Factors predicted with quality of life among hemodialysis patients in private hospital of Thailand
Factors predicted with quality of life among hemodialysis patients in private hospital of Thailand
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DOI：
10.1080/21548331.2019.1682879
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发表时间：
2019-10-20
期刊：
影响因子：
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通讯作者：
Somrongthong, Ratana
中科院分区：
文献类型：
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作者：
Dejvorakul, Sirikarn;Kumar, Ramesh;Somrongthong, Ratana
背景：终末期肾病患者的生活质量是评价治疗成功与否的重要指标。本研究旨在确定泰国私立医院血液透析患者生活质量的预测因素。方法：这项横断面研究是通过采访188名泰国终末期肾病（ESRD）患者进行的，他们在曼谷Sanamchan医院接受血液透析（HD）。本研究纳入了血流动力学状态稳定且无任何精神疾病史的患者。然而，那些无法正常沟通的人被排除在外。采用描述性统计和多元线性回归分析方法对终末期肾病（ESRD）维持性血液透析（HD）患者生活质量（QOL）评分进行预测。生活质量分为肾脏疾病评分（KDCS）、躯体健康评分（PCS）和心理健康评分（MCS）。结果：超过一半的参与者（57%）在这项研究中是男性和（44%）失业。参与者的平均收缩压为157（25.12 SD）mmHg，舒张压为81（5.85 SD）mmHg。平均红细胞压积（Hct）为30.95（4.38 SD），Kt/v为1.86（0.96 SD），平均标准化蛋白质分解代谢率（nPCR）为1.12（1.09 SD）。年龄、经济收入、合并3种以上疾病、足够的生活费用、每周透析次数、治疗时间与肾脏疾病成分评分（KDCS）有统计学意义（F = 6.28，p < 0.05）。年龄、经济收入、合并3种以上疾病、红细胞压积（Hct）、每周透析次数与躯体健康评分（PCS）有统计学意义（F = 4.99，p < 0.05）而有3种以上合并症且生活费用充足的患者，其心理健康评分（MCS）差异有统计学意义（F = 3.30，p < 0.05）。p
Background: The quality of life (QOL) among the end-stage renal disease patients is an essential component for assessing the success of treatment. This study aimed to determine the factors predicted with quality of life among hemodialysis patients in private hospital of Thailand. Method: This cross-sectional study was conducted by interviewing 188 Thai patients with end-stage renal disease (ESRD), who were on hemodialysis (HD) at Sanamchan Hospital Bangkok. Patients with stable hemodynamic status without any history of mental illness were included in this study. However, those who could not properly communicate were excluded. The descriptive statistics and the multiple linear regression were applied to identify the predictive factors of quality of life (QOL) scores in the end-stage renal disease (ESRD) patients on maintenance hemodialysis (HD). The QoL was assessed in three components including kidney disease component score (KDCS) physical component score (PCS) and mental component score (MCS). Findings: More than half of the participants (57%) in this research were male and (44%) were unemployed. The mean average systolic value of the participants was 157 (25.12 SD) mmHg and the diastolic blood pressure was 81 (5.85 SD) mmHg. Average hematocrit (Hct) was 30.95 (4.38 SD), Kt/v was 1.86 (0.96 SD), and average normalized protein catabolic rate (nPCR) was 1.12 (1.09 SD). The age, income, patients with more than three associated diseases, enough expenses for living, frequency of dialysis per week, and duration of treatment was statistically significant with the kidney disease component score (KDCS) (F = 6.28, p < 0.05). Furthermore, the age, income, patients with more than three associated diseases, hematocrit (Hct) and frequency of dialysis per week were the statistically significant with the physical component score (PCS) (F = 4.99, p < 0.05) while patients with more than three associated diseases and enough expenses for living were the statistically significant with the mental component score (MCS) (F = 3.30, p