Department of Health Care Management, Hacettepe University, Faculty of Economics and Administrative Sciences, Ankara, Turkey.
Int J Health Plann Manage. 2020 Nov;35(6):1335-1350. doi: 10.1002/hpm.3038. Epub 2020 Aug 3.
This study aimed to determine the quality of life of patients with chronic kidney disease who were receiving dialysis treatment. It also aimed to identify the factors affecting the quality of life of these patients. The independent variables analyzed were: patients' sociodemographic characteristics, organizational characteristics, adherence to treatment, patient-physician relationship, and patient activation level. The sample consisted of 328 patients with chronic kidney disease who received services from dialysis units of two university hospitals and two private dialysis centers. Data analysis was performed through multivariate regression. Results showed that receiving treatment from a hospital-based dialysis unit may have a positive effect in patients' quality of life; and patient-physician relationship, patient activity, and adherence to treatment may positively affect quality of life. Thus, planning of health service delivery that focus on improving the quality of life of patients who are more active by allowing them to establish positive relationships with their physicians and to have a better adherence to treatment should be adopted. These findings may provide health managers, health professionals, and individual patients with evidence-based information about treatment management and health service planning processes related to chronic kidney disease.
本研究旨在确定接受透析治疗的慢性肾脏病患者的生活质量，并确定影响这些患者生活质量的因素。分析的自变量为：患者的社会人口学特征、组织特征、治疗依从性、医患关系和患者激活水平。样本由来自两家大学医院和两家私人透析中心的透析单位的 328 名慢性肾脏病患者组成。数据分析采用多元回归。结果表明，在医院透析单位接受治疗可能对患者的生活质量产生积极影响；医患关系、患者活动度和治疗依从性可能对生活质量产生积极影响。因此，应制定卫生服务计划，重点通过允许患者与医生建立积极的关系并更好地坚持治疗，来提高更活跃的患者的生活质量。这些发现可能为卫生管理人员、卫生专业人员和个体患者提供与慢性肾脏病相关的治疗管理和卫生服务规划过程的循证信息。
