中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (44): 8317-8320.doi: 10.3969/j.issn.1673-8225.2011.44.037

• 器官移植临床实践 clinical practice of organ transplantation • 上一篇    下一篇

血液透析患者社会回归及生活质量调查

王祥花，崔  莉，崔  岩，刘雪梅，徐  岩   

  1. 青岛大学医学院附属医院肾内科，山东省青岛市 266003
  • 收稿日期:2011-07-23 修回日期:2011-08-26 出版日期:2011-10-29 发布日期:2011-10-29
  • 通讯作者: 刘雪梅，博士，副主任医师，青岛大学医学院附属医院肾内科，山东省青岛市 266003 Liuxm2004@ sina.com
  • 作者简介:王祥花，女，1964年生，山东省青岛市人，汉族，1984年济宁市护士学校毕业，主管护师，主要从事血液透析临床研究。 wangxhua2011@sina.com

Survey about social rehabilitation and quality of life in hemodialysis patients

Wang Xiang-hua, Cui Li, Cui Yan, Liu Xue-mei, Xu Yan   

  1. Department of Nephrology, the Affiliated Hospital of Medical College, Qingdao University, Qingdao  266003, Shandong Province, China
  • Received:2011-07-23 Revised:2011-08-26 Online:2011-10-29 Published:2011-10-29
  • Contact: Liu Xue-mei, M.D., Associate chief physician, Department of Nephrology, the Affiliated Hospital of Medical College, Qingdao University, Qingdao 266003, Shandong Province, China liuxm2004@sina.com
  • About author:Wang Xiang-hua, Nurse-in-charge, Department of Nephrology, the Affiliated Hospital of Medical College, Qingdao University, Qingdao 266003, Shandong Province, China wangxhua2011@ sina.com

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摘要：

背景：随着血液透析技术水平的提高，尿毒症患者的长期生存率已明显提高，然而其生活质量和社会回归情况却没有得到重视。
目的：分析维持性血液透析患者的社会回归情况及生活质量。
方法：选择维持性血液透析3个月以上患者163例，以问卷方式调查患者社会回归现状及临床资料，用“SF-36量表”评估血液透析患者生活质量，比较社会回归级别不同的血液透析患者之间生活质量的差别。
结果与结论：社会回归1级的患者占总患者数的9.2%，2级占26.4%，3级占53.4%，4级占11.0%。随着社会回归级别的增加，患者总体健康状况得分逐级增加，各级间差异存在显著性意义(P < 0.01)，特别是所占比例最大的3级患者生活质量明显受情绪、社会因素的影响。说明血液透析患者社会回归情况欠佳。

关键词: 血液透析, 社会回归, 生活质量, 调查, SF-36量表

Abstract:

BACKGROUND: With the development of modern technology in hemodialysis, the long-term survival rate of uremia patients has improved significantly, but the quality of life and social rehabilitation have not received much attention.
OBJECTIVE: To investigate social rehabilitation and the quality of life in hemodialysis patients.
METHODS: A total of 163 patients with maintenance hemodialysis for more than 3 months, including 90 males and 73 females, were surveyed about the status of social rehabilitation and their clinical data in the form of questionnaire. The quality of life of all patients was measured with the Short-Form 36 questionnaire. Then the scores of quality of life were compared between four groups classified by the social rehabilitation.
RESULTS AND CONCLUSION: The percentages of patients in the first, second, third and fourth degrees of social rehabilitation were 9.2%, 26.4%, 53.4%, and 11.0% respectively. With increasing levels of social rehabilitation, the patient’s overall health status scores increased progressively. There were significant differences between four groups (P < 0.01). In particular, the quality of life of the patients in the third degree of social rehabilitation was significantly affected by emotional and social factors. The social rehabilitation in hemodialysis patients was in poor condition. Strengthening psychological care and striving for social support are expected to enable most patients to improve quality of life and degree of social rehabilitation.

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