目的：了解维持性血液透析患者生活质量的现状，分析其相关影响因素。方法采用方便抽样法选取南京市某三级甲等医院行维持性血液透析的102例患者，使用简明健康调查表SF-36调查患者生活质量，采用一般资料调查问卷、实验室检查结果、Piper疲乏修订量表RPFS纳入可能对维持性血液透析患者生活质量产生影响的因素，进行单因素分析和线性逐步回归分析。结果维持性血液透析患者SF-36各维度得分均显著低于中国常模（P＜0.05）；疲乏状况、年龄和血管通路是影响维持性血液透析患者生活质量的独立影响因素。结论维持性血液透析患者的生活质量较差，医疗工作者应重点关注患者尤其是老年患者的疲乏及血管通路，并采取有效的干预措施提高患者生活质量。%Objective To investigate the status of quality of life in patients with maintenance hemodialysis (MHD) and its influencing factors. Methods Through convenient sampling, totally 102 MHD patients in one first-class third-level hospital in Nanjing were investigated with the Medical Outcomes Study 36-item Short-form Health Survey (SF-36). Influence factors of quality of life of patients were extracted from patients ’ general information, laboratory test results and Revised Piper Fatigue Scale (RPFS). Single factor analysis and step-wise regression analysis were used for statistical analysis. Results The scores of quality of life were significantly lower than those of the norm in China (P<0.05)and fatigue, age and vascular access were independent influence factors for quality of life of MHD patients. Conclusion Quality of life in MHD patients is poor. Medical workers should pay attention to elderly patients with fatigue and their vascular access and take effective interventions to improve their quality of life.
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