【摘要】 目的 :探讨透析治疗患者的生命质量及其影响因素 ,为提高患者生命质量提供依据。方法 :对 31例持续性不卧床腹膜透析 (CAPD)患者和 2 9例维持性血液透析 (MHD)患者 ,应用生命质量量表 (MOSSF - 36 )、自评抑郁量表 (SDS)、家庭功能问卷 (FamilyAPGAR)和社会支持评定量表 (SSRS)进行测评调查 ,分析评价维持性透析患者生命质量及其影响因素。结果 :6 0例维持性透析患者生命质量 8个维度分值 ,均显著低于一般人群 ,CAPD患者躯体功能 (PF)、情感角色 (RE) 2个维度分值以及主观支持得分均显著低于MHD患者 ;本组研究对象抑郁指数 0 .5 19± 0 .0 97,4 5 %患者自评轻至中度抑郁状态 ;维持性透析患者生命质量影响因素主要有年龄、透析持续时间、费用来源、抑郁、主观支持和支持利用等。结论 :抑郁在维持性透析患者中常见 ,CAPD和MHD患者生命质量明显下降 ,其影响因素除疾病本身外 ,还包括社会角色的转变和心理压抑。根据透析患者实际情况 ,采取个体化干预措施 ,可改善患者生命质量。更多还原

【Abstract】 Objective:To explore the effect of the maintenance hemodialysis(MHD) and continuance ambulatory peritoneal dialysis(CAPD) on life quality of patients with end-stage renal disease.Methods:31 patients with CAPD and 29 patients with MHD were evaluated. Questionnaire method was measured by Medical Outcomes Study Health Status Short Form(MOS SF-36) and Zung self-rating depression scale (SDS) and Smilkstein family scale (APGAR) and social support scale(SSRS).Results:The scores on eight dimensionality of quality of life of sixty patients with CAPD and MHD were lower than the scores of mode, the scores of physical functioning (PF) and Role Functioning Emotional(RE) dimensionality of quality of life in CAPD patients were lower than the scores of MHD patients, and there were significant differences between them(P<0.05). The depression index were 0.519 ±0.097 of research object, The 45% patient were suffered from depressive symptom of light degree or inside degree. The influential factors were age, time(month) of dialysis,source of charge, depressive symptom, subjective support, using of support etc.Conclusion:Depressive symptom is very common in MHD and CAPD patients. The quantity of life of CAPD and MHD patient descends obviously, that influential factors of quantity of life in addition to the disease, still including the change of the social role and psychological depression states. According to the actual circumstance of dialysis patients, adopt the individuation intervention measure, and improve patients quality of life.更多还原