尿毒症透析患者生活质量及其影响因素  

The quality of life in uremic patients undergoing hemodialysis and peritoneal dialysis

作　　者：丁小强[1] 廖履坦[1] 张凯 汪克定 朱秀乔 吴兆龙[1] 徐元钊[1] 陶凤武[1] 

机构地区：[1]上海医科大学中山医院肾内科,200032 [2]杭州市红十字医院肾内科 [3]苏州市第三医院肾内科 [4]上海市杨浦区中心医院

出　　处：《中国行为医学科学》1998年第4期285-287,共3页Chinese Journal of Behavioral Medical Science

摘　　要：目的研究尿毒症血液透析和腹膜透析患者的生活质量及其影响因素，从而为提高尿毒症治疗效果、合理选择透析方法提供依据。方法123例尿毒症患者中血透48例，腹透75例。以肾脏病调查表、Karnofsky指数、工作情况、主观症状调查表及对治疗的满意度为衡量生活质量的指标。结果家庭透析患者生活质量显著高于住院透析患者;腹透患者在治疗满意度显著优于血透患者;糖尿病和老年患者生活质量显著较低。结论我国应大力提倡家庭透析，更多地开展腹膜透析，努力提高病人复职率。Objective To study the quality of life of uremic patients undergoing hemodialysis(HD) and continuous ambularoty peritoneal dialysis(CAPD) and the affacting factors. Methods One hundred and twenty three uremic dialysis patients were evaluated. The quality of life was measured by Kidney Disease Questionnaire,Karnofsky index,EmploymentStatus, Subjective Symptoms Questionnaire and Satisfaction with Therapy. Results CAPD patients attained a higher quality of life than hemodialysis patients in satisfaction with therapy. Home dialysis patients had a higher quality of life than in-center dialysis patients, while diabetic and elderly patients had a lower quality of life. Conclusion CAPD and home dialysis should be progressed more widely.

关 键 词：尿毒症 血液透析 腹膜透析 生活质量 

分 类 号：R695[医药卫生—泌尿科学]