青年血液透析患者生活质量及影响因素分析

Quality of life in young patients with hemodialysis and influencing factors analysis

目的探讨青年血液透析患者生活质量及其影响因素。方法采用自行设计的一般情况调查表、简明健康状况调查表（sF-36）、Herth希望量表（HHI）和社会支持评定量表（SSRS）等，对郑州市某综合医院血液净化中心的128例18-44岁青年维持性血液透析患者进行问卷调查。结果青年血液透析患者生理健康总均分为（202．49±53．94）分，心理健康总均分为（190．85±77．81）分，生活质量各维度中生理功能和躯体疼痛得分最高，得分最低的维度为生理职能和情感职能，且各维度分值均低于国内常模（P〈0．01）。多元回归分析显示，生活质量与希望水平、社会支持和经济条件显著相关，共解释了62．8％的生活质量变异量。结论青年血液透析患者的生活质量有待提高，医护人员在制订干预措施的同时，要注重患者希望水平、社会支持的提高，同时呼吁政府帮助解决患者的经济问题，以更好地改善其生活质量、促进社会回归。

Objective To invesngate the quality of life in young patients with hemodialysis and influencing factors. Methods Totally 128 young patients.aged 18-44 years old with maintenance hemodialysls were performed the questionnaire investiganon by using the self-designed demographic information questionnaire, Medical Outcomes Study Health Status Short Form（SF-36）, Herth Hope Index（HHI）and Social Support Rating ScaIe（SSRS）. Results The mean total score of physical health in the hemodialysis young patients was （202.49±53.94） points and the mean total score of mental health was （190. 85±77.81） points. In the various dimensional scores of living quality,the scores of physical functioning and bodily pain were highest,while the scores of physical function and emotional function were lowest, moreover the scores of various dimensions were lower the the national norm （P〈0.01）. The multiple regression analysis showed that the quality of fife was significantly correlated with hope level, social support and economic condition,which could explained 62.8% of living quality variation amount. Conclusion The quality of life in hemodialysis young patients rieeds to be improved. The medical care workers formulate the interventionmeasures, meanwhile should pay attention to enchance patients＇ hope leve and social support. At the same time it is appealed that the government helps to solve the patients＇ economic problem in order to better improve their living quality and promote them return to society.