Department of Nephrology, Bahrain Defense Force Hospital, Manama, Bahrain.
Department of Medicine, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain.
Saudi J Kidney Dis Transpl. 2020 Mar-Apr;31(2):460-472. doi: 10.4103/1319-2442.284022.
The purpose of this study was to investigate the relation between selected demographic and clinical characteristics and quality of life (QOL) scores in patients with end-stage renal disease who receive dialysis. We conducted the study at one hemodialysis (HD) unit in Bahrain from May 2018 to July 2018. We used standard QOL Index (QOLI) score instrument in Arabic form. This study included 100 patients (66 men and 34 women), aged 22 to 80 years on treatment with maintenance HD for four to 190 months. Inclusion criteria were as follows: those aged >18 years with no severe morbidities or psychological diseases and were on dialysis for at least three months. The following QOL scores were recorded: the health and functioning domain (64.8 ± 15.3), the social and economic domain (65.6 ± 14.1), the psychological/spiritual domain (74.9 ± 14.3), and the family subscale domain (75.9 ± 14.5). Male patients had reduced QOL though not statistically significant and younger patients had better QOL scores. The QOL scores revealed a decreasing trend with decreasing level of education, and they were higher among those who were not working and stayed at home. In addition, the family subclass scores were significantly higher among the married patients. Correlations between the demographic characteristics and QOL scores showed that there was a significant negative correlation between family domain and educational level and marital status, while there was a significant positive correlation between residence and psychological domain. Age, gender, marital status, residence, ethnicity, education level, employment status, income, and duration on HD nonsignificantly affected one or more domains of QOLI scores in such patients. Adequate management of these factors could influence patient outcomes.
本研究旨在探讨接受透析的终末期肾病患者的一些人口统计学和临床特征与生活质量（QOL）评分之间的关系。我们于 2018 年 5 月至 2018 年 7 月在巴林的一个血液透析（HD）单位进行了这项研究。我们使用了阿拉伯语形式的标准 QOL 指数（QOLI）评分工具。这项研究包括 100 名患者（66 名男性和 34 名女性），年龄在 22 岁至 80 岁之间，接受维持性 HD 治疗 4 至 190 个月。纳入标准如下：年龄 >18 岁，无严重合并症或精神疾病，且透析至少 3 个月。记录了以下 QOL 评分：健康和功能域（64.8 ± 15.3）、社会和经济域（65.6 ± 14.1）、心理/精神域（74.9 ± 14.3）和家庭子量表域（75.9 ± 14.5）。男性患者的 QOL 降低，但无统计学意义，年轻患者的 QOL 评分较高。随着教育水平的降低，QOL 评分呈下降趋势，而未工作和待在家里的患者的 QOL 评分较高。此外，已婚患者的家庭子量表评分显著较高。人口统计学特征与 QOL 评分之间的相关性表明，家庭领域与教育程度和婚姻状况呈显著负相关，而与居住地和心理领域呈显著正相关。年龄、性别、婚姻状况、居住地、民族、教育程度、就业状况、收入和 HD 持续时间对这些患者的 QOLI 评分的一个或多个领域无显著影响。适当管理这些因素可能会影响患者的结局。
