摘要
目的了解维持性血液透析(maintenance hemodialysis disease,MHD)患者生活质量的现状及其影响因素。方法采用便利抽样法选取2011年10月至2012年1月在上海市3所三级甲等综合性医院行维持性血液透析的患者112例,采用肾脏疾病生活质量简表(kidney disease quality of life short form,version 1.3,KDQOL-SF1.3)对MHD患者进行调查。结果 MHD患者生活质量的各维度评分普遍不高,其中情感所致的角色受限[(48.51±40.74)分]、一般健康看法[(33.30±17.25)分]、肾脏病给生活带来的负担[(31.64±25.85)分]、工作状况[(30.36±29.53)分]、体力所致的角色受限[(22.99±33.24)分]等5个维度得分较低;不同性别、年龄、文化程度、付费类别、家庭收入、透析时间MHD患者的生活质量得分差异均有统计学意义(P<0.05或P<0.01)。结论 MHD患者生活质量较差,护理人员应结合患者的具体情况实施有效的护理干预,以提高MHD患者的生活质量。
Objective To understand the status of Quality of life （QoL） in the patients with mainte- nance Hemodialysis （MHD） , and to explore the influencing factors. Methods A total of 112 MHD patients were Selected by convenience sampling approach form October 2011 to January 2012 in. Shanghai and assessed by kidney disease quality of life short form, version 1. 3 （ KDQOL-SF1. 3 ） on QoL of patients with MHD. Results Among the dimensions of Q0L of patients with MHD, role limi- tations caused by emotional health problems（ 48. 51 ± 40. 74 ） , general health perceptions（33. 30 ± 17. 25 ） , burden of kidney disease（ 31.64 ± 25. 85 ） , work status （ 30. 36 ±29. 53 ） , role limitations caused by physical health problem（22. 99±33. 24） were five lowest dimensions. The QoL of MHD were different for patients with different gender, age, education, insurance, income, and duration of dialysis（P〈0. 05or P〈0. 01）. Conclusion The QoL in MHD patients is poor, nurses should strengthen the observation process for patients with end-stage renal failure and take interventions promDtlv to imorove their life oualit＇v.
出处
《解放军护理杂志》
CSCD
2014年第2期6-10,共5页
Nursing Journal of Chinese People's Liberation Army
基金
瑞金医院护理科研基金(RJHK-2011-16)
黄浦区科学技术协会护理科研课题(HKHK-2012-03)
关键词
维持性血液透析
生活质量
现状
影响因素
maintenance hemodialysis：disease（MHD） quality of life （QoL） status influencingfactors
