Changes over time in older dialysis patients' self-assessed quality of life
Changes over time in older dialysis patients' self-assessed quality of life
复制标题
老年透析患者自我评估生活质量随时间的变化
DOI：
10.1007/bf01508808
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发表时间：
1993
期刊：
影响因子：
--
通讯作者：
D. Brogan
中科院分区：
文献类型：
--
作者：
N. Kutner;B. Fielding;D. Brogan
三年后，对127名治疗方式不变的老年透析患者进行了随访。黑人患者的平均年龄为70岁;白色患者的平均年龄为72岁。仅发现一个变量在报告的生活质量（QOL）变化方面存在显著的种族差异;白色患者（而非黑人患者）认为他们在时间2时没有像在时间1时那样照顾自己的健康。对于重新访谈的患者总样本，发现9项措施的生活质量反应有显著变化。血液透析患者在时间2报告的血管通路问题显著较少。与ESRD和透析相关的身体主诉、辅助器械的使用、功能障碍、运动参与、休闲活动次数、对未来健康的感知控制、抑郁症状和时间2时的情绪状态反应表明QOL自我评估下降。对于大多数被调查的生活质量指标，包括整体生活满意度，没有显着的变化被发现。一个临床挑战是，以确定有效的目标领域，老年透析患者的生活质量随着时间的推移下降的风险干预。
Followup interviews were conducted after three years with 127 older dialysis patients whose treatment modality was unchanged. The mean age of black patients was 70; the mean age of white patients was 72. A significant race difference in reported change in quality of life (QOL) was found for only one variable; white patients, but not black patients, felt they were not taking care of their health as well at Time 2 as at Time 1. For the total sample of patients who were reinterviewed, significant change in QOL responses was found for 9 measures. Vascular access problems were reported significantly less often at Time 2 by hemodialysis patients. Physical complaints related to ESRD and dialysis, use of assist devices, functional impairment, exercise involvement, number of leisure activities, perceived control over future health, depressive symptoms, and mood state responses at Time 2 indicated decline in QOL self-assessments. For the majority of QOL measures that were investigated, including overall life satisfaction, no significant change was found. A clinical challenge is to identify interventions that effectively target areas in which older dialysis patients are at risk for declining QOL over time.
DOI：
10.1016/s0272-6386(12)70302-5
发表时间：
1992
期刊：
American journal of kidney diseases : the official journal of the National Kidney Foundation
影响因子：
--
作者：
Brogan,D;Kutner,NG;Flagg,E
通讯作者：
Flagg,E