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自动化腹膜透析与持续非卧床腹膜透析对健康相关生活质量、睡眠质量及抑郁影响的比较

Comparison of effects of automated peritoneal dialysis and continuous ambulatory peritoneal dialysis on health-related quality of life, sleep quality, and depression.

作者信息

Guney Ibrahim, Solak Yalcin, Atalay Huseyin, Yazici Raziye, Altintepe Lutfullah, Kara Fatih, Yeksan Mehdi, Turk Suleyman

机构信息

Meram Research and Training Hospital, Nephrology Department, Konya, Turkey.

出版信息

Hemodial Int. 2010 Oct;14(4):515-22. doi: 10.1111/j.1542-4758.2010.00465.x.

Abstract

Few studies investigating the effects of automated peritoneal dialysis (APD) and continuous ambulatory peritoneal dialysis (CAPD) on health-related quality of life (HRQoL), depression, and sleep quality exist in the literature. We aimed to determine differences between APD and CAPD modalities with respect to these parameters. Twenty APD and 48 CAPD patients were included in this cross-sectional study. Biochemical values were measured at outpatient evaluation. A modified postsleep inventory was used to evaluate sleep quality. Health-related quality of life and depression were evaluated by the Short Form of Medical Outcomes Study and Beck Depression Inventory, respectively. Automated peritoneal dialysis and CAPD patients were compared in terms of sleep quality, HRQoL, and depression. Our results showed that there were no significant differences between APD and CAPD in any of the studied parameters. Moderate or severe sleep problems were found in 60% and 69% of the APD and CAPD patients, respectively. Mean HRQoL scores for any of the 8 Short Form of Medical Outcomes Study-36 domains were similar in the 2 groups. The mean physical component score was 51.1 ± 21.2 and 48.9 ± 18.2 in APD and CAPD patients, respectively (P=0.672). The mean mental component score was 47.5 ± 20.1 in APD patients, whereas it was 42.4 ± 19.5 in CAPD patients (P=0.291). Depression was detected in 70% of APD and 62.5% of the CAPD patients. The mean Beck Depression Inventory scores were also similar in the 2 groups. This study showed that HRQoL, sleep quality, and depression were similar in APD and CAPD patients.

摘要

文献中很少有关于自动化腹膜透析(APD)和持续性非卧床腹膜透析(CAPD)对健康相关生活质量(HRQoL)、抑郁和睡眠质量影响的研究。我们旨在确定APD和CAPD模式在这些参数方面的差异。本横断面研究纳入了20例APD患者和48例CAPD患者。在门诊评估时测量生化值。使用改良的睡眠后问卷评估睡眠质量。分别通过医学结局研究简表和贝克抑郁量表评估健康相关生活质量和抑郁情况。比较了APD患者和CAPD患者的睡眠质量、HRQoL和抑郁情况。我们的结果表明,在任何研究参数中,APD和CAPD之间均无显著差异。分别有60%和69%的APD和CAPD患者存在中度或重度睡眠问题。两组在医学结局研究简表-36的8个领域中的任何一个领域的平均HRQoL得分相似。APD患者和CAPD患者的平均身体成分得分分别为51.1±21.2和48.9±18.2(P = 0.672)。APD患者的平均心理成分得分为47.5±20.1,而CAPD患者为42.4±19.5(P = 0.291)。70%的APD患者和62.5%的CAPD患者检测到抑郁。两组的平均贝克抑郁量表得分也相似。本研究表明,APD患者和CAPD患者的HRQoL、睡眠质量和抑郁情况相似。

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