Alhabib Hassan A, Alhabib Ali, Mohamed Nawaf S, Serhan Lina F, Alabdullah Abdullah, Alramadhan Sara, Al Habeeb Ahmed J
Nephrology, Jubail General Hospital, Jubail, SAU.
College of Medicine, Almaarefa University, Riyadh, SAU.
Cureus. 2025 Feb 1;17(2):e78328. doi: 10.7759/cureus.78328. eCollection 2025 Feb.
The World Health Organization defines health as complete physical, mental, and social well-being. Chronic diseases impact health-related quality of life (QoL). Health services for ill populations, including end-stage renal disease (ESRD), focus on QoL issues and mental health promotion. Kidney transplantation is the optimal form, but most patients require dialysis, which can be hemodialysis (HD) or peritoneal dialysis (PD). It is believed that choosing the proper modality will help in improving patient's QoL and satisfaction rate. To help patients select the mode of dialysis that best meets their needs while they have ESRD, this study intends to investigate differences in QoL between dialysis modalities.
It was a multicenter cross-sectional study conducted in Saudi Arabia, focusing on HD and PD patients in specific hospitals. Data was collected through a specially designed online questionnaire and analyzed with IBM SPSS 29 (IBM Corp. Released 2023. IBM SPSS Statistics for Windows, Version 29.0.2.0 Armonk, NY: IBM Corp).
Our study, including 307 dialysis patients in Saudi Arabia, revealed a male predominance (56.0%), primarily aged 45-64 years (43.0%), with 91.5% Saudi nationals. Employment varied (27.4% professionals), and most earned 10,000-20,000 SAR monthly (50.5%). Positive life changes post-dialysis were reported by 98.7%, with 94.5% not requiring post-dialysis absence from work. Incenter HD patients constitute 45.3% while PD patients constitute 54.7% of the study sample. Physical well-being showed significant differences in nausea (p=0.035). Social and emotional well-being exhibited acceptance variations (p=0.012) and coping satisfaction (p=0.014). Linear regression indicated monthly income impact on HD QoL (B=-3.706, p=0.075), while age influenced PD QoL (B=0.113, p=0.927).
Our study underscores positive life changes and minimal work absence is prevalent among dialysis patients. PD exhibits higher nausea and lower family acceptance. HD participants report greater coping satisfaction. The study reveals nuanced differences in well-being dimensions, contributing insights for tailored interventions and patient-centered care in renal replacement therapies.
世界卫生组织将健康定义为身体、心理和社会的完全安康。慢性病会影响与健康相关的生活质量（QoL）。针对患病群体，包括终末期肾病（ESRD）患者的医疗服务，聚焦于生活质量问题和心理健康促进。肾移植是最佳治疗方式，但大多数患者需要透析，透析方式可以是血液透析（HD）或腹膜透析（PD）。人们认为选择合适的透析方式有助于提高患者的生活质量和满意度。为了帮助ESRD患者选择最能满足其需求的透析方式，本研究旨在调查不同透析方式在生活质量方面的差异。
这是一项在沙特阿拉伯进行的多中心横断面研究，重点关注特定医院的血液透析和腹膜透析患者。数据通过专门设计的在线问卷收集，并使用IBM SPSS 29（IBM公司。2023年发布。适用于Windows的IBM SPSS Statistics，版本29.0.2.0，纽约州阿蒙克：IBM公司）进行分析。
我们的研究纳入了沙特阿拉伯的307名透析患者，结果显示男性占主导（56.0%），主要年龄在45 - 64岁（43.0%），91.5%为沙特公民。职业分布各异（27.4%为专业人员），大多数人月收入在10,000 - 20,000沙特里亚尔之间（50.5%）。98.7%的患者报告透析后生活有积极变化，94.5%的患者透析后无需请假。研究样本中，中心血液透析患者占45.3%，腹膜透析患者占54.7%。身体安康方面，恶心症状存在显著差异（p = 0.035）。社会和情感安康方面，接受程度存在差异（p = 0.012）以及应对满意度存在差异（p = 0.014）。线性回归表明月收入对血液透析生活质量有影响（B = -3.706，p = 0.075），而年龄对腹膜透析生活质量有影响（B = 0.113，p = 0.927）。
我们的研究强调透析患者普遍有积极的生活变化且请假情况最少。腹膜透析患者恶心症状更严重，家庭接受程度较低。血液透析参与者报告应对满意度更高。该研究揭示了安康维度的细微差异，为肾脏替代治疗中的针对性干预和以患者为中心 的护理提供了见解。
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