CAJ | 학술논문

目的调查南京市江宁地区终末期肾病维持性血液透析与腹膜透析患者的生活质量并分析其相关因素.方法选取江宁地区血液透析35例患者及腹膜透析30例患者,所有患者均检测生化指标、血红蛋白浓度,计算残余肾功能,并调查文化程度；用健康生活质量SF-36量表对维持性透析患者进行生活质量评估,并对生活质量的影响因素进行分析.结果血液透析患者和腹膜透析患者在健康生活质量SF-36量表各维度得分比较差异无统计学意义(P＞0.05).影响血液透析患者生活质量的因素包括透析龄、血红蛋白浓度、甲状旁腺激素等.影响腹膜透析患者生活质量的因素包括透析龄、文化程度、腹膜透析剂量等.结论贫血、甲状旁腺机能亢进严重影响终末期肾病透析患者生活质量.除此之外,腹膜透析患者的生活质量还受文化程度、透析剂量、腹透龄的影响.临床工作中应充分考虑上述因素对患者生活质量的影响从而选择适宜的透析质量方式并纠正影响因素以提高患者生活质量.
목적 조사남경시강저지구종말기신병유지성혈액투석여복막투석환자적생활질량병분석기상관인소.방법 선취강저지구혈액투석35례환자급복막투석30례환자,소유환자균검측생화지표、혈홍단백농도,계산잔여신공능,병조사문화정도；용건강생활질량SF-36량표대유지성투석환자진행생활질량평고,병대생활질량적영향인소진행분석.결과 혈액투석환자화복막투석환자재건강생활질량SF-36량표각유도득분비교차이무통계학의의(P＞0.05).영향혈액투석환자생활질량적인소포괄투석령、혈홍단백농도、갑상방선격소등.영향복막투석환자생활질량적인소포괄투석령、문화정도、복막투석제량등.결론 빈혈、갑상방선궤능항진엄중영향종말기신병투석환자생활질량.제차지외,복막투석환자적생활질량환수문화정도、투석제량、복투령적영향.림상공작중응충분고필상술인소대환자생활질량적영향종이선택괄의적투석질량방식병규정영향인소이제고환자생활질량.
Objective To evaluate the quality of life of dialysis population and to explore the correlated factors.Methods 35 hemodialysis (HD) patients and 30 peritoneal dialysis (PD) patients in Jiangning dialysis center were enrolled.A cross-sectional analysis of our dialysis population was made using the disease-specific questionnaire (short form health survey) SF36 questionnaire.Results The HD and PD patients were similar in aspects of the SF-36 questionnaire.Conclusions The SF-36 of patients on hemoand peritoneal dialysis was affected by anemia and parathyroid hormone (PTH).Moreover,the score of SF-36of PD patients was impacted by the level of education、dialysis volume 、the length of time on dialysis.It would promote the quality of life of dialysis population by improving all factors above.