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巴西圣保罗州马利利亚接受血液透析的慢性肾病患者的生活质量

Quality of life of chronic renal patients on hemodialysis in Marília, SP, Brazil.

作者信息

Ferreira Ricardo Corrêa, da Silva Filho Carlos Rodrigues

机构信息

Faculdade de Medicina de Marília, Hospital das Clínicas.

出版信息

J Bras Nefrol. 2011 Apr-Jun;33(2):129-35.

Abstract

INTRODUCTION

Hemodialysis is responsible for significant alterations in the quality of life of chronic renal patients.

OBJECTIVE

To compare the quality of life of patients on hemodialysis without depression (A) and those with some level of depression (B).

METHODS

This was a transversal and descriptive study in which the Beck Depression Inventory (BDI) and the WHOQOL-bref scale were used.

RESULTS

The studied sample consisted of 130 patients, 65.15% in A, and 33.84% in B. The highest levels of depression were related to longer periods of treatment. Quality of life indexes were better for A, and, as certain domain increased, also were the others. More differences were observed in the Psychological (A: 69.40 and B: 49.22) and Physical (A: 62.81 and B: 42.19) Domains; and the Social Relations Domain had a better average between the populations, as well as a better correlation with the other domains.

CONCLUSION

Although there was a low prevalence of depression among hemodialysis patients, some investments should be made in the social, psychological and physical support aiming to improve their quality of life.

摘要

引言

血液透析会导致慢性肾病患者的生活质量发生显著改变。

目的

比较无抑郁症状的血液透析患者(A组)和有一定程度抑郁症状的血液透析患者(B组)的生活质量。

方法

这是一项横断面描述性研究,采用了贝克抑郁量表(BDI)和世界卫生组织生活质量简表(WHOQOL-bref)。

结果

研究样本包括130名患者,A组占65.15%,B组占33.84%。抑郁程度越高与治疗时间越长相关。A组的生活质量指数更好,且随着某一领域的提高,其他领域也会提高。在心理领域(A组:69.40,B组:49.22)和身体领域(A组:62.81,B组:42.19)观察到更多差异;社会关系领域在两组人群中的平均水平更好,并且与其他领域的相关性也更好。

结论

尽管血液透析患者中抑郁的患病率较低,但仍应在社会、心理和身体支持方面进行一些投入,以提高他们的生活质量。

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