Slama H, Fisch H U, Frey F J
Abteilung für Nephrologie, Medizinische Universitätspoliklinik, Inselspital, Bern.
Schweiz Rundsch Med Prax. 1993 Nov 2;82(44):1253-62.
Actually three methods are offered for the treatment of patients with chronic renal failure: 1. Hemodialysis, 2. chronic peritoneal dialysis for outpatients (CAPD) and 3. Transplantation of a kidney. In order to define the optimal therapy for these patients not only economic factors but also quantitative evaluation of life quality has to be taken into account. To this end a questionnaire called "Sickness Impact Profile", that covers most of the relevant features of life and is well established in the Anglo-Saxon countries, was translated into German language and tested in 34 hemodialysis-patients, 25 CAPD-patients and 29 patients with kidney transplant, in order to investigate the applicability. Results showed that the German issue can successfully be applied to Swiss patients with renal failure and lead to the conclusion that--in accordance to results of similar studies in the USA--life quality in patients with kidney transplant is better than in patients treated with hemodialysis or CAPD.
实际上,针对慢性肾衰竭患者提供了三种治疗方法:1. 血液透析;2. 门诊患者的持续性非卧床腹膜透析(CAPD);3. 肾脏移植。为了确定这些患者的最佳治疗方案,不仅要考虑经济因素,还必须对生活质量进行定量评估。为此,一份名为“疾病影响量表”的问卷被翻译成德语,该问卷涵盖了生活中大部分相关特征,且在盎格鲁-撒克逊国家已得到广泛应用。对34名血液透析患者、25名CAPD患者和29名肾移植患者进行了测试,以研究其适用性。结果表明,德语版问卷能够成功应用于瑞士肾衰竭患者,并得出结论:与美国类似研究的结果一致,肾移植患者的生活质量优于接受血液透析或CAPD治疗的患者。