不同年龄维持性腹膜透析患者生存质量及相关因素调查  

Research on Quality of Life and Related Factors About Maintenance Peritoneal Dialysis Patients at Different Ages

作　　者：孟丹[1] 许义[1] 王菲[1] MENG Dan;XU Yi;WANG Fei(Nephrology Department,The First Afliated Hospital of Suzhou University,Suzhou Jiangsu 215006,China)

机构地区：[1]苏州大学附属第一医院肾内科,江苏苏州215006

出　　处：《中国继续医学教育》2018年第18期171-173,共3页China Continuing Medical Education

摘　　要：目的探讨比较老年人(≥65岁)与年轻人(<65岁)维持性腹膜透析患者的生存质量、心理状态及相关因素,为临床护理提供依据。方法 115例维持性腹膜透析患者分成年轻人组(<65岁)72例及老年人组(≥65岁)43例。所有患者均完成KDQOL-SF,SAS自评量表的填写。同时收集了患者的合并症及生化值。结果尽管老年人生理上处于劣势,但其生存质量和焦虑抑郁情绪的发生率均优于年轻组,差异具有统计学意义(P<0.05)。结论年龄大于65岁的患者应该是可以扩大到维持性腹膜透析的适应证中。应该摒弃对患者年龄的偏见和个人偏好,给予不同年龄段患者以同样的透析方式选择机会。Objective To compare Quality of Life, anxiety and depression between older（ ≥ 65 years） and younger（ 65 years） patients of continuous ambulatory peritoneal dialysis. Methods A total of 115 patients completed the Kidney Disease Quality of Life Short-Form, SAS scale. Comorbidity and biochemical values were abstracted from medical records. Results Although the elderly were physically at a disadvantage, the quality of life and the incidence of anxiety and depression were superior to those in the young group, and the difference was statistically significant（P〈0.05）.Conclusion Our findings of superior quality of life in patients aged ≥ 65 years support the expansion of peritoneal dialysis use in older patients. Patients across different age groups should be given non-biased information about both peritoneal dialysis modalities and individual preferences should be elicited and carefully consideredby healthcare providers.

关 键 词：维持性腹膜透析 生存质量 护士教育 调查 临床护理 

分 类 号：R459[医药卫生—治疗学]