 59.47 ± 18.69:47.67 ± 11.33,P ＜ 0.05 ),medical treatment guarantee ( unversichert group:versichert group 43.54 ± 16.85:56.56 ± 19.67,P ＜ 0.05 ),the state of earning and work ( employed group:nonemployed group,72.90 ± 12.56:60.87 ± 11.45,P ＜ 0.05 ) and so on.③The main affecting factors of the life quality for uremic patients undergoing hemodialysis were diabetes,medical treatment guarantee,age.Conclusion The main affecting factors of the life quality for uremic patients undergoing hemodialysis are diabetes,medical treatment guarantee,age.
