Individual Quality of Life in Chronic Kidney Disease: Influence of Age and Dialysis Modality
Individual Quality of Life in Chronic Kidney Disease: Influence of Age and Dialysis Modality
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DOI：
10.2215/cjn.05191008
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发表时间：
2009-04-01
影响因子：
9.8
通讯作者：
Unruh, Mark
中科院分区：
文献类型：
--
作者：
Abdel-Kader, Khaled;Myaskovsky, Larissa;Unruh, Mark
背景和目标：新的个性化生活质量（IQOL）测量允许慢性肾脏病（CKD）患者提名有助于他们健康的独特生活领域。本研究评估了CKD患者指定领域的差异。我们还研究了（1）多维健康相关的生活质量的措施和IQOL和（2）心理社会因素和IQOL.Design，设置，参与者和测量之间的关联强度：我们进行了一项横断面研究的151例患者正在接受腹膜透析或血液透析或有阶段4至5慢性肾脏病。患者完成了个体生活质量评估计划-直接加权（SEIQOL-DW），这是一种基于患者识别领域评估IQOL的工具。患者还完成了健康相关的生活质量和心理健康measurements.Results：CKD患者提名的许多领域的SEIQOL-DW，但家庭和健康是最常见的所有群体。与血液透析患者或CKD患者相比，腹膜透析患者的肾脏疾病收载频率更高（分别为31 vs 14 vs 5%）。亚组之间的SEIQOL-DW评分无显著差异。SEIQOL-DW分数与心理健康和负相关的慢性压力和depression.Conclusions：晚期CKD患者表现出妥协的生活质量评分透析患者。IQOL测量提供了独特的信息，可以帮助指导更好地定制干预措施，以解决患者对其健康的担忧。这些研究结果还表明，肾脏诊所应该有工作人员，以解决病人的福祉的心理社会方面。
Background and objectives: Novel individualized quality-of-life (IQOL) measures permit patients with chronic kidney disease (CKD) to nominate unique areas of their lives that contribute to their well-being. This study assessed for differences in domains nominated by patients with CKD. We also examined the strength of association between (1) multidimensional health-related quality-of-life measures and IQOL and (2) psychosocial factors and IQOL.Design, setting, participants, & measurements: We performed a cross-sectional study of 151 patients who were undergoing peritoneal dialysis or hemodialysis or had stages 4 through 5 CKD. Patients completed the Schedule for the Evaluation of Individual Quality of Life-Direct Weighting (SEIQOL-DW), an instrument that assesses IQOL on the basis of patient-identified domains. Patients also completed health-related quality-of-life and psychosocial health measures.Results: Patients with CKD nominated many domains on the SEIQOL-DW, but family and health were the most common for all groups. Kidney disease was listed more frequently by peritoneal dialysis compared with hemodialysis patients or patients with CKD (31 versus 14 versus 5%, respectively). There were no significant differences in SEIQOL-DW scores between subgroups. SEIQOL-DW scores correlated with mental well-being and inversely correlated with chronic stress and depression.Conclusions: Patients with advanced CKD demonstrate compromised quality-of-life scores comparable to dialysis patients. IQOL measures provide unique information that may help guide interventions that are better tailored to address patients' concerns about their well-being. These findings also suggest that renal clinics should have staff available to address psychosocial aspects of patient well-being.