影响肾移植患者生存质量的因素调查

目的分析影响移植后生存质量的因素。方法使用SF36量表与肾脏病相关的生存质量(KDTA)组合起来的一般/特殊性量表KDQOLSFTM评价尿毒症患者肾移植前及肾移植后6个月的生存质量。结果肾移植术后6个月,患者的SF36量表的8个维度(包括体能、体力所致工作和生活受限、疼痛、总体健康状况、精力状况、社会功能、情感问题对工作生活的影响及情感状况)和KDTA的8个方面(包括症状与不适、肾病对日常生活的影响、肾病给生活带来的负担、工作状况、性功能、睡眠、社会支持及患者满意度)的评分较移植前有明显提高,经济水平、合并症、住院事件、年龄、肌酐水平是肾移植患者生存质量的独立影响因素。结论肾移植能改善尿毒症患者的生存质量;影响肾移植患者生存质量的因素是多方面的。

Factors influencing quality of life after kidney transplantation

Objective To analyze the factors related to quality of life (QOL) in transplantation recipients.Methods By using KDQOL-SFTM, the changes that KT induced in QOL were evaluated in a group of patients with CRT, previously undergoing dialysis.Results By 6 months after transplantation, all scales of SF-36 (including PF, RP, Pain, GH, EWB, RE, SoF, Energ), 8 categories of (KDTA) (includign SPL, EKD, BKD, WS, SexF, Sleep, SoS, PS) were improved. Economic level, (comorbid) medical condition, hospital stay after operation were significant independent predictors of SF-36, and age, number of hospitalizations after operation, creatinine level were significant (inde)-(pendent) predictors of KDTA.Conclusion Kidney transplantation can improve QOL of CRT patients. (Factors) related to QOL in transplantation recipients are various.