KDQOL-SF量表评估社区血透中心维持性血液透析患者健康相关生活质量的意义  

Significance of KDQOL-SF Scale to Evaluate the Health-related Quality of Life of Maintenance Hemodialysis Patients in Community Hemodialysis Centers

作　　者：房彩 孙蓓蓓 姚博 王云轩 李美香 罗雯[1] 李明玮[1] FANG Cai;SUN Bei-bei;YAO Bo;WANG Yun-xuan;LI Mei-xiang;LUO Wen;LI Ming-wei(Department of Rheumatology and Immunology,Fuxing Hospital Affiliated to Capital Medical University,Beijing 100038,China;Dongxiaokou Health Service Center,Changping District,Beijing 100192,China)

机构地区：[1]首都医科大学附属复兴医院风湿免疫科,北京100038 [2]北京市昌平区东小口卫生服务中心,北京100192

出　　处：《医学信息》2020年第11期95-97,共3页Journal of Medical Information

摘　　要：目的评估社区血液透析中心维持性血液透析患者与健康相关的生活质量(HRQOL),并分析其影响因素。方法收集2019年1~12月在北京市昌平区东小口社区卫生服务中心血液透析中心规律接受维持性血液透析(MHD)治疗的终末期肾脏病患者30例。采用横断面研究的方法,采集肾病生活质量量表(KDQOL-SF量表)评分,收集临床、人口、经济、社会、心理和治疗成本等数据,分析KDQOL-SF评分的影响因素。结果单因素分析显示,KDQOL-SF评分与年龄、受教育程度、工作状态、社会活动、抑郁量表评分、iPTH、Kt/V均具有相关性(P<0.05)。将上述变量代入多元线性回归模型,结果显示年龄、受教育程度、社会活动、抑郁量表评分、iPTH、Kt/V与KDQOL-SF评分有关(P<0.05)。结论KDQOL-SF量表对年龄、受教育程度、工作状态、社会活动、抑郁量表评分、iPTH、Kt/V敏感,适合评估社区血液透析中心维持性血液透析患者健康相关生活质量。Objective To evaluate the health-related quality of life(HRQOL)of maintenance hemodialysis patients in a community hemodialysis center,and analyze its influencing factors.Methods A total of 30 patients with end-stage renal disease who received regular maintenance hemodialysis(MHD)treatment at the Hemodialysis Center of the Dongxiaokou Community Health Service Center in Changping District,Beijing from January to December 2019 were collected.A cross-sectional study was used to collect the scores of the Kidney Disease Quality of Life Scale(KDQOL-SF Scale),collect clinical,demographic,economic,social,psychological,and treatment costs,and analyze the influencing factors of the KDQOL-SF score.Results Univariate analysis showed that KDQOL-SF score was correlated with age,education level,work status,social activity,depression scale score,iPTH,and Kt/V(P<0.05).Substituting the above variables into a multiple linear regression model,the results showed that age,education level,social activity,depression scale score,iPTH,Kt/V were related to KDQOL-SF score(P<0.05).Conclusion The KDQOL-SF scale is sensitive to age,education level,work status,social activity,depression scale score,iPTH,Kt/V,and is suitable for evaluating the health-related quality of life of maintenance hemodialysis patients in community hemodialysis centers.

关 键 词：终末期肾脏病 社区 血液透析中心 维持性血液透析 生活质量 KDQOL-SF量表 

分 类 号：R692.5[医药卫生—泌尿科学]