Sadeghian Jaleh, Roudsari Daryadokht Masroor, Seyedfatemi Naeimeh, Rafiei Hossein
Hemodialysis Center, Alzahra Hospital, Isfahan University of Medical Science , Isfahan, Iran .
Medical Surgical Department, Nursing and Midwifery School, Iran University of Medical Science , Tehran, Iran .
J Clin Diagn Res. 2016 May;10(5):OC14-6. doi: 10.7860/JCDR/2016/15699.7733. Epub 2016 May 1.
As a chronic disease, End Stage Renal Disease (ESRD) changes the patients' body and affects their body image negatively. Although the changes in body image are expected in all types of renal replacement therapies, different renal replacement therapy methods could represent different levels of impact on body image.
Present study was conducted to examine and compare the level of body-image disturbance between haemodialysis and kidney transplant patients.
This descriptive study was conducted in two teaching hospitals in Tehran, Iran. Using convenient sampling, 84 patients (42 patients under haemodialysis and 42 patients with transplant) were invited to participate in the study. A self-designed questionnaire was developed to examine the level of body-image disturbance.
Out of 42 haemodialysis patients, 64.3%, 19% and 16.7% of patients reported low, moderate and high level of body-image disturbance respectively. The mean score of body-image disturbance was 21.1±18.3(rang=1-71) in haemodialysis patients. Of 42 transplant patients, 69%, 26.2% and 4.8% reported low, moderate and high level of body-image disturbance respectively. The mean score of body-image disturbance was 17.1±13.3 (rang=1-48). According to the results of independent t-test, difference between mean score of body-image disturbance in two groups was statistically significant (p < 0.05).
The findings of the present study showed that both haemodialysis and renal transplant patients experienced some levels of body-image disturbance. This problem was more prevalent among haemodialysis patients as compared to kidney transplant ones. We recommend more studies may be conducted in this regard.
终末期肾病（ESRD）作为一种慢性疾病，会改变患者的身体状况，并对其身体形象产生负面影响。尽管在所有类型的肾脏替代治疗中身体形象都会发生变化，但不同的肾脏替代治疗方法对身体形象的影响程度可能不同。
本研究旨在检查和比较血液透析患者与肾移植患者的身体形象紊乱程度。
本描述性研究在伊朗德黑兰的两家教学医院进行。采用便利抽样法，邀请了84名患者（42名血液透析患者和42名肾移植患者）参与研究。设计了一份自填式问卷来检查身体形象紊乱程度。
在42名血液透析患者中，分别有64.3%、19%和16.7%的患者报告身体形象紊乱程度低、中、高。血液透析患者身体形象紊乱的平均得分为21.1±18.3（范围=1-71）。在42名肾移植患者中，分别有69%、26.2%和4.8%的患者报告身体形象紊乱程度低、中、高。身体形象紊乱的平均得分为17.1±13.3（范围=1-48）。根据独立样本t检验结果，两组身体形象紊乱平均得分之间的差异具有统计学意义（p<0.05）。
本研究结果表明，血液透析患者和肾移植患者均存在一定程度的身体形象紊乱。与肾移植患者相比，这个问题在血液透析患者中更为普遍。我们建议在这方面可以开展更多研究。
