Dejvorakul Sirikarn, Kumar Ramesh, Srirojanakul Songchai, Panupichit Niparat, Somrongthong Ratana
College of Public Health Sciences, Chulalongkorn University, Thailand.
Health Services Academy, Islamabad, Pakistan.
Hosp Pract (1995). 2019 Dec;47(5):254-258. doi: 10.1080/21548331.2019.1682879. Epub 2019 Oct 29.
: The quality of life (QOL) among the end-stage renal disease patients is an essential component for assessing the success of treatment. This study aimed to determine the factors predicted with quality of life among hemodialysis patients in private hospital of Thailand.: This cross-sectional study was conducted by interviewing 188 Thai patients with end-stage renal disease (ESRD), who were on hemodialysis (HD) at Sanamchan Hospital Bangkok. Patients with stable hemodynamic status without any history of mental illness were included in this study. However, those who could not properly communicate were excluded. The descriptive statistics and the multiple linear regression were applied to identify the predictive factors of quality of life (QOL) scores in the end-stage renal disease (ESRD) patients on maintenance hemodialysis (HD). The QoL was assessed in three components including kidney disease component score (KDCS) physical component score (PCS) and mental component score (MCS).: More than half of the participants (57%) in this research were male and (44%) were unemployed. The mean average systolic value of the participants was 157 (25.12 SD) mmHg and the diastolic blood pressure was 81 (5.85 SD) mmHg. Average hematocrit (Hct) was 30.95 (4.38 SD), Kt/v was 1.86 (0.96 SD), and average normalized protein catabolic rate (nPCR) was 1.12 (1.09 SD). The age, income, patients with more than three associated diseases, enough expenses for living, frequency of dialysis per week, and duration of treatment was statistically significant with the kidney disease component score (KDCS) (F = 6.28, p < 0.05). Furthermore, the age, income, patients with more than three associated diseases, hematocrit (Hct) and frequency of dialysis per week were the statistically significant with the physical component score (PCS) (F = 4.99, p < 0.05) while patients with more than three associated diseases and enough expenses for living were the statistically significant with the mental component score (MCS) (F = 3.30, p ≤ 0.05).: Study concluded that the factors like; age, expenses for living, frequency of dialysis, patients with more than three associated diseases were had a positive impact on the quality of life among the end-stage renal disease patients coming for dialysis in private hospital of Thailand.
终末期肾病患者的生活质量是评估治疗成功与否的重要组成部分。本研究旨在确定泰国私立医院血液透析患者生活质量的预测因素。
这项横断面研究通过对188名在曼谷沙南禅医院接受血液透析(HD)的泰国终末期肾病(ESRD)患者进行访谈来开展。纳入本研究的患者需血流动力学状态稳定且无任何精神疾病史。然而,那些无法正常沟通的患者被排除在外。应用描述性统计和多元线性回归来确定维持性血液透析(HD)的终末期肾病(ESRD)患者生活质量(QOL)评分的预测因素。生活质量从三个方面进行评估,包括肾病成分评分(KDCS)、身体成分评分(PCS)和精神成分评分(MCS)。
本研究中超过一半的参与者(57%)为男性,44%失业。参与者的平均收缩压值为157(标准差25.12)mmHg,舒张压为81(标准差5.85)mmHg。平均血细胞比容(Hct)为30.95(标准差4.38),Kt/v为1.86(标准差0.96),平均标准化蛋白分解代谢率(nPCR)为1.12(标准差1.09)。年龄、收入、患有三种以上相关疾病的患者、足够的生活费用、每周透析频率和治疗时长与肾病成分评分(KDCS)具有统计学显著相关性(F = 6.28,p < 0.05)。此外,年龄、收入、患有三种以上相关疾病的患者、血细胞比容(Hct)和每周透析频率与身体成分评分(PCS)具有统计学显著相关性(F = 4.99,p < 0.05),而患有三种以上相关疾病的患者和足够的生活费用与精神成分评分(MCS)具有统计学显著相关性(F = 3.30,p ≤ 0.05)。
研究得出结论,年龄、生活费用、透析频率、患有三种以上相关疾病等因素对在泰国私立医院接受透析的终末期肾病患者的生活质量有积极影响。