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題 名 | Health-Related Quality of Life in Taiwanese Dialysis Patients: Effects of Dialysis Modality=透析模式對臺灣末期腎臟疾病病患者健康相關生活品質之影響 |
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作 者 | 毛莉雯; 邱亨嘉; 張碧玉; 黃素貞; 黃尚志; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 24:9 2008.09[民97.09] |
頁 次 | 頁453-460 |
分類號 | 415.816 |
關鍵詞 | 健康相關生活品質; 血液透析; 腹膜透析; Health-related quality of life; Hemodialysis; Peritoneal dialysis; SF-36; |
語 文 | 英文(English) |
中文摘要 | 台灣末期腎臟疾病發生率與盛行率皆相當高,但是有關透析模式對病患健康相關生活品質的研究卻不多。本研究利用 SF-36 量表對接受腹膜與血液透析治療的病患測量其健康狀況,以比較透析模式對健康相關生活品質之效應。本研究以 SF-36 量為工具以橫斷性研究調查南台灣某醫學中心及區域醫院之透析患者,總共有 244 位透析患者 (腹膜透析 58 位、186 位血液透析患者)。擷取病人一般特性、診斷、檢驗資料與健康相關生活品質卷資料分析,以複線性回歸為分析方法。相較於血液透析患者,腹膜透析患者在身體生理功能 (physical functioning、PF)、因身體生理問題角色受限 (role limitation due to physical health problems、RP,身體疼痛 (bodily pain、BP),活力狀況 (vitality、VT),因情緒問題角色受限 (role limitation due to emotional problem、RE),心理健康 (mental health、MH) 等六個指標的分數較高,但只有身體疼痛與因情緒問題角色受限兩項達統計學上的意義 (p < 0.05)。在控制其他變項後,選擇腹膜透析患者其身體疼痛的健康狀況評分高於血液透析患者 7.88 分,但在社會功能 (social functioning、SF) 分數血液透析患者則高於腹膜透析患者 9.00 分 (p < 0.05)。除身體疼痛與社會功能兩項指標外,腹膜透析與血液透析病患其健康狀況相近。因此透析患者與健康相關之生活品質,除透析模式外,可能與透析患者特質,合併症嚴重程度,家庭支持,與其接受照護之品質更加相關。因此透析模式之選擇,患者應被告知不同透析模式之優缺點,並考慮透析患者之喜好。 |
英文摘要 | Taiwan has the highest incidence and prevalence of end-stage renal disease worldwide. However, not many studies have focused on the influence of dialysis modality on health-related quality of life (HRQoL) for dialysis patients in Taiwan. This study intended to compare the differences in HRQoL between peritoneal dialysis (PD) and hemodialysis (HD) and to evaluate the effects of dialysis modality on patient HRQoL. A cross-sectional survey using the Taiwan-version 36-item short-form health survey questionnaire (SF-36) was completed by 244 dialysis patients (58 PD and 186 HD patients) at two hospital-based dialysis units in southern Taiwan. Patient characteristics, diagnoses and laboratory data were individually extracted from the annual survey and matched with primary HRQoL data. Multiple linear regression analysis was performed to evaluate the effects of dialysis modality on HRQoL. Compared with HD patients, PD patients had higher scores in six of the eight SF-36 subscales, including physical functioning, role limitations due to physical and emotional problems, bodily pain, vitality, and mental health. However, only role limitations due to emotional problems and bodily pain reached significant difference levels (p < 0.05). After controlling for patient characteristics, comorbid conditions and laboratory values, the bodily pain score was 7.88 points higher for PD patients compared with HD patients, while the social functioning score was 9.00 points higher for HD patients compared with PD patients (p < 0.05). The present study provides cross-sectional confirmation for equivalent levels of HRQoL between PD and HD patients except for the subscales of bodily pain and social functioning. In addition to dialysis modality, HRQoL for dialysis patients may be more related to personal attributes, interactions with multiple diseases, social support and quality of care received. When informing patients about modality choices for dialysis, trade-offs should be discussed and individual preferences for specific aspects of HRQoL should be considered. |
本系統中英文摘要資訊取自各篇刊載內容。