Bossola Maurizio, Pepe Gilda, Marzetti Emanuele
Hemodialysis Unit, Institute of Clinical Surgery, Catholic University of the Sacred Heart, Rome, Italy.
Department of Surgery, Catholic University of the Sacred Heart, Rome, Italy.
Semin Dial. 2017 Sep;30(5):413-416. doi: 10.1111/sdi.12620. Epub 2017 Jun 13.
Health-related quality of life (HRQOL) in patients on chronic hemodialysis has not improved significantly in the last 20 years. This is largely due to their substantial symptom burden which is rarely assessed and treated in routine clinical practice. It also is a consequence of the lack of an appropriate armamentarium for the treatments of such symptoms. Adequate studies on the causes and pathogenesis of the symptoms of hemodialysis patients are needed followed by high quality studies on possible therapeutic pharmacological and nonpharmacological interventions.
在过去20年中，慢性血液透析患者的健康相关生活质量（HRQOL）并未得到显著改善。这在很大程度上是由于他们承受着巨大的症状负担，而在常规临床实践中很少对此进行评估和治疗。这也是缺乏用于治疗此类症状的适当手段的结果。需要对血液透析患者症状的原因和发病机制进行充分研究，随后开展关于可能的治疗性药物和非药物干预措施的高质量研究。
