不同透析方式对山区透析患者生活质量的影响及相关因素分析

摘要

目的：探讨不同透析方式对山区维持性透析患者生活质量的影响及相关因素分析。方法选取进行维持性透析患者90例（腹膜透析和血液透析患者各45例），使用KDQOL- SFTM量表对两者进行生活质量评价，比较两种透析患者生活质量的差异，并对其临床资料进行分析，探讨其影响因素。结果腹膜透析组患者总体健康、疼痛评分、活力、心理健康总分以及KDTA总分、症状影响、睡眠质量均明显优于血液透析患者（均P＜0.05）。透析年限、文化程度及年龄是36项健康相关生存质量调查（SF-36）的影响因素（P＜0.05或0.01），透析年限、文化程度是KDTA的影响因素（P＜0.05）。结论山区终末期肾病患者进行腹膜透析其生活质量明显优于血液透析。%Objective To evaluate the quality of life and relevant factors in patients with maintenance dialysis in mountain area. Methods Ninety patients with end- stage renal diseases undergoing maintenance dialysis were enrol ed, including 45 cases receiving blood dialysis and 45 cased receiving peritoneal dialysis. The quality of life was evaluated by using the question-naire KDQOL- SFTM in two groups and the relevant factors were analyzed. Results The patients undergoing peritoneal dialysis had better SF- 36 and KDTA scores than those of blood dialysis patients, including the items of general health, bodily pain, vitality, dialysis- related symptoms and sleep quality (P<0.05). Factors affecting KDTA scores were the period of dialysis, education background(P<0.05);and the factors affecting SF- 36 scores were mainly the period of dialysis,the age, and the education back-ground (P<0.05 or 0.01). Conclusion Patients in mountain area with end- stage renal disease have a better quality of life, if they receive peritoneal dialysis rather than blood dialysis.