Klang B, Björvell H, Clyne N
Department of Special Medicine, Karolinska Hospital, Stockholm.
Qual Life Res. 1996 Feb;5(1):109-16. doi: 10.1007/BF00435975.
This study describes and analyses how 38 predialytic uremic patients perceived their sense of well-being, functional ability, level of anxiety and sense of coherence. The patients in this study reported decreased sense of well-being, considerable functional disabilities, and a high level of anxiety when compared to a healthy reference group. These observations were independent of laboratory data with the exception of hemoglobin concentration which showed a significant negative correlation to the SIP scale work. There was a significant negative correlation between the scores of sense of coherence and anxiety. Patients with a weak sense of coherence and a high level of anxiety perceived their well-being as being worse than those with higher scores in the sense of coherence test and lower scores in the level of anxiety test. Sense of well-being in turn influenced functional ability in daily life. Social and marital status also affected the results. These results indicate that the investigated group of predialytic patients have a decrease in quality of life. The results obtained provide a useful instrument showing in which areas care should be concentrated and in what way patients' own resources need to be strengthened while preparing for dialysis treatment.
本研究描述并分析了38例透析前尿毒症患者如何看待他们的幸福感、功能能力、焦虑水平和连贯感。与健康对照组相比，本研究中的患者报告幸福感下降、存在相当程度的功能障碍且焦虑水平较高。除血红蛋白浓度与SIP量表工作呈显著负相关外，这些观察结果与实验室数据无关。连贯感得分与焦虑之间存在显著负相关。连贯感弱且焦虑水平高的患者认为他们的幸福感比连贯感测试得分高且焦虑水平测试得分低的患者更差。幸福感反过来又影响日常生活中的功能能力。社会和婚姻状况也会影响结果。这些结果表明，所研究的透析前患者群体的生活质量有所下降。所获得的结果提供了一种有用的工具，显示了在准备透析治疗时护理应集中在哪些领域以及应以何种方式增强患者自身的资源。
