乙肝维持性血液透析患者生活质量调查分析  

Assessment the Quality of Life in Hemodialysis Patients with HBV

作　　者：赵立艳[1] 宋利[1] 彭银燕[1] 全梓林[1] 陈诚[1] 周攸[1] 崔冬梅[1] 符霞[1] 

机构地区：[1]广东省人民医院肾内科血液净化中心广东省医学科学院,广州510080

出　　处：《循证医学》2016年第2期116-118,共3页The Journal of Evidence-Based Medicine

基　　金：广东省医学科研基金资助项目(B2012013)

摘　　要：目的探讨乙肝维持血液透析患者的生活质量,分析其影响因素。方法采用SF-36量表调查44例乙肝维持性血液透析患者(乙肝组)和31例普通血液透析患者(对照组),测评患者生活质量得分,作单因素Spearman相关分析和多元线性逐步回归分析。结果乙肝组在精神健康维度中得分显著低于普通组[(64.82±3.08)vs.(74.71±3.33),P=0.035],影响精神健康的因素包括血磷(P=0.020)、糖化血红蛋白(P=0.037)。结论乙肝维持性血液透析患者和普通透析患者在精神健康方面存在差异,合并糖尿病、慢性骨代谢异常等可能影响患者的生活质量。加强对乙肝维持性血液患者的心理干预意义重大。Objective This study is designed to assess hemodialysis patients with HBV＇quality of life and its influencing factors. Methods The quality of life of the 44 hemodialysis patients with HBV（hepatitis B group）and 31 ordinary hemodialysis patients（ordinary group） is measured with SF- 36 scales. Through the Spearman correlation analysis,the significant variables（P=0.035）will be selected as potential variables putting in the multiple linear stepwise regression analysis to test. Results The scores of hepatitis B group are significantly lower than the scores of ordinary group in the dimension of mental health（MH）,（64.82±3.08）vs.（74.71±3.33）,P=0.035. The maniple linear stepwise regression model showed the variable of blood phosphorus and gyrated hemoglobin were significant to influence the mental health,with their standardized coefficient- 0.295（P=0.020）and- 2.365（P=0.037）respectively. Conclusion The mental health in the hepatitis B patients with maintenance hemodialysis is different from that of ordinary dialysis patients.The diabetes mellitus and the chronic bone metabolic abnormalities would affect the patient＇s quality of life. It is important to strengthen psychological intervention for hemodialysis patients with HBV.

关 键 词：乙肝维持性血液透析患者 生活质量 SF-36量表 

分 类 号：R473.5[医药卫生—护理学]