中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2013年
44期
7815-7820
,共6页
崔岩%魏丽丽%李琳%王祥花%王静远
崔巖%魏麗麗%李琳%王祥花%王靜遠
최암%위려려%리림%왕상화%왕정원
器官移植%器官移植临床实践%个体化干预%集体化干预%维持性血液透析%生存质量%SF-36%终末期肾脏疾病透析患者调查简表%社会支持%生理-心理-社会医学模式%患者满意度%护理干预
器官移植%器官移植臨床實踐%箇體化榦預%集體化榦預%維持性血液透析%生存質量%SF-36%終末期腎髒疾病透析患者調查簡錶%社會支持%生理-心理-社會醫學模式%患者滿意度%護理榦預
기관이식%기관이식림상실천%개체화간예%집체화간예%유지성혈액투석%생존질량%SF-36%종말기신장질병투석환자조사간표%사회지지%생리-심리-사회의학모식%환자만의도%호리간예
nephrosis%renal dialysis%hemodiafiltration%renal replacement therapy%behavioral medicine
背景：随着血液透析技术的不断改进，维持性血液透析患者的长期生存率亦不断上升，如何提高其生存质量，已经引起患者乃至全社会的广泛关注，也逐渐成为综合评价透析效果的可靠指标。目的：探讨个体化干预与集体化干预对维持性血液透析患者生存质量的影响。方法：选择透析时间大于3个月的维持性血液透析患者80例，采用随机数字表法分为试验组和对照组，每组40例。对照组患者在血液透析常规护理的基础上，按预先制定的周计划进行个体化护理干预，为期6周；试验组患者在对照组干预基础上，按预先制定的周计划进行集体化护理干预，为期6周。干预前后，均采用简明健康状况调查表(MOS 36-item short form health survey，SF-36)和终末期肾脏疾病透析患者调查简表(kidney disease quality of life short form，KDQOL-SFTM)评价2组患者生存质量变化。结果与结论：干预后2组患者SF-36及KQQOL-SF评分均高于干预前(P<0.01)；试验组患者SF-36体能影响、整体健康、情感状态、情感影响、社会功能、精力等6个维度评分高于对照组干预后水平(P<0.01)；试验组患者KQQOL-SF社交质量、睡眠、社会支持、患者满意度4个维度评分高于对照组同期水平(P<0.01)。提示个体化干预及在个体化干预基础上进行集体化干预均能提高维持性血液透析患者的生存质量，同时后者能从生理、心理、社会等多个方面更好的改善患者生存质量。
揹景：隨著血液透析技術的不斷改進，維持性血液透析患者的長期生存率亦不斷上升，如何提高其生存質量，已經引起患者迺至全社會的廣汎關註，也逐漸成為綜閤評價透析效果的可靠指標。目的：探討箇體化榦預與集體化榦預對維持性血液透析患者生存質量的影響。方法：選擇透析時間大于3箇月的維持性血液透析患者80例，採用隨機數字錶法分為試驗組和對照組，每組40例。對照組患者在血液透析常規護理的基礎上，按預先製定的週計劃進行箇體化護理榦預，為期6週；試驗組患者在對照組榦預基礎上，按預先製定的週計劃進行集體化護理榦預，為期6週。榦預前後，均採用簡明健康狀況調查錶(MOS 36-item short form health survey，SF-36)和終末期腎髒疾病透析患者調查簡錶(kidney disease quality of life short form，KDQOL-SFTM)評價2組患者生存質量變化。結果與結論：榦預後2組患者SF-36及KQQOL-SF評分均高于榦預前(P<0.01)；試驗組患者SF-36體能影響、整體健康、情感狀態、情感影響、社會功能、精力等6箇維度評分高于對照組榦預後水平(P<0.01)；試驗組患者KQQOL-SF社交質量、睡眠、社會支持、患者滿意度4箇維度評分高于對照組同期水平(P<0.01)。提示箇體化榦預及在箇體化榦預基礎上進行集體化榦預均能提高維持性血液透析患者的生存質量，同時後者能從生理、心理、社會等多箇方麵更好的改善患者生存質量。
배경：수착혈액투석기술적불단개진，유지성혈액투석환자적장기생존솔역불단상승，여하제고기생존질량，이경인기환자내지전사회적엄범관주，야축점성위종합평개투석효과적가고지표。목적：탐토개체화간예여집체화간예대유지성혈액투석환자생존질량적영향。방법：선택투석시간대우3개월적유지성혈액투석환자80례，채용수궤수자표법분위시험조화대조조，매조40례。대조조환자재혈액투석상규호리적기출상，안예선제정적주계화진행개체화호리간예，위기6주；시험조환자재대조조간예기출상，안예선제정적주계화진행집체화호리간예，위기6주。간예전후，균채용간명건강상황조사표(MOS 36-item short form health survey，SF-36)화종말기신장질병투석환자조사간표(kidney disease quality of life short form，KDQOL-SFTM)평개2조환자생존질량변화。결과여결론：간예후2조환자SF-36급KQQOL-SF평분균고우간예전(P<0.01)；시험조환자SF-36체능영향、정체건강、정감상태、정감영향、사회공능、정력등6개유도평분고우대조조간예후수평(P<0.01)；시험조환자KQQOL-SF사교질량、수면、사회지지、환자만의도4개유도평분고우대조조동기수평(P<0.01)。제시개체화간예급재개체화간예기출상진행집체화간예균능제고유지성혈액투석환자적생존질량，동시후자능종생리、심리、사회등다개방면경호적개선환자생존질량。
BACKGROUND:With the improvement of hemodialysis technology, the long-term survival rate of maintenance hemodialysis patients has been increased continual y. Nowadays, how to improve the quality of life in maintenance hemodialysis patients has been aroused widespread concern, and gradual y become the reliable indicator for comprehensive evaluation of the effect of hemodialysis. OBJECTIVE: To evaluate the effect of individualized intervention and col ective intervention on quality of life in maintenance hemodialysis patients. METHODS:Eighty maintenance hemodialysis patients, who had accepted more than 3 months of dialysis, were randomly divided into two groups (40 cases in the experimental group and 40 patients in the control group). Al the patients in the control group received 6 weeks of individualized intervention according to the pre-established schedule based on the hemodialysis routine care. Patients in the experimental group also have a period of six weeks of col ective intervention according to the pre-established weekly schedule based on the hemodialysis routine care. The quality of life of the patients was evaluated with MOS 36-item short form health survey and kidney disease quality of life short form before and after intervention. RESULTS AND CONCLUSION:After the intervention, both of the experimental group and the control group achieved significantly greater improvement than before in MOS 36-item short form health survey and kidney disease quality of life short form (P<0.01). The physical impact, overal health, emotional state, emotional impact, social function and energy of MOS 36-item short form health survey in the patients of the experimental group were higher than those of the control group after intervention (P<0.01);and the social quality, sleep, social support and patient satisfaction of kidney disease quality of life short form in the experimental group were higher than those in the control group (P<0.01). The results show that both individualized intervention and the col ective intervention based on the individualized intervention are effective in improving quality of life in maintenance hemodialysis patients and the col ective intervention can better improve the quality of life from physical, psychological and social aspects.
