[慢性肾脏病及腹膜透析患者的知识水平与生活质量]
[Knowledge and quality of life in chronic kidney disease and peritoneal dialysis].
作者信息
García-Galicia Arturo, Gracián-Castro Esmeralda, Hinostrosa-Méndez Alía, Benítez-Contreras Amanda Ivonne, Pérez-Ayala Karina Delfina, Montiel-Jarquín Álvaro José, Bertado-Ramírez Nancy Rosalía, Loría-Castellanos Jorge
机构信息
Instituto Mexicano del Seguro Social, Centro Médico Nacional "Manuel Ávila Camacho", Hospital de Especialidades de Puebla, Dirección de Educación e Investigación en Salud. Puebla, Puebla, México.
Instituto Mexicano del Seguro Social, Órgano de Operación Administrativa Desconcentrada Puebla, Hospital Rural del Bienestar No. 86. Chignahuapan, Puebla, México.
出版信息
Rev Med Inst Mex Seguro Soc. 2024 Jan 8;62(1):1-6. doi: 10.5281/zenodo.10278107.
BACKGROUND
Knowledge of one's own chronic kidney disease (CKD) can improve long-term quality of life (QoL). Peritoneal dialysis presents with residual symptoms that reduce the QoL.
OBJECTIVE
To correlate knowledge of the disease and QoL in patients with CKD and on continuous ambulatory peritoneal dialysis (CAPD).
MATERIAL AND METHODS
A descriptive, cross-sectional, and prospective study was carried out in patients with CKD treated at a second-level hospital of the Mexican Institute for Social Security (Instituto Mexicano del Seguro Social) in Puebla. SF-36 and KiKS questionnaires were applied. Age, sex, education, marital status, perception of QoL, and level of knowledge were recorded. Descriptive statistics and Spearman's coefficient were used.
RESULTS
199 patients with CKD in CAPD were included, 62.8% women, minimum age range was 18 to 20 years with 4% and maximum of 61 years or more with 49.2%, 35.6% of patients completed primary school, and 65.3% were married. The most frequent comorbidity was diabetes (57.2%). The least affected QoL domain was pain. KiKS recorded a mean of 0.54 (regular knowledge about the disease). It was recorded a weak and significant correlation in the QoL domains: physical health, physical role, pain, general health, mental health (p ≤ 0.05).
CONCLUSIONS
There is a significant but weak correlation between the perception of QoL and the level of knowledge of the disease in CKD patients with CAPD.
背景
了解自身的慢性肾脏病（CKD）可改善长期生活质量（QoL）。腹膜透析存在一些残留症状，会降低生活质量。
目的
探讨CKD行持续性非卧床腹膜透析（CAPD）患者的疾病认知与生活质量之间的相关性。
材料与方法
对墨西哥社会保障局（墨西哥社会保险协会）位于普埃布拉的二级医院收治的CKD患者进行一项描述性、横断面、前瞻性研究。应用SF - 36和KiKS问卷。记录患者的年龄、性别、教育程度、婚姻状况、生活质量感知及疾病认知水平。采用描述性统计和Spearman系数进行分析。
结果
纳入199例CAPD的CKD患者，女性占62.8%，年龄最小范围为18至20岁（占4%），最大为61岁及以上（占49.2%），35.6%的患者完成小学教育，65.3%已婚。最常见的合并症是糖尿病（57.2%）。生活质量受影响最小的领域是疼痛。KiKS问卷的平均得分为0.54（对疾病的一般了解）。在生活质量领域：身体健康、身体功能、疼痛、总体健康、心理健康方面记录到弱且显著的相关性（p≤0.05）。
结论
CAPD的CKD患者的生活质量感知与疾病认知水平之间存在显著但较弱的相关性。
Zotero 插件