本文關(guān)鍵詞： MHD 生存質(zhì)量 KDQOL-SF　出處：《廣西醫(yī)科大學(xué)》2016年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】：背景：隨著血液透析的廣泛運(yùn)用,維持性血液透析(maintenance hemodialysis MHD)患者的預(yù)期壽命明顯延長(zhǎng),但MHD患者較低生存質(zhì)量的研究屢有報(bào)道。本次研究探討與MI1D患者生存質(zhì)量相關(guān)的因素,為改善和提高M(jìn)HD患者的生存質(zhì)量提供依據(jù)。方法：選取從2016年3月12日到3月20日,在廣西醫(yī)科大學(xué)第一附屬醫(yī)院血液凈化中心治療的維持性血液透析的患者,收集的數(shù)據(jù)包括社會(huì)人口資料,病例資料,血液凈化治療方案和實(shí)驗(yàn)室結(jié)果,使用KDQOL-SF評(píng)估患者的生存質(zhì)量。KDQOL-SF量表其中包括一般健康生存質(zhì)量量表(SF-36)及腎病、透析相關(guān)生存質(zhì)(KDTA)量表。SF-36包括心理相關(guān)生存質(zhì)量(MCS)及生理相關(guān)生存質(zhì)量(PCS)兩個(gè)方面。結(jié)果：KDTA的總分為55.99±8.90。SF-36的總分為47.08±12.03,而PCS總分和MCS總分分別為48.93±16.96和46.67±14.78。KDTA獨(dú)立相關(guān)因素有年齡(B=-0.23、P=0.00)、白蛋白(B=0.55、P=0.00)、對(duì)尿毒癥的認(rèn)識(shí)(B=5.17、P=0.00)、透析病程(B=-0.92、P=0.00)、家庭收入(B=1.30,P=0.00)、教育程度(B=2.26、P=0.00)、透析頻次(Exp(B)=-1.61、p=0.01)。PCS的獨(dú)立相關(guān)因素有年齡(B=-0.54、P=0.00)、性別(B=7.19,P=0.01)、透析病程(B=-0.89、P=-0.00)、超敏C反應(yīng)蛋白(B=-0.38、P=0.04)。MCS的獨(dú)立相關(guān)因素為年齡(B=-0.36、P=-0.00)、性別(B=-8.03、P=-0.00)、是否患糖尿病(Exp(B)=-4.08、p=0.01)、血紅蛋白(Exp(B)=0.959、p=0.037)。結(jié)論： 社會(huì)人口因素和臨床因素都會(huì)影響廣西MHD患者的生存質(zhì)量,社會(huì)人口因素包括性別、年齡、家庭收入、教育水平。臨床因素包括低白蛋白血癥、透析病程、處于炎癥狀態(tài)、對(duì)尿毒癥的認(rèn)識(shí)、透析頻次、血紅蛋白及是否患有糖尿病。對(duì)生存質(zhì)量低的患者需要醫(yī)護(hù)人員更多的關(guān)注,社會(huì)給予更多的支持。其中包括社會(huì)支持、更加完善的醫(yī)療及營(yíng)養(yǎng)支持等,以減少進(jìn)一步的健康并發(fā)癥,提高廣西MHD患者的質(zhì)量。
[Abstract]:Background: with the widespread use of hemodialysis, life expectancy in patients with maintenance hemodialysis maintenance hemodialysis MHD is significantly prolonged. However, the study of low quality of life in patients with MHD has been reported frequently. This study is to explore the factors related to the quality of life of patients with MI1D. Methods: from March 12th 2016 to March 20th. Data collected from maintenance hemodialysis patients treated at the Blood purification Center of the first affiliated Hospital of Guangxi Medical University include socio-demographic data, case data, blood purification treatment programs and laboratory results. KDQOL-SF was used to evaluate the quality of life (QOL) of patients with KDQOL-SF, including SF-36) and nephropathy. Analysis of the KDTA-related quality of Survival scale SF-36 including psychologically related quality of Life (MCSs) and Physiological-Related quality of Life (PCS). Results the total score of KDTA was 55.99 鹵8.90.SF-36 and the total score was 47.08 鹵12.03. The total score of PCS and MCS were 48.93 鹵16.96 and 46.67 鹵14.78 respectively. The course of dialysis was B ~ (-0.92) (P ~ (0.00)), and the course of dialysis was B ~ (-0.92) / P ~ (0.00) (B _ (5.17) P ~ (0.00)). Family income is 1.30%, education level is 2.26%, and dialysis frequency is -1.61. The independent correlation factors of p0. 01 and PCS were: age, age, age, sex, sex, and course of hemodialysis, respectively. The independent correlation factors of P0. 00- 0. 00G, BX-0. 38A, P0. 04N. MCS were: age-0. 36%-0. 36%-0. 00) (P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05). Male and female patients were diagnosed as having diabetes mellitus (P < 0.01) and hemoglobin (P < 0. 959, P < 0. 959), if they had diabetes mellitus (P < 0. 003), whether they were suffering from diabetes mellitus (P = 0. 009) or not (P = 0. 01). Conclusion: Socio-demographic factors and clinical factors will affect the quality of life of patients with MHD in Guangxi. The socio-demographic factors include gender, age and family income. Educational level. Clinical factors include hypoalbuminemia, course of dialysis, inflammation, knowledge of uremia, frequency of dialysis. Hemoglobin and diabetes mellitus. Patients with low quality of life need more attention from health care workers, more social support, including social support, better medical and nutritional support, and so on. In order to reduce further health complications and improve the quality of patients with MHD in Guangxi.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R692.5

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