血液透析および腹膜透析患者のQuality of Lifeの定量的評価

概要

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The quality of life (QOL) of 88 patients on hemodialysis (HD) and 44 peritoneal dialysis (PD) were compared. The questionaire was devised using 4 domains (physical activity, psychological status, social status and health status), which were based on the Spitzer quality of life indices, containing 12 items and 64 scales. All 64 questions (scales) were scored and quantitative analysis of QOL was done and the QOL scores were compared between the HD group and the PD group. The QOL scores of the 4 domains and 12 items were similar in both groups. A special feature of both groups was that the QOL score of the patients' acceptance of renal failure was significantly lower than the scores of the other items. The QOL scores of all items in aged HD patients were lower than those in younger HD patients. However, there were no differences between the QOL scores in aged and younger PD patients. Age-matched QOL scores were similar in both HD and PD groups for patients in their 30s and 40s. However, the scores were higher in the PD group than in the HD group for patients in their 50s. The QOL tended to decline according to the length of the dialysis period in the HD group, but did not in the PD group. It may be concluded that QOL in PD is likely superior to QOL in HD for aged or long-term dialysis patients.
東京女子医科大学の論文
1998-09-25