维持性血液透析患者生存质量评价与影响因素分析

Assessment of quality of life and its influence factors in maintenance hemodialysis patients

目的探讨维持性血液透析(MHD)患者的生存质量与影响因素,为提高MHD患者生存质量提供依据。方法采用健康状况调查问卷简表SF-36、抑郁自评量表(SDS)和焦虑自评量表(SAS)对本组72例MHD患者进行调查。分析性别、经济状况、文化程度、抑郁和焦虑对生存质量的影响。结果 MHD患者SF-36量表8个维度的分值均显著低于四川常模(P<0.01)。本组患者处于抑郁状态的占63.89%,处于焦虑状态的占54.17%。经济状况、文化程度、抑郁和焦虑均显著影响MHD患者的生理健康总评(PCS)和心理健康总评(MCS)(P<0.05)。性别因素对生存质量影响不明显(P>0.05)。结论 MHD患者的生存质量明显降低。经济状况差、文化程度低、抑郁和焦虑均会对MHD患者的生存质量产生负面影响。

Objective To assess the health-related quality of life in maintenance hemodialysis patients and to identify its infulence factors.Methods 72 cases of maintenance hemodialysis patients were assessed with short form 36 health survey questionnaire（SF-36）,self-rating depression scale（SDS） and self-rating anxiety scale（SAS）.The influence of gender,financial status,education levels,depression and anxiety on quality of life were evaluated in maintenance hemodialysis patients.Results All scores of the eight scales of SF-36 in maintenance hemodialysis patients were significantly lower than those in general population of Sichuan Province（P0.01）.46 patients（63.89%）were in depression and 39 patients（54.17%） were in anxiety.Financial status,education levels,depression and anxiety significantly influenced the physical component summary（PCS） and mental component summary（MCS） in maintenance hemodialysis patients（P0.05）.Gender showed no significant influence on quality of life（P0.05）.Conclusion The quality of life in maintenance hemodialysis patients was significantly lowered.Bad financial status,ill education levels,depression and anxiety showed negative infulence on quality of life in maintenance hemodialysis patients.