血液透析患者生活质量的影响因素分析

1,2,1(:1.,400037;2.,400038):,SF236SCL2905212(1),;(2),0.601,0.466SCL290,,:;;;:R459.5;R749.2:A:167128348(2008)0220144203Ananalysisofinfluencingfactorsonqualityoflifein212patientswithhemodialysisHEJing1,ZHANGLi2,YUANFa2huan1(1.DepartmentofNephrology,XinqiaoHospital,ThirdMilitaryMedicalUniversity,Chongqing400037,China;2.DepartmentofPsychology,ThirdMilitaryMedicalUniversity,Chongqing400038,China)Abstract:ObjectiveToexploretheinfluencingfactorsofqualityoflife(QOL)inthepatientswithhemodialysis(HD).Meth2odsAcross2sectionalsurveywascarriedoutwiththeMOS36-itemShortFormHealthSurvey(SF236),SocialSupportScale(SSS),SymptomChecklist90(SCL290)andcommondataformsin212patientsof5hospitals.ResultsThisstudygeneratedthefollowingfinding:(1)TheQOLofHDpatientsweresignificantlylowerthancommonpeoples,andbecameworseinelders.(2)MCS,ageanddialysistermhaddirectfunctionsonPhysicalComponentSummary(PCS);PCS,depression,hemoglobinanddialysistermhaddirectfunctionsondevelopmentofMentalComponentSummary(MCS).ThetotalscoreofSCL290,somatizationandob2sessive2compulsivehaddirectfunctionsondepression.ConclusionThelevelsofQOLintheHDpatientscanbeincreasedthroughimprovingtheirdepressionsymptomsandthenenhancingtheirmentalhealth.Keywords:cross2sectionalsurvey;hemodialysis;qualityoflife;depression(qualityoflife,QOL)[1],50%10[2],,[3],,,,,,[4,5],11.12007155,300,235,212,90.2%212,138,74,11.2SCL290,9,()4,12343,,:50%50%100%100%31.3SF236(theMOS362itemshortformhealthsurvey)SF236,(healthrelatedqualityoflife,HRQOL)8:(physicalfunction,PF)(role2physi2cal,RP)(bodilypain,BP)(generalh2Health,GH)(vitality,VT)(socialfunction,SF)(role2emotional,RE)(mentalhealth,1212()()(/)(g/L)(g/L)()x49.4822.282.3236.8593.211.78s15.2627.660.534.0719.801.5521870.5180132943501260544120081372©1994-2009ChinaAcademicJournalElectronicPublishingHouse.Allrightsreserved.)[6]SF2362:PFRPBPGH4(physi2calcomponentsummary,PCS)VTSFREMH4(mentalcomponentsummary,MCS)8,SF236,,SF236[7]1.4SPSS10.0Ft22.12,RE,(P0.051,2)MH,,tPFRPBPGHSFRE(P0.01,3)3SF236tPPF64.7222.9882.219.8-11.080.000RP26.4234.9181.233.6-22.850.000BP57.4021.3681.520.5-16.430.000GH35.3219.0956.720.2-16.300.000VT50.9422.2252.020.9-0.690.490SF52.1025.7583.017.8-17.470.000RE33.3338.9484.432.4-19.090.000MH66.6719.8259.722.75.1280.0002.20.9200.946,0.745(4),SCL290,,SCL290,4PCSMCSQOL-0.26833-0.22133-0.25733-0.075-0.012-0.0430.0970.14930.129-0.0190.0360.011-0.059-0.017-0.038-0.016-0.018-0.018-0.152-0.121-0.143-0.14530.312330.235330.0240.0200.023-0.5083-0.091-0.3710.243330.321330.30533-0.56933-0.49333-0.55833-0.46033-0.49533-0.51333-0.42233-0.51133-0.50433-0.32533-0.38533-0.38333-0.45133-0.53233-0.53033-0.37833-0.53933-0.49933-0.20733-0.29333-0.27233-0.28933-0.36833-0.35633-0.25633-0.33633-0.32133-0.38933-0.48333-0.47133-0.39633-0.48033-0.47333SCL290-0.45233-0.55133-0.542330.217330.253330.2543354120081372©1994-2009ChinaAcademicJournalElectronicPublishingHouse.Allrightsreserved.(22tailed);33:0.01(22tailed)2.3,20,20,,,19,2,r20.657,0.7874,19,3,r20.740,0.5469,18,4,SCL290r20.945,0.35511,,0.601,0.466SCL290,,133.1[8],,,MH,,,[9],1,,,,,3.21,,,,,4,SCL290,3.34,,[10],:,,,,:[1],.[J].,2001,10(2):76.[2].[J].,2004,35(7):418.[3],.[M].:,1994:602.[4]GudexCM.Health2relatedqualityoflifeinendstagere2nalfailure[J].QualLifeRes,1995,4(4):359.[5]LevensonJL.GlocheskiS.Psychologicalfactorsaffectingend2stagerenaldisease[J].Psychosomatics,1991,32(4):382.[6]WareJ,GandekB.OverviewofSF236healthsurveyandtheinternationalqualityoflifeassessment(IQOLA)pro2ject[J].JClinEpidemiol,1998,51(11):903.[7],.SF236[J].,2003,12(1):31.[8],.[J].,2007,36(5):431.[9],,.SF236[J].,2002,36:109.[10],.[J].,2007,36(5):433.(:2007207223)64120081372©1994-2009ChinaAcademicJournalElectronicPublishingHouse.Allrightsreserved.