Factors Related to Quality of Life of Hemodialysis Patients during the COVID-19 Pandemic.
Factors Related to Quality of Life of Hemodialysis Patients during the COVID-19 Pandemic.
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DOI：
10.3390/healthcare11081155
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发表时间：
2023-04-17
期刊：
影响因子：
2.8
通讯作者：
Tseng, Su-Mei
中科院分区：
文献类型：
--
作者：
Szu, Li-Yun;Chang, Chih-Hsiang;Hsieh, Suh-Ing;Shih, Whei-Mei;Huang, Lan-Mei;Tsai, Mei-Chu;Tseng, Su-Mei
关键词：
台湾在2018年接受治疗的终末期肾病患者数量全球第二高。Chen等人（2021）的荟萃分析显示，COVID-19的发病率和死亡率分别为7.7%和22.4%。很少有研究探讨患者的自我参与和血液透析的看法对他们的生活质量的影响。本研究旨在探讨COVID-19大流行期间血液透析患者生活质量的相关因素。本研究为描述性相关研究。研究对象为台湾北方某医学中心血液透析室之病患（n = 298）。变量包括患者的社会人口统计学、心理、精神和临床特征（即，感知的健康水平、合并症、血液透析持续时间、每周频率、运输和血液透析期间的陪伴）、血液透析的感知、血液透析中的自我参与和健康相关生活质量（KDQOL-36量表）。采用描述性、双变量和多变量线性回归分析数据。调整协变量后的多变量线性回归显示，焦虑、自我感觉健康状况、两种与四种合并症以及自我参与血液透析与生活质量显著相关。总体模型具有显著性，可解释血液透析期间生活质量方差的52.2%（R2 = 0.522）（校正R2 = 0.480）。总之，轻度、中度或重度焦虑的血液透析患者的生活质量较差，而合并症较少、自我感觉健康状况较高和自我参与血液透析程度较高的患者的生活质量较好。
Taiwan had the second highest number globally of end-stage renal disease patients undergoing treatment in 2018. A meta-analysis of Chen et al. (2021) showed the incidence and mortality rates of COVID-19 were 7.7% and 22.4%, respectively. Few studies have explored the effects of patients’ self-participation and perceptions of hemodialysis on their quality of life. This study aimed to explore the factors related to hemodialysis patients’ quality of life during the COVID-19 pandemic. This study was a descriptive correlational study. Patients were recruited (n = 298) from the hemodialysis unit of a medical center in northern Taiwan. Variables included patients’ sociodemographic, psychological, spiritual, and clinical characteristics (i.e., perceived health level, comorbidities, hemodialysis duration, weekly frequency, transportation, and accompaniment during hemodialysis), perceptions of hemodialysis, self-participation in hemodialysis, and health-related quality of life (KDQOL-36 scale). Data were analyzed using descriptive and bivariate and multivariate linear regression. Multivariate linear regression, after adjusting for covariates, showed that anxiety, self-perceived health status, two vs. four comorbidities, and self-participation in hemodialysis were significantly associated with quality of life. The overall model was significant and accounted for 52.2% (R2 = 0.522) of the variance in quality of life during hemodialysis (adjusted R2 = 0.480). In conclusion, the quality of life of hemodialysis patients with mild, moderate, or severe anxiety was poorer, whereas that of patients with fewer comorbidities, higher self-perceived health status, and higher self-participation in hemodialysis was better.
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影响因子：
1.6
作者：
Al Wakeel J;Al Harbi A;Bayoumi M;Al-Suwaida K;Al Ghonaim M;Mishkiry A
通讯作者：
Mishkiry A
DOI：
10.3390/ijerph17186552
发表时间：
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影响因子：
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影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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影响因子：
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作者：
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通讯作者：
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