摘要
目的调查维持性血液透析患者衰弱和生活质量的现状,并探讨衰弱表型对患者生活质量的影响。方法采用Fried衰弱表型评估方法、生活质量量表对江苏省连云港市6所医院的501例维持性血液透析患者进行调查。结果维持性血液透析患者衰弱的患病率为43.11%;生活质量中的生理健康总得分为(195.14±80.35)分,心理健康总得分为(197.39±92.04)分;衰弱程度与患者生活质量中的生理健康及心理健康均呈负相关(P<0.001)。衰弱表型中的疲乏、步速减慢和身体活动量低是患者生理健康和心理健康的主要影响因素(P<0.05)。结论维持性血液透析患者的生活质量较低,衰弱患病率高,衰弱表型中的疲乏、步速减慢和身体活动量低可影响患者的生活质量。
Objective To investigate the status of frailty and quality of life in patients on maintenance hemodialysis, and to explore the impacts of frailty phenotype on quality of life. Methods Totally 501 patients on maintenance hemodialysis from 6 hospitals in Lianyungang,Jiangsu Province,were investigated using Fried frailty phenotype and Short Form 36 Health Survey Questionnaire （SF-36）. Results The prevalence of frailty in patients on maintenance hemodialysis was 43.11%; the total score of physical component summary was（195.14±80.35）,the total score of mental component summary was （197.39±92.04）. There was a negative correlation between frailty phenotypes and physical as well as mental components in quality of life（P〈0.O01）. Regression analysis showed that the influencing factors of physical component summary were exhaustion,slowness and low physical activity（P〈0.05）. Influencing factors of mental component summary were exhaustion and low physical activity（P〈0.05）. Conclusion Quality of life in patients on maintenance hemodialysis is low,and the prevalence of frailty in these patients is high. For fraihy phenotypes,exhaustion,slowness,and low physical activity can predict patients＇ quality of life. Clinical medical staff can enhance quality of life of patients on maintenance hemodialysis by improving these frailty phenotypes.
作者
叶丽钦
周莹
张海林
卓朗
尹丽霞
郭桂
YE Liqin;ZHOU Ying;ZHANG Hailin;ZHUO Lang;YIN Lixia;GUO Gui
出处
《中华护理杂志》
CSCD
北大核心
2018年第9期1072-1077,共6页
Chinese Journal of Nursing
基金
连云港市卫生计生科技项目(201708)
关键词
维持性血液透析
衰弱表型
生活质量
护理
Maintenance Hemodialysis
Frailty Phenotype
Quality of Life
Nursing Care
作者简介
叶丽钦：女，本科（硕士在读），主管护师，E—mail：793512578@qq．com;通信作者：张海林．E-mail：hlxx@njmu．edu．cn
