| End-stage renal failure is an irreversible disease. With the continuousdevelopment of medical science and technology, blood purification equipmentconstantly updated. The improvement of the reverse osmosis water treatment systemconstantly, further purification dialysis water treatment technology, increasing patientawareness of the disease continually, all these factors lead to the survival rate ofpatients with renal failure continues increase. Among the hemodialysis patients, thegoal of treatment is not only the continuation of life, but they need a better quality oflife. Currently dialysis ideas and objectives, all aim to improve long-term survival ofdialysis patients and the quality of life of dialysis patients. At present, long-termsurvival of dialysis patients has been significantly improved, the patient can survivefor10years or even20years. With prolonged survival in patients, a single biomedicalmodel has been difficult to fully assess the treatment of disease, nursing effect, thecurrent patients quality of life has become a more accurate evaluation of dialysisefficacy index. The researches on the quality of life in hemodialysis patients startedearlier in Europe and the United States, Japan and other developed countries moreperformed. In China, the traditional concept of long-term dialysis health care affectsonly the importance of dialysis treatment, pay attention to the neglect of theeffectiveness of the quality of life of dialysis patients on dialysis. The relativedomestic research on quality of life in maintenance hemodialysis patients carried outlate. In recent years, with the increasing emphasis on quality of life, research has beenbecome the focus of attention of the clinical staff. At present, more investigation andstudy focus on the quality of life for maintenance hemodialysis patients, lessappropriate reports issued in Siping City, Jilin Province.Objective: To assess the health of hospital hemodialysis patients, the status quoand its influencing factors of quality of life, provide the basis for improving the healthand quality of life in hemodialysis patients.Methods:1. The cases of chronic renal failure on hemodialysis amongthe uremicpatients400cases were selected in Siping Central People’s Hospital from January2013to August2014..2. Interviewing methods. Patient or family doctor in person for questioning by the admissions of patients to understand the situation. Questionnaire methods wereapplying, pre-designed questionnaire, questionnaire filled out by hand. The softwareof excel2003was used as a unified database, by hand the questionnaire data entrydatabase, for each questionnaire individually audit found problems in a timelychecking, correcting, filling a vacancy, statistically researched by using the softwareof SPSS15.0.Results: The survey of400questionnaires were issued, receiving the400validquestionnaires. Among these,234cases were male,166female cases. Diabeticnephropathy caused by the primary disease diagnosis accounted for40.3%(161cases),kidney disease caused by hypertension,31%(124cases), glomerulonephritis20.3%(81cases), drug-induced nephropathy accounts for5.3%(21example), other3.1%(13cases). Patients with hepatitis B and7%(28cases), patients with hepatitis C,8.7%(35cases). Body mass index (BMI) greater than or equal to28accounted for17.8%ofpatients (71cases). Anemia in patients accounted for63%(252cases), patients withlow protein accounted for68.5%(274cases). Quality of life in patients undergoingmaintenance hemodialysis hospital SF-36total score was:48±15. Factor in thepatient’s age, primary disease, family support, and quality of life, such as workingconditions related.Conclusion:1. Age and quality of life in patients with a negative correlation, highage, often showing low quality of life, the worse the older the physiological function,the younger the better physiological function.2. The quality of life in employment is higher than the unemployment.3. For hemodialysis patients, families as the main supporter of the study found that thequality of life in patients with a positive family support and showed a positivecorrelation.4. Quality of life of dialysis patients in our hospital is not very good, the qualityof life is affected by many factors, medical and nursing staff in clinical practiceshould pay attention to the dialysis patient’s age, family support, work directly affectthe quality of life factors in dialysis patients in addition, patients should be concernedabout gender, family income, physical activity, BMI, history of diabetes, the numberof fistula surgery, serum albumin levels and other factors. On the basis of the qualityof life of dialysis patients questionnaires on health and care，interventions to improvethe quality of life of dialysis patients by way of effective. |
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