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接受血液透析的终末期肾病患者的生活质量

Quality of Life in Patients with End-Stage Renal Disease Undergoing Hemodialysis.

作者信息

Dembowska Elżbieta, Jaroń Aleksandra, Gabrysz-Trybek Ewa, Bladowska Joanna, Gacek Szymon, Trybek Grzegorz

机构信息

Department of Periodontology, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland.

Department of Oral Surgery, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland.

出版信息

J Clin Med. 2022 Mar 13;11(6):1584. doi: 10.3390/jcm11061584.

Abstract

End-stage renal disease and hemodialysis therapy cause a number of changes, not only somatic but also psychosocial, including the patient's perception and assessment of their quality of life. The literature describes predispositions to pathologies in the oral mucosa, craniofacial bones, teeth, and surrounding tissues in hemodialysis patients. This study aimed to determine the quality of life of hemodialysis patients in comparison with healthy subjects. The study group consisted of 200 subjects: the HD group (hemodialysis patients, = 100) and the K group (control group, = 100). General health and oral status were assessed using the following indices: plaque index, gingival index, probing depth, and clinical adhesion level. The WHOQOL-BREF survey was performed to determine both groups' overall quality of life. The results showed lower values of assessed quality-of-life parameters in hemodialysis patients compared to the control group, especially in the somatic sphere. General diseases such as oral mycosis, osteoporosis, rheumatoid arthritis, and coronary-artery disease negatively impact the perceived quality of life. There are numerous indications for comprehensive psychological care of hemodialysis patients due to their poor psychosocial status.

摘要

终末期肾病和血液透析治疗会引发一系列变化,不仅是身体上的,还有心理社会方面的,包括患者对其生活质量的认知和评估。文献描述了血液透析患者口腔黏膜、颅面骨、牙齿及周围组织发生病变的易感性。本研究旨在比较血液透析患者与健康受试者的生活质量。研究组由200名受试者组成:血液透析组(HD组,血液透析患者,n = 100)和对照组(K组,n = 100)。使用以下指标评估总体健康状况和口腔状况:菌斑指数、牙龈指数、探诊深度和临床附着水平。采用世界卫生组织生活质量简表(WHOQOL - BREF)调查来确定两组的总体生活质量。结果显示,与对照组相比,血液透析患者的生活质量评估参数值较低,尤其是在身体领域。口腔霉菌病、骨质疏松症、类风湿性关节炎和冠状动脉疾病等全身性疾病对感知生活质量有负面影响。由于血液透析患者心理社会状况不佳,有诸多迹象表明需要对其进行全面的心理护理。

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