有和没有腰痛的慢性血液透析患者的心理困扰
Psychological distress between chronic hemodialysis patients with and without low back pain.
作者信息
Hishii Shuhei, Miyatake Nobuyuki, Nishi Hiroyuki, Katayama Akihiko, Uzike Kazuhiro, Hashimoto Hiroo, Koumoto Kiichi
机构信息
Department of Hygiene, Faculty of Medicine, Kagawa University, Miki, 761-0793, Japan.
Innoshima General Hospital, Onomichi, 722-2323, Japan.
出版信息
Environ Health Prev Med. 2016 Nov;21(6):487-491. doi: 10.1007/s12199-016-0573-8. Epub 2016 Oct 3.
OBJECTIVE
The aim of this study was to compare psychological distress between patients on chronic hemodialysis with and without chronic low back pain (CLBP).
SUBJECTS AND METHODS
A total of 72 patients on chronic hemodialysis, aged 72.9 ± 10.8 years, were enrolled in this cross-sectional study. Psychological distress using the K6, questionnaire for CLBP, and physical activity using the tri-accelerometer were evaluated.
RESULTS
Twenty-nine patients (40.3 %) were having CLBP. The K6 scores were 4.0 ± 4.6 and physical activity (n = 55) was 1.0 ± 1.0 METs h/day. K6 scores in patients on chronic hemodialysis with CLBP were significantly higher than those in patients on chronic hemodialysis without CLBP even after adjusting for sex, age, duration of hemodialysis and physical activity.
CONCLUSION
These results suggest that higher psychological distress was a fundamental feature in patients on chronic hemodialysis with CLBP.
目的
本研究旨在比较患有和未患有慢性腰痛（CLBP）的慢性血液透析患者的心理困扰情况。
对象与方法
本横断面研究共纳入72例慢性血液透析患者，年龄72.9±10.8岁。使用K6评估心理困扰，使用CLBP问卷，并使用三轴加速度计评估身体活动情况。
结果
29例患者（40.3%）患有CLBP。K6评分4.0±4.6，身体活动（n = 55）为1.0±1.0代谢当量·小时/天。即使在对性别、年龄、血液透析时长和身体活动进行校正后，患有CLBP的慢性血液透析患者的K6评分仍显著高于未患有CLBP的慢性血液透析患者。
结论
这些结果表明，较高的心理困扰是患有CLBP的慢性血液透析患者的一个基本特征。
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