THE QUALITY OF LIFE OF PATIENTS WITH END-STAGE RENAL-DISEASE
THE QUALITY OF LIFE OF PATIENTS WITH END-STAGE RENAL-DISEASE
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DOI：
10.1056/nejm198502283120905
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发表时间：
1985-01-01
影响因子：
158.5
通讯作者：
LOWRIE, EG
中科院分区：
文献类型：
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作者：
EVANS, RW;MANNINEN, DL;LOWRIE, EG
对859例接受透析或移植的患者的生活质量进行了评估，目的是确定生活质量的客观和主观指标是否受到病例组合或治疗的影响。在移植受者中，79.1%的人能够以接近正常的水平发挥功能，而在47.5%至59.5%之间。接受透析治疗的患者（取决于类型）。近75%的移植受者能够工作，而接受透析的患者只有24.7%至59.3%。在3个主观指标（生活满意度、幸福感和心理影响）上，移植受者的生活质量高于透析患者。在接受透析治疗的患者中，在家接受治疗的患者生活质量最高。所有的生活质量差异持续存在，即使在患者病例组合已被控制统计。移植受者的生活质量与一般人群相比，但尽管主观评估良好，接受透析的患者的工作或功能与一般人群的水平不同。
The quality of life of 859 patients undergoing dialysis or transplantation was assesssed with the goal of ascertaining whether objective and subjective measures of the quality of life were influenced by case mix or treatment. Of the transplant recipients 79.1% were able to function at nearly normal levels, as compared with between 47.5 and 59.% of the patients treated with dialysis (depending on the type). Nearly 75% of the transplant recipients were able to work, as compared with between 24.7 and 59.3% of the patients undergoing dialysis. On 3 subjective measures (life satisfaction, well-being and psychological affect) transplant recipients had a higher quality of life than patients on dialysis. Among the patients treated with dialysis, those undergoing treatment at home had the highest quality of life. All quality-of-life differences persisted even after the patient case mix had been controlled statistically. The quality of life of transplant recipients compared well with that of the general population, but despite favorable subjective assessments, patients undergoing dialysis did not work or function at the same level as people in the general population.