CAJ | 학술논문

[目的]分析湘潭地区血液透析(HD)与腹膜透析(PD)患者的疾病生存质量,为临床合理应用透析技术及调整和完善透析相关政策提供参考依据.[方法]对本地区维持目前透析方式6个月以上的500例患者,采用描述性、横断性研究设计,运用(SF‐36)问卷进行资料收集和统计处理.[结果]①500例中男215例,女285 例,平均年龄(57.0±13.5)岁,透析时间(34.1±26.9)个月,其生活质量 QoL 分值最高的为躯体疼痛,最低的为生理职能.② QoL 分值与患者及疾病特征的相关分析表明 QoL 分值随着年龄的增长而降低,受教育程度越低,则 QoL 分值越低.和失业者相比,工作越好的患者 QoL 分值就越高.③患者透析时间的长短与 QoL 分值并不存在相关性.④与国外以及东部沿海相比较,湘潭地区透析患者的生存质量各项指标普遍偏低.[结论]湘潭地区终末期肾病透析患者的生存质量整体不高,有待改进.
[목적]분석상담지구혈액투석(HD)여복막투석(PD)환자적질병생존질량,위림상합리응용투석기술급조정화완선투석상관정책제공삼고의거.[방법]대본지구유지목전투석방식6개월이상적500례환자,채용묘술성、횡단성연구설계,운용(SF‐36)문권진행자료수집화통계처리.[결과]①500례중남215례,녀285 례,평균년령(57.0±13.5)세,투석시간(34.1±26.9)개월,기생활질량 QoL 분치최고적위구체동통,최저적위생리직능.② QoL 분치여환자급질병특정적상관분석표명 QoL 분치수착년령적증장이강저,수교육정도월저,칙 QoL 분치월저.화실업자상비,공작월호적환자 QoL 분치취월고.③환자투석시간적장단여 QoL 분치병불존재상관성.④여국외이급동부연해상비교,상담지구투석환자적생존질량각항지표보편편저.[결론]상담지구종말기신병투석환자적생존질량정체불고,유대개진.
Objective] T analyze the quality of life(QoL) of patients with hemodialysis(HD) and peritoneal dial‐ysis(PD) in Xiangtan area in order to provide the basis for clinical rational use of dialysis technique and the regulation and improvement of dialysis‐related policy .[Methods] The descriptive cross‐sectional study was conducted for 500 patients with maintenance dialysis for more than 6 months in our area .SF‐36 questionnaire was used for data collec‐tion and statistical treatment .[Results] All 500 patients included 215 males and 285 females .Mean age was 57 .0 ± 13 .5 years old .The duration of dialysis was 34 .1 ± 26 .9 months .The QoL score of body pain was the highest , while that of physical function was the lowest .The correlation analysis showed that QoL score decreased with the in‐creasing of age .The lower the patients'education level ,the lower the QoL score .Compared with unemployed pa‐tients ,the patients with better job had higher QoL score .There was no correlation between QoL score and the dura‐tion of dialysis .Compared with abroad and eastern area along the coast ,each index of QoL of dialysis patients in Xiangtan area was generally lower .[Conclusion]In the whole ,the QoL of end‐stage renal disease(ESRD) patients with dialysis in Xiangtan area is not high ,and should be improved .