中国血液透析患者的自我管理行为和健康相关生活质量(英文)

Self-management behavior and health-related quality of life in Chinese hemodialysis patients

背景:血液透析患者的生活质量显著低下,关于血液透析患者的自我管理行为如饮食行为、服药行为、生命体征的管理行为等与健康相关生活质量(health-relatedqualityoflife,HRQOL)之间的关系很少报道。目的:研究血液透析患者的自我管理行为与HRQOL的关系,特别是自我管理行为与HRQOL的预测因子之间的潜在相关性,以期改善血液透析患者的生活质量。设计:以血液透析患者为研究对象的抽样调查。单位:一所大学医院的护理部和血液透析中心。对象:本研究在中国医科大学附属第一医院护理部完成。研究对象为2003-07/2003-09在中国医科大学附属第一、二医院、大连医科大学附属第一医院、沈阳医学院附属中心医院、二院透析中心的血液透析患者120例,男63例,女57例,年龄19～79岁,平均(52±12)岁。纳入标准:年龄在18周岁以上,开始透析治疗时间在3个月以上,每周两三次血液透析,能读懂问卷并愿意参加的患者;排除标准:患急性病和精神障碍者。方法:采用自行设计的自我管理行为问卷和简明健康问卷(short-form36healthsurvey,SF-36)调查血液透析患者的自我管理行为和HRQOL,运用相关及多元回归分析来检验自我管理行为和HRQOL的关系。主要观察指标:患者自我管理行为和HRQOL的相关性。结果:有效问卷107份,多元回归分析显示躯体。

BACKGROUND:It has been shown that patients managed with hemodialysis experience decrease of quality of life.But there are a few reports about the relationship between the self management behavior such as dietary behavior,taking medicine,management behavior of physical sign etc and health related quality of life (HRQOL) in hemodialysis patients. OBJECTIVE:To study the relationship between self management behavior and HRQOL in Chinese hemodialysis patients,especially potential association of self management behavior variables with indicators of HRQOL in order to improve their quality of life(QOL). DESIGN:Sampling investigation based on hemodialysis patients.SETTING:Nursing department and dialysis center in a university hospital.PARTICIPANTS:This research was completed in the Nursing Department of First Hospital Affiliated to China Medical University. Totally 120 hemodialysis patients,63 males and 57 females,aged 19- 79 years old with the mean age of(52± 12),were selected from the First and Second Hospital Affiliated to China Medical University,the First Affiliated Hospital of Dalian Medical University,the Central and the Second Hospital of Shenyang Medical College,from July to September 2003.Inclusion criteria:Patients above 18 years old,dialysis history more than 3 months with twice or three times every week,understanding the questionnaires and being volunteers. Exclusion criteria:Patients with acute disease and mental disorder. METHODS:Self administered questionnaire was used to measure self management behavior and short form 36 health survey(SF 36) was used to measure HRQOL of patients with hemodialysis.Correlation and multivariate regression analysis were used to test the relationship between self management behavior and HRQOL.MAIN OUTCOME MEASURES:Self management behavior and HRQOL.RESULTS:Totally 107 questionnaires were available.Multivariate regression analysis indicated that management of physical,psychosocial activity was the significant factor of physical component summary(regression coefficient=2.709,R2=0.150,P< 0.01), and management of physical sign,psychosocial behavior was the significant factor of mental component summary(regression coefficient=1.126,R2=0.041,P< 0.05). CONCLUSION:Improving hemodialysis patients' management of physical,psychosocial activity and management of physical sign could help hemodialysis patients to raise their HRQOL.