CAJ | 학술논문

目的：探讨不同透析方式对山区维持性透析患者生活质量的影响及相关因素分析。方法选取进行维持性透析患者90例（腹膜透析和血液透析患者各45例），使用KDQOL- SFTM量表对两者进行生活质量评价，比较两种透析患者生活质量的差异，并对其临床资料进行分析，探讨其影响因素。结果腹膜透析组患者总体健康、疼痛评分、活力、心理健康总分以及KDTA总分、症状影响、睡眠质量均明显优于血液透析患者（均P＜0.05）。透析年限、文化程度及年龄是36项健康相关生存质量调查（SF-36）的影响因素（P＜0.05或0.01），透析年限、文化程度是KDTA的影响因素（P＜0.05）。结论山区终末期肾病患者进行腹膜透析其生活质量明显优于血液透析。
목적：탐토불동투석방식대산구유지성투석환자생활질량적영향급상관인소분석。방법선취진행유지성투석환자90례（복막투석화혈액투석환자각45례），사용KDQOL- SFTM량표대량자진행생활질량평개，비교량충투석환자생활질량적차이，병대기림상자료진행분석，탐토기영향인소。결과복막투석조환자총체건강、동통평분、활력、심리건강총분이급KDTA총분、증상영향、수면질량균명현우우혈액투석환자（균P＜0.05）。투석년한、문화정도급년령시36항건강상관생존질량조사（SF-36）적영향인소（P＜0.05혹0.01），투석년한、문화정도시KDTA적영향인소（P＜0.05）。결론산구종말기신병환자진행복막투석기생활질량명현우우혈액투석。
Objective To evaluate the quality of life and relevant factors in patients with maintenance dialysis in mountain area. Methods Ninety patients with end- stage renal diseases undergoing maintenance dialysis were enrol ed, including 45 cases receiving blood dialysis and 45 cased receiving peritoneal dialysis. The quality of life was evaluated by using the question-naire KDQOL- SFTM in two groups and the relevant factors were analyzed. Results The patients undergoing peritoneal dialysis had better SF- 36 and KDTA scores than those of blood dialysis patients, including the items of general health, bodily pain, vitality, dialysis- related symptoms and sleep quality (P<0.05). Factors affecting KDTA scores were the period of dialysis, education background(P<0.05);and the factors affecting SF- 36 scores were mainly the period of dialysis,the age, and the education back-ground (P<0.05 or 0.01). Conclusion Patients in mountain area with end- stage renal disease have a better quality of life, if they receive peritoneal dialysis rather than blood dialysis.