Role of components of frailty on quality of life in dialysis patients: a cross-sectional study.

Role of components of frailty on quality of life in dialysis patients: a cross-sectional study.
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虚弱成分对透析患者生活质量的作用:一项横断面研究。

DOI:
10.1111/j.1755-6686.2013.12013.x
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发表时间:
2013
影响因子:
1.9
通讯作者:
G. Panzetta
G. Panzetta
中科院分区:
医学4区
文献类型:
--
作者:
P. Sclauzero;G. Galli;G. Barbati;M. Carraro;G. Panzetta

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背景 许多接受透析治疗的人患有各种可能影响虚弱(虚弱的状况或质量)的疾病,如合并症、残疾、依赖、营养不良、认知障碍和不良的社会条件。怀疑虚弱会影响生活质量(QoL)。 目标 本研究旨在评估虚弱的不同组成部分对透析患者生活质量的影响。 方法 我们招募了意大利的里雅斯特地区233名接受透析的流行患者中的203名。我们应用了SF-36问卷、日常生活活动、日常生活工具活动、主观总体评估量表和Karnofsky指数。此外,我们还分析了他们的社会状况。 结果 依赖、营养不良和残疾对生活质量有负作用。与家人一起生活和良好的社会经济条件与更好的生活质量显著相关。 结论 依赖、营养不良、残疾、社会和经济条件差对生活质量有重大影响。合并症的作用似乎不太重要。对病人进行检查、营养和功能康复以及防止社会孤立,似乎是保证令人满意的生活质量所不可或缺的。
BACKGROUND Many people on dialysis suffer a variety of conditions that can affect frailty (the condition or quality of being frail), such as comorbidities, disabilities, dependence, malnutrition, cognitive impairment and poor social conditions. Frailty is suspected to affect quality of life (QoL). OBJECTIVES The study aimed to evaluate the effect of the different components of frailty on the QoL of people on dialysis. METHODS We enrolled 203 out of 233 prevalent patients on dialysis in the Trieste area of Italy. We applied the Short-Form 36 (SF-36) questionnaire, Activities of Daily Living, Instrumental Activities of Daily Living, Subjective Global Assessment scales and Karnofsky Index. In addition we analysed their social conditions. RESULTS Dependence, malnutrition and disability had a negative role on QoL. Living with family and good social-economic conditions were significantly related to a better QoL. CONCLUSIONS Dependence, malnutrition, disability, poor social and economic conditions have a significant effect on life quality. The role of comorbidities appears to be less important. Screening of patients, nutritional and functional rehabilitation and prevention of social isolation appear to be indispensable in guaranteeing a satisfactory life quality.
DOI: 10.2215/cjn.05191008
发表时间: 2009-04-01
影响因子: 9.8
作者:
Abdel-Kader, Khaled;Myaskovsky, Larissa;Unruh, Mark
通讯作者: Unruh, Mark