摘要
目的探索血液透析患者生活质量的影响因素。方法采取横断面调查,使用SF-36量表、社会支持评定量表、SCL-90症状自评量表和自编的生理、社会心理一般影响因素调查表对5所医院的212例血液透析患者进行测试。结果(1)血液透析患者的生活质量显著低于健康常模,并随年龄增加而生活质量下降;(2)在血液透析患者生活质量的影响因素路径中,心理健康对血透患者生活质量的标准化回归系数为0.601,而生理健康对生活质量的标准化回归系数为0.466。心理健康、透析时间和年龄对生理健康有直接效应。生理健康、抑郁、血红蛋白和透析时间对心理健康有直接效应。抑郁的直接效应因素为SCL-90总分、躯体化和强迫。结论可以通过改善血液透析患者的抑郁症状,提高患者的心理健康,促进患者的生活质量。
Objective To explore the influencing factors of quality of life （QOL） in the patients with hemodialysis（HD）. Methods A cross-sectional survey was carried out with the MOS 36-item Short Form Health Survey （SF-36）, Social Support Scale （SSS） ,Symptom Checklist 90（SCL-90） and common data forms in 212 patients of 5 hospitals. Results This study generated the following finding： （1） The QOL of HD patients were significantly lower than common people＇s, and became worse in elders. （2） MCS, age and dialysis term had direct functions on Physical Component Summary （PCS）; PCS, depression, hemoglobin and dialysis term had direct functions on development of Mental Component Summary （MCS）. The total score of SCL-90,somatization and obsessive-compulsive had direct functions on depression. Conclusion The levels of QOL in the HD patients can be increased through improving their depression symptoms and then enhancing their mental health.
出处
《重庆医学》
CAS
CSCD
2008年第2期144-146,共3页
Chongqing medicine
关键词
横断面调查
血液透析
生活质量
抑郁
cross-sectional survey
hemodialysis
quality of life,depression
