Department of General Surgery, Regional Specialist Hospital, 42-218 Częstochowa, Poland.
2nd Department of General Surgery, Jagiellonian University Medical College, 30-688 Kraków, Poland.
Medicina (Kaunas). 2024 Oct 22;60(11):1732. doi: 10.3390/medicina60111732.
: Hemodialysis patients face significant physical and psychological challenges, including diminished quality of life and reduced social support. This study aimed to assess the levels of social support and quality of life in hemodialysis patients and identify the sociodemographic and dialysis-related factors influencing these outcomes. : This study included 115 hemodialysis patients and 107 healthy controls. Social support was measured using the Modified Social Support Survey (MSSS) and its abbreviated version (MSSS-5). Quality of life was assessed using the WHOQOL-BREF questionnaire. Demographic variables (age, sex, education, marital status) and dialysis-related factors (session duration, Kt/V, vascular access type, and urea reduction ratio) were analyzed to determine their effects on social support and quality of life. : Hemodialysis patients reported significantly lower scores in the Physical Health and Psychological Health domains of the WHOQOL-BREF compared to healthy controls. Males on hemodialysis scored lower than the controls in the Physical Health, Psychological Health, and Environment domains of the WHOQOL-BREF and the Affectionate Support and Positive Social Interaction subscales of MSSS. Conversely, hemodialysis females reported higher scores for Tangible Support, Emotional/Informational Support, and Affectionate Support. Longer dialysis sessions negatively impacted the Social Relationships domain. Married hemodialysis patients had higher Emotional/Informational Support and Affectionate Support scores. : Hemodialysis patients experience diminished physical and psychological quality of life, particularly males. Social support, especially emotional and informational support, is crucial for hemodialysis patients, with marital status playing a key role. Addressing these psychosocial factors may improve outcomes for hemodialysis patients.
血液透析患者面临着重大的身体和心理挑战，包括生活质量下降和社会支持减少。本研究旨在评估血液透析患者的社会支持和生活质量水平，并确定影响这些结果的社会人口统计学和透析相关因素。
本研究纳入了 115 名血液透析患者和 107 名健康对照者。社会支持采用修正后的社会支持量表（MSSS）及其简化版（MSSS-5）进行测量。生活质量采用 WHOQOL-BREF 问卷进行评估。分析了人口统计学变量（年龄、性别、教育程度、婚姻状况）和透析相关因素（治疗时间、Kt/V、血管通路类型和尿素清除率），以确定它们对社会支持和生活质量的影响。
血液透析患者在 WHOQOL-BREF 的生理健康和心理健康领域的评分明显低于健康对照组。血液透析男性在 WHOQOL-BREF 的生理健康、心理健康和环境领域以及 MSSS 的亲情支持和积极社会互动子量表的评分均低于对照组。相反，血液透析女性在有形支持、情感/信息支持和亲情支持方面的评分较高。透析时间延长对社会关系领域产生负面影响。已婚血液透析患者在情感/信息支持和亲情支持方面的评分较高。
血液透析患者经历着生理和心理生活质量的下降，尤其是男性。社会支持，特别是情感和信息支持，对血液透析患者至关重要，婚姻状况起着关键作用。解决这些社会心理因素可能会改善血液透析患者的预后。
