Ho Ya-Fang, Li I-Chuan
a Department of Nephrology , Wei Gong Memorial Hospital, School of Nursing, National Yang Ming University , Taipei , Taiwan.
b Institute of Community Health Care , National Yang Ming University , Taipei , Taiwan.
Psychol Health. 2016 Dec;31(12):1435-1465. doi: 10.1080/08870446.2016.1226307. Epub 2016 Sep 7.
This study aims to generate evidence regarding the relationships of different dialysis modalities with HR-QOL.
A systematic review was conducted to investigate the HR-QOL of patients treated with different dialysis modalities.
A literature search was conducted for English language articles in the CINAHL, Medline and PubMed databases published from January 1990 through May 2016. Specifically, we sought articles that would compare the HR-QOL of hemodialysis (HD) and peritoneal dialysis (PD) patients in terms of physiological, psychological and social functioning, as well as disease symptoms. Thirty-four articles met the study inclusion criteria and were included into the analysis.
The research results indicated no significant differences in HR-QOL between HD and PD treatment. However, a higher percentage of patients who received PD had a better HR-QOL in terms of physiological, psychological, social and disease symptoms.
Despite the fact that the results of this study showed no difference in HR-QOL between HD and PD treatment, its review of relevant references can serve as a reference for health professionals. However, patients' conditions must still be taken into account when making suggestions about which dialysis modality a patient should use.
本研究旨在获取有关不同透析方式与健康相关生活质量(HR-QOL)之间关系的证据。
进行了一项系统评价,以调查接受不同透析方式治疗的患者的HR-QOL。
在CINAHL、Medline和PubMed数据库中检索1990年1月至2016年5月发表的英文文章。具体而言,我们寻找那些能在生理、心理和社会功能以及疾病症状方面比较血液透析(HD)和腹膜透析(PD)患者HR-QOL的文章。34篇文章符合研究纳入标准并被纳入分析。
研究结果表明HD和PD治疗之间的HR-QOL无显著差异。然而,接受PD治疗的患者在生理、心理、社会和疾病症状方面HR-QOL较好的比例更高。
尽管本研究结果显示HD和PD治疗之间的HR-QOL无差异,但其对相关参考文献的综述可为卫生专业人员提供参考。然而,在就患者应使用哪种透析方式提出建议时,仍必须考虑患者的病情。