摘要
目的探讨新疆老年透析患者进行血液透析(血透)和腹膜透析(腹透)的生存质量及其影响因素,为指导老年终末期肾病患者合理选择透析方式提供依据。方法选择新疆7家医院透析中心175例老年终末期肾病患者,其中血透患者135例,腹透患者40例,使用SF-36生存质量量表和自制人口学资料问卷进行现场问卷调查,评估分析血透和腹透患者的生存质量及影响因素。结果 (1)老年血透患者SF-36总体评分为(47.57±22.46)分,老年腹透患者SF-36总体评分为(56.13±21.38)分,两者差异有统计学意义(P<0.05)。(2)老年血透患者躯体疼痛评分男性高于女性。老年腹透患者生存质量总分、各维度评分无性别差异,汉族、少数民族透析患者SF-36总分、各维度评分无差异;老年糖尿病肾病患者SF-36总分、多维度评分低于老年非糖尿病肾病患者(P<0.05)。(3)影响新疆老年透析患者SF-36得分的因素为透析方式、文化程度、原发病。结论 (1)老年非糖尿病终末期肾病患者透析早期应优先考虑腹透。(2)透析方式、文化程度、原发病为影响血透患者生存质量的因素,提高血透患者生存质量是多方面、多因素问题,需医疗、政府、社会保障等各部门共同努力。
Objective To evaluate and compare the difference in QoL between HD and PD older patients,as well as analyze the related factors inpacting on QoL of dialysis older patients in Xinjiang.Methods One hundred and thirty five HD older patients and 40 continuous ambulatory peritoneal dialysis(CAPD) older patients,coming from multi-dialysis centers in Xinjiang were included.QoL was investigated by using SF-36 questionnaire and Self-demographic data questionnaire.Results(1) SF-36 score was(47.57±22.46) in HD older patients,SF-36 score was(56.13±21.38) in PD older patients.(2) The scores of male was higher than females′ in bodily pain in HD older patients.QoL scores were not significantly different between men and women in PD older patients.QoL scores were not significantly different between the Han and minority ethnic.QoL scores of diabetic nephropathy patients were lower than non-diabetic patients′.(3) The factors that impacted on SF-36 were seriated as dialysis model,education and primary disease.Conclusion(1) PD should be considered the first choice in early dialysis therapy.(2) The factors that impacted on SF-36 were seriated as dialysis model,education and primary disease.To Improve QoL of HD patients is a multifaceted,multi-factor problem that requires medical care,government,social security and other departments to work together.
出处
《新疆医科大学学报》
CAS
2012年第10期1370-1374,共5页
Journal of Xinjiang Medical University
基金
国家科学自然基金(81160088)