Theofilou Paraskevi
Department of Psychology, Panteion University, Eratous 12, 14568, Athens, Greece.
J Clin Med Res. 2011 May 19;3(3):132-8. doi: 10.4021/jocmr552w.
Does the type of dialysis treatment make a difference to the quality of life (QoL) and mental health of renal patients in Athens? The study investigated the differences in 84 in-center hemodialysis (HD) and 60 continuous ambulatory peritoneal dialysis (CAPD/PD) patients.
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).
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. This measurement includes sleep problems and suicidal thoughts.
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.
透析治疗方式对雅典肾病患者的生活质量（QoL）和心理健康有影响吗？该研究调查了84名接受中心血液透析（HD）的患者和60名接受持续性非卧床腹膜透析（CAPD/PD）的患者之间的差异。
患者报告的评估包括：世界卫生组织的WHOQOL - BREF量表、戈德堡的一般健康问卷（GHQ - 28）、状态 - 特质焦虑量表、流行病学研究中心抑郁量表（CES - D）以及多维健康控制点（MHLC）。
结果表明，血液透析患者在环境和社会关系领域的生活质量较低。在焦虑/失眠和重度抑郁的GHQ - 28子量表中也报告了更多症状。该测量包括睡眠问题和自杀念头。
研究结果证实了两种治疗方式之间的差异，表明血液透析患者在其环境和社会关系的几个方面生活质量较差。两组均报告有抑郁情绪升高。然而，与腹膜透析患者相比，血液透析患者报告有更多自杀念头和睡眠问题。
