血液透析和腹膜透析技术对患者生活质量的影响分析  

Analysi on the Impact of Different Dialysis Modalities on Patients’Health-Related Quality of Life

作　　者：孙禾奇 吕军[1] 叶建明 庄叶 高兰英 熊燕 唐琪 袁敏 Sun Heqi(School of Public Health,Fudan University,Shanghai,P.R.China)

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]昆山市第一人民医院肾内科

出　　处：《中国卫生事业管理》2022年第7期552-555,共4页Chinese Health Service Management

基　　金：国家社科基金重大项目“超特大城市脆弱人群健康管理社会支持体系研究”(17ZDA078);江苏省卫生健康委科研课题“居家腹膜透析信息化管理系统的研发及对透析质量控制的改善”(H2017037)。

摘　　要：目的:了解血液透析和腹膜透析技术对终末期肾病患者生活质量的影响,为适宜透析技术的管理策略提供依据。方法:采用肾病专用生活质量量表对559名透析患者进行调查,通过多元线性回归分析患者生活质量的影响因素。结果:使用腹膜透析技术的患者生活质量更优(P<0.05)。透析技术、年龄、性别和医疗机构性质是影响患者生活质量的因素(P<0.05)。结论:提倡腹膜透析优先策略,建立以改善患者生活质量为导向的透析服务供给体系。Objective To investigate the impact of different dialysis modalities on patients’quality of life,and provide references for appropriate technology.Methods Specific scales were used to survey 359 hemodialysis patients and 200 peritoneal dialysis patients.Multivariate linear regression was used to analyze the influencing factors of patients’quality of life.Results The scores of each scale in peritoneal dialysis(PD)patients were significantly higher than that in hemodialysis dialysis(HD)patients(P<0.05).Dialysis modalities,age,gender and hospital type were the influencing factors of HRQOL(P<0.05).Conclusion It is beneficial to advocate PD first strategy in medical process,and establish a dialysis service system oriented in the HRQOL of patients.

关 键 词：血液透析 腹膜透析 生活质量 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理]