腹膜透析病人生存质量的相关因素分析

Analysis of related factors of patients accepting peritoneal dialysis

[目的]调查腹膜透析(PD)病人的生存质量,并分析与之相关的因素。[方法]采用方便取样法,选择稳定的腹膜透析3个月以上的病人117例,以简明健康调查问卷(SF-36)评估病人的生存质量。同时收集病人的一般资料、透析相关数据、营养状态指标、睡眠质量等。[结果]年龄、透析时间、每日透析次数、合并疾病种类与生存质量的部分领域存在相关性。血清红蛋白、血白蛋白、握力分别与SF-36的个别领域存在相关性;营养良好病人的生理机能、精力高于营养不良病人(P<0.01)。除社会功能外睡眠质量与SF-36其他各领域均呈负相关。多元逐步回归分析结果显示,匹兹保睡眠质量指数总分、每日透析次数、营养状况、年龄、合并疾病种类、握力是影响生存质量的主要因素。[结论]影响PD病人生存质量的因素是多方面的,在临床护理工作中要注意从多方面改善病人的生存质量。

Objective：It investigated the quality of life of patients accepting peritoneal dialysis （PD） and analyzed its related factors. Methods：By adopting convenient sampling method,a total of 117 patients accepting PD over three months in stable stage were selected. The living qualities of all cases were assessed by filling out SF- 36 questionnaire. General data,dialysis related data, nutritional status indexes, and sleep quality of all patients have been collected. Results：There were correlations among age, time of dialysis,daily dialysis times, species of complicated illnesses with partial fields of the living quality of patients. There were correlations in hemoglobin, albumin,hand strength with individual fields of SF- 36. Physiological functions,energy in patients with good nutrition were higher than that of patients with malnutrition（P〈0.01）. Except social function, there were negative correlations between sleep quality of patients and total scores of SF- 36 and other fields of it. Multiple regression analysis showed that Pittsburg sleep quality index total scale, daily dialysis times, SGA, age, species of complicated illnesses,and hand strength are significant factors influencing the quality of life of patients. Conclusion：Various factors may influence the living quality of patients accepting peritoneal dialysis. In clinical nursing work, one should improve the living quality of patients from various aspects.