Quality of life in hemodialysis and peritoneal dialysis patients in Saudi Arabia.

Quality of life in hemodialysis and peritoneal dialysis patients in Saudi Arabia.
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DOI:
10.5144/0256-4947.2012.570
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发表时间:
2012-11
影响因子:
1.6
通讯作者:
Mishkiry A
Mishkiry A
中科院分区:
医学4区
文献类型:
--
作者:
Al Wakeel J;Al Harbi A;Bayoumi M;Al-Suwaida K;Al Ghonaim M;Mishkiry A

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终末期肾病(ESRD)患者的生活质量(QoL)是医生和患者在选择透析方式时的重要结局。我们对沙特阿拉伯沙特国王大学两家三级转诊医院的定期维持性血液透析和定期腹膜透析患者进行了比较。我们假设可能有文化和社会经济因素改变透析患者的生活质量。血液透析与腹膜透析患者的横断面研究。2007年7月至2008年7月,200名透析患者参与了研究,每组100名透析方式。我们采用横断面设计,并使用肾脏疾病生活质量(KDQoL SF)问卷收集数据。两组患者具有相似的社会人口学特征(年龄、婚姻状况和教育程度)。血液透析组的平均年龄(SD)为47.5(13.8)岁,腹膜透析组为51.0(13.5)岁。男性分别占53%和43%。血液透析组的平均透析持续时间为77.2(75.5)个月,腹膜透析组为34.1(26.9)个月。血液透析组的平均(SD)评分为49.5(13.7)分,腹膜透析组为61.3(12.4)分。腹膜透析患者在所有领域和总QoL中的QoL平均评分均显著较高,但血液透析患者的身体QoL评分高于腹膜透析患者,尽管差异无统计学意义。多元回归分析表明,与腹膜透析相比,血液透析是生活质量评分的负预测因子。此外,年龄、男性和透析持续时间是QoL评分的负预测因子。在沙特阿拉伯独特的文化中,腹膜透析患者的生活质量优于血液透析患者,这验证了其他国家研究报告的结果。
Quality of life (QoL) in end-stage renal disease (ESRD) patients is an important outcome for both physicians and patients in selecting dialysis modality. We conducted a comparison between regular maintenance hemodiaylsis and regular peritoneal dialysis patients in two tertiary referral hospitals in King Saud University in Saudi Arabia. We hypothesize that there might be cultural and socioeconomic factors modifying QoL in dialysis patients. Cross-sectional study on hemodialysis and peritoneal dialysis patients. Two hundred dialysis patients participated in the study, one hundred in each group of dialysis modality, from July 2007 to July 2008. We used a cross-sectional design and collected the date using the Kidney Disease Quality of Life (KDQoL SF) questionnaire. Patients in both groups had similar sociodemographic characteristics (age, marital status, and education). Mean age (SD) in the hemodialysis group was 47.5 (13.8) years and 51.0 (13.5) years in the peritoneal dialysis group. Males represented 53% and 43%, respectively. Mean duration of dialysis was 77.2 (75.5) months in the hemodialysis group and 34.1 (26.9) months in the peritoneal dialysis group. The mean (SD) score was 49.5 (13.7) in the hemodialysis group and 61.3 (12.4) in the peritoneal dialysis group. QoL mean scores were significantly higher among peritoneal dialysis in all domains and in the total QoL, with the exception of the score of physical QoL, which was higher in the hemodialysis patients, compared to peritoneal dialysis patients, although the difference was not statistically significant. Multiple regression analysis indicated that hemodialysis was a negative predictor of QoL score, compared to peritoneal dialysis. Also, age, male gender, and dialysis duration were negative predictors of QoL score. In the unique culture of Saudi Arabia, peritoneal dialysis patients have better QoL, compared to hemodialysis patients, validating the findings of research reports from other countries.
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