Rambod Masoume, Shabani Maryam, Shokrpour Nasrin, Rafii Forough, Mohammadalliha Jaleh
Department of Medical Surgical Nursing, College of Nursing and Midwifery, Shiraz University of Medical Sciences, Iran.
Health Care Manag (Frederick). 2011 Jan-Mar;30(1):23-8. doi: 10.1097/HCM.0b013e3182078ab6.
The quality of life of patients with end-stage renal disease is an important indicator of disease burden. To achieve a better quality of life, some medical treatment might be replaced by other approaches. The aim of this study was to compare the quality of life of renal-transplanted and hemodialysis patients in Iran. Two hundred hemodialysis and 200 renal transplantation patients were recruited from 5 major hospitals and renal patients' support society in Tehran, Iran. The data were collected using the Persian versions of the Ferrans and Powers Quality of Life Index-Dialysis and Transplantation Version. The quality-of-life mean scores of renal transplantation patients were significantly better compared with those of the hemodialysis patients (21.36 [SD, 4.06] vs 20.35 [SD, 5.14]; P = .03). The questionnaire demonstrated significant differences in health/functioning and familial subscale of quality of life between the transplanted and hemodialysis patients (p < .05). The better quality of life of transplant patients, in comparison with hemodialysis patients, is an important reason for advising kidney transplants in renal failure patients. To improve the patients' quality of life, kidney transplantation might be effective for the end-stage renal disease. With regard to socioeconomic problem in most of the patients with renal failure, comprehensive insurance and referral to renal and transplanted patients' support society are suggested for those who have undergone different renal replacement therapies.
终末期肾病患者的生活质量是疾病负担的一个重要指标。为了获得更好的生活质量，一些医学治疗可能会被其他方法所取代。本研究的目的是比较伊朗肾移植患者和血液透析患者的生活质量。从伊朗德黑兰的5家主要医院和肾病患者支持协会招募了200名血液透析患者和200名肾移植患者。使用波斯语版的费兰斯和鲍尔斯生活质量指数 - 透析与移植版收集数据。肾移植患者的生活质量平均得分显著高于血液透析患者（21.36 [标准差，4.06] 对 20.35 [标准差，5.14]；P = 0.03）。该问卷显示，移植患者和血液透析患者在生活质量的健康/功能和家庭子量表方面存在显著差异（p < 0.05）。与血液透析患者相比，移植患者更好的生活质量是建议肾衰竭患者进行肾移植的一个重要原因。为了提高患者的生活质量，肾移植可能对终末期肾病有效。鉴于大多数肾衰竭患者存在社会经济问题，对于接受了不同肾脏替代治疗的患者，建议提供综合保险并转介至肾病和移植患者支持协会。
