Sitjar-Suñer Miquel, Suñer-Soler Rosa, Bertran-Noguer Carme, Masià-Plana Afra, Romero-Marull Natalia, Reig-Garcia Glòria, Alòs Francesc, Patiño-Masó Josefina
Primary Health Centre, Institut Català de la Salut, 17800 Olot, Spain.
Nursing Department, University of Girona, 17003 Girona, Spain.
Healthcare (Basel). 2022 Oct 28;10(11):2144. doi: 10.3390/healthcare10112144.
The quality of life, morbidity and mortality of people receiving renal replacement therapy is affected both by the renal disease itself and its treatment. The therapy that best improves renal function and quality of life is transplantation.
To study the quality of life, morbidity and mortality of people receiving renal replacement therapy over a five-year period.
A longitudinal multicentre study of a cohort of people with chronic kidney disease.
Patients from the Girona health area receiving peritoneal dialysis were studied, gathering data on sociodemographic and clinical variables through an ad hoc questionnaire, quality of life using the SF-36 questionnaire, and social support with the MOS scale.
Mortality was 47.2%. Physical functioning was the variable that worsened most in comparison with the first measurement ( = 0.035). Those receiving peritoneal dialysis ( = 0.068) and transplant recipients ( = 0.083) had a better general health perception. The social functioning of transplant recipients improved ( = 0.008).
People with chronic kidney disease had a high level of mortality. The dimension of physical functioning worsens over the years. Haemodialysis is the therapy that most negatively effects general health perception. Kidney transplantation has a positive effect on the dimensions of energy/vitality, social functioning and general health perception.
接受肾脏替代治疗的患者的生活质量、发病率和死亡率受肾脏疾病本身及其治疗的影响。能最佳改善肾功能和生活质量的治疗方法是移植。
研究接受肾脏替代治疗的患者在五年期间的生活质量、发病率和死亡率。
对一组慢性肾病患者进行纵向多中心研究。
对来自赫罗纳健康区接受腹膜透析的患者进行研究，通过专门设计的问卷收集社会人口统计学和临床变量数据，使用SF-36问卷评估生活质量，并用MOS量表评估社会支持。
死亡率为47.2%。与首次测量相比，身体功能是恶化最严重的变量（P = 0.035）。接受腹膜透析的患者（P = 0.068）和移植受者（P = 0.083）对总体健康状况的感知更好。移植受者的社会功能有所改善（P = 0.008）。
慢性肾病患者死亡率较高。身体功能维度多年来有所恶化。血液透析是对总体健康状况感知负面影响最大的治疗方法。肾移植对精力/活力、社会功能和总体健康状况感知维度有积极影响。
