Al Salmi Issa, Kamble Pramod, Lazarus Eilean Rathinasamy, D'Souza Melba Sheila, Al Maimani Yaqoob, Hannawi Suad
The Royal Hospital, 23 July Street, P. O. Box 1331, Code 111, Muscat, Oman.
Senior Specialist Nephrologist, Royal Hospital Ministry of Health, Muscat, Oman.
Int J Nephrol. 2021 Apr 7;2021:8876559. doi: 10.1155/2021/8876559. eCollection 2021.
Quality of life (QoL) of hemodialysis patients can be examined in two aspects: kidney-specific quality of life and general quality of life.
To determine the QoL among patients undergoing hemodialysis, to assess patients' QoL on hemodialysis, and to determine the factors associated with QoL among hemodialysis patients in Oman.
A cross-sectional study was carried out with 205 patients to measure the QoL across various demographic and clinical variables in Oman. The Arabic version of the KDQOL-SFtool was used to collect data from patients undergoing hemodialysis to give QoL quantitative measures.
The physical-QoL was 45.7 (95% CI, 44.3, 47.0), which is less than half that of a healthy human. The emotional-QoL is 53.33 (95% CI, 51.1, 55.5), slightly more than half in a healthy human-QoL. The difference between physical and emotional-QoL scores is -7.66 (95% CI, -10.3, -5.1), showing that physical QoL is significantly less than emotional-QoL. The overall general QoL score was 49.5 (95% CI, 47.8, 51.2), half the QoL score of a healthy human. Younger patients are also more likely to experience emotional problems compared with older patients. Patients with 5-8 mg/l levels of serum creatinine have lower emotional wellbeing. People on low incomes experienced social difficulties, while the maximum burden was found in physical activities and minimum social function.
Both physical (45.7) and emotional (53.3) QoL scores in dialysis patients are nearly half those of an average human. Hence, there is a poor QoL among dialysis patients like other studies, and therefore, further improvement of renal rehabilitation in dialysis patients is warranted to improve patients' QoL.
血液透析患者的生活质量（QoL）可从两个方面进行考察：肾脏特异性生活质量和总体生活质量。
确定接受血液透析患者的生活质量，评估患者血液透析期间的生活质量，并确定阿曼血液透析患者生活质量的相关影响因素。
对205例患者进行了一项横断面研究，以测量阿曼不同人口统计学和临床变量下的生活质量。使用KDQOL-SF工具的阿拉伯语版本收集接受血液透析患者的数据，以给出生活质量的定量测量结果。
身体生活质量为45.7（95%置信区间，44.3，47.0），不到健康人的一半。情感生活质量为53.33（95%置信区间，51.1，55.5），略高于健康人生活质量的一半。身体和情感生活质量得分之间的差异为-7.66（95%置信区间，-10.3，-5.1），表明身体生活质量显著低于情感生活质量。总体总体生活质量得分为49.5（95%置信区间，47.8，51.2），为健康人生活质量得分的一半。与老年患者相比，年轻患者也更易出现情感问题。血清肌酐水平为5 - 8mg/l的患者情感幸福感较低。低收入人群存在社交困难，而身体活动负担最大，社会功能负担最小。
透析患者的身体（45.7）和情感（53.3）生活质量得分均约为普通人的一半。因此，与其他研究一样，透析患者的生活质量较差，因此有必要进一步改善透析患者的肾脏康复，以提高患者的生活质量。
