血液透析和腹膜透析患者生活质量评价

目的：研究血液透析患者和腹膜透析患者生活质量的差异。方法：对我院2010年1月～2011年12月血液透析患者75例,腹膜透析患者46例进行问卷调查,调查工具为世界卫生组织生存质量测定简式量表（WHOQOLBREF）、一般健康问卷（GHQ-28）、状态-特质焦虑问卷（STAI 1/STAI 2）、流行病调查中心抑郁量表（CES-D）、多纬度健康状况心理控制源量表（MHLC）,并进行统计学分析。结果：血液透析患者在环境和社会关系方面生活质量较低,并且在GHQ-28表中显示更易焦虑/失眠和严重抑郁,在CES-D与STAI 1/STAI 2中两者无统计学差异,在MHLC量表中,血液透析患者求助医师方面低于腹膜透析患者。结论：血液透析和腹膜透析两种治疗模式存在差异性,血液透析患者比腹膜透析患者生活质量差,尤其在环境和社会关系方面,并有睡眠障碍,然而两组患者都有明显的抑郁。

The evaluation of quality of life in hemodialysis and peritoneal dialysis patients

Objective：The study investigated the differences of hemodialysis（HD） and peritoneal dialysis（PD） patients in quality of life（QoL）.Methods：75 HD patients and 46 PD patients were employed to our investigation from January 2010 to December 2011.Patient-reported assessments included： WHOQOL-BREF inventory of World Health Organization,General Health Questionnaire（GHQ-28） of Goldberg,State-Trait Anxiety Inνentory,Center for Epidemiologic Studies Depression Scale（CES-D） and Multidimensional Health Locus of Control（MHLC）,then the data were analyzied statistically.Results：Indicated that HD patients reported lower QoL in the environment and social relationships domains,more symptoms were also reported in the GHQ-28 subscales of anxiety/insomnia and severe depression.Conclusion：The findings confirm the differences between the two treatment modalities,indicating that HD patients have poorer QoL in several aspects of their environment and their social relationships.Both groups reported elevated depression.However,HD patients reported more suicidal thoughts and sleep problems compared to PD patients.