终末期肾病患者的群体参与度与生存率
Group participation and survival among patients with end-stage renal disease.
作者信息
Friend R, Singletary Y, Mendell N R, Nurse H
出版信息
Am J Public Health. 1986 Jun;76(6):670-2. doi: 10.2105/ajph.76.6.670.
Abstract
All 126 End-Stage Renal Disease (ESRD) patients who entered dialysis between 1971 and 1981 at the Harlem Hospital Center, New York City, were separated into those who had participated in a patient support group and those who had not done so. Patients who engaged in the group activities survived considerably longer than non-participants. Family history of renal disease, psychiatric illness, blood urea nitrogen (BUN), and creatinine were also related to survival, but, education, religion, marital status, and age were not. When 13 psychosocial and physiological covariates were controlled for in a Cox proportional hazard analysis, the group participation effect remained substantial.
摘要
1971年至1981年间在纽约市哈莱姆医院中心开始透析的126例终末期肾病（ESRD）患者被分为参加过患者支持小组的患者和未参加过的患者。参与小组活动的患者存活时间比未参与者长得多。肾病家族史、精神疾病、血尿素氮（BUN）和肌酐也与生存率有关，但教育程度、宗教信仰、婚姻状况和年龄无关。在Cox比例风险分析中对13个心理社会和生理协变量进行控制后，小组参与效应仍然显著。
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