Finkelstein Fredric O, Wuerth Diane, Finkelstein Susan H
Hospital of St Raphael, New Haven, Connecticut, USA.
Kidney Int. 2009 Nov;76(9):946-52. doi: 10.1038/ki.2009.307. Epub 2009 Aug 12.
The compromised health-related quality of life (HRQOL) of patients with chronic kidney disease is now well documented. The recent mandate by the Center for Medicare Services in the United States that all dialysis units monitor HRQOL as a condition of coverage has focused attention on the importance of these measures. The challenge for the nephrology care team is understanding how to interpret and utilize the information obtained from these HRQOL measurements. Can HRQOL of these patients be improved? The present review addresses this issue by commenting on strategies that have been used to improve the HRQOL of chronic kidney disease patients. A systematic approach is suggested for nephrology care providers to attempt to evaluate and improve the HRQOL of CKD patients.
慢性肾病患者健康相关生活质量（HRQOL）受损现已得到充分证明。美国医疗保险服务中心最近规定，所有透析单位都要将监测HRQOL作为承保条件，这使得人们将注意力集中在这些测量指标的重要性上。肾脏病护理团队面临的挑战是了解如何解读和利用从这些HRQOL测量中获得的信息。这些患者的HRQOL能否得到改善？本综述通过评论用于改善慢性肾病患者HRQOL的策略来探讨这个问题。建议肾脏病护理人员采用系统方法来评估和改善CKD患者的HRQOL。
