Niechzial M, Hampel E, Grobe T, Nagel E, Dörning H, Raspe H
Klinik für Abdominal- und Transplantationschirurgie, Medizinische Hochschule Hannover.
Soz Praventivmed. 1997;42(3):162-74. doi: 10.1007/BF01300567.
Dialysis patients, waiting for kidney transplantation, were asked about their quality of life. Data from 1027 persons have been collected. Compared to a population sample by the "Nottingham Health Profile" (NHP), dialysis patients showed double the frequency of symptoms--only for the subscale "pain" no significant difference could be recognised. Duration of dialysis treatment reduces the quality of life considerably: increasing troubles have been observed through different quality of life scales. Age shows less important influence concerning "pain" and "physical mobility", even a decrease of symptoms in elder patients has been demonstrated by NHP-subscales for "emotional reaction" and "social isolation". Gender, education, kind of disease and dialysis treatment, and the fact of former transplantations had only marginal influence on some different dimensions of life quality. The study demonstrates in which way the patients perception of life quality could be operational and integrated in analysis and evaluation of therapeutic procedures.
研究询问了等待肾脏移植的透析患者的生活质量。收集了1027人的数据。与通过“诺丁汉健康概况”（NHP）获得的人群样本相比，透析患者的症状出现频率高出一倍——仅在“疼痛”子量表上未发现显著差异。透析治疗的持续时间会显著降低生活质量：通过不同的生活质量量表观察到问题不断增加。年龄对“疼痛”和“身体活动能力”的影响较小，甚至NHP中“情绪反应”和“社会孤立”子量表显示老年患者的症状有所减轻。性别、教育程度、疾病类型和透析治疗，以及既往移植的情况对生活质量的某些不同维度仅产生微弱影响。该研究表明患者对生活质量的认知可以通过何种方式应用于治疗程序的分析和评估中。
