de Groot J, de Groot W, Kamphuis M, Vos P F, Berend K, Blankestijn P J
Academisch Ziekenhuis, afd. Nefrologie en Hypertensie, Utrecht.
Ned Tijdschr Geneeskd. 1994 Apr 23;138(17):862-6.
To assess and compare the quality of life of patients treated with haemodialysis and chronic ambulatory peritoneal dialysis (CAPD) in Utrecht and Willemstad, Curaçao.
Transverse multicentre study.
All haemodialysis and CAPD patients in Utrecht and all haemodialysis patients in Curaçao under treatment for over 6 months were studied. The objective tests applied were the 'Nottingham health profile', the 'affect balance scale', the 'index of well-being' and the 'Amsterdam complaint profile'. Possible correlations between individual patient-related and treatment-related factors and biochemical variables were also investigated.
The objective and subjective tests revealed only slight differences in quality of life in the three groups. In a few respects, the CAPD patients rated the quality of life slightly better. In the Utrecht group a positive relationship was seen between haematocrit (higher owing to treatment with erythropoietin) and plasma bicarbonate concentration, and the quality of life.
评估并比较在荷兰乌得勒支市和库拉索岛威廉斯塔德市接受血液透析和持续性非卧床腹膜透析(CAPD)治疗的患者的生活质量。
横向多中心研究。
对乌得勒支市所有接受血液透析和CAPD治疗超过6个月的患者以及库拉索岛所有接受血液透析治疗超过6个月的患者进行研究。所应用的客观测试包括“诺丁汉健康概况”“情感平衡量表”“幸福感指数”和“阿姆斯特丹投诉概况”。还研究了个体患者相关因素、治疗相关因素与生化变量之间可能存在的相关性。
客观和主观测试显示三组患者的生活质量仅有细微差异。在某些方面,CAPD患者对生活质量的评价略高。在乌得勒支组中,血细胞比容(因使用促红细胞生成素治疗而升高)与血浆碳酸氢盐浓度和生活质量之间呈正相关。