| Objectives: To understand the current situation of quality of life of patients with maintenance hemodialysis(MHD)and analyze the relevant factors affecting the quality of life of MHD patients,so as to provide relevant guidance for medical staff and patients themselves,and ultimately improve the quality of life of MHD patients,reduce the death rate and reduce the economic burden.Methods: A cross-sectional study was conducted on MHD patients from the Hemodialysis Center of the First Affiliated Hospital of Dali University from March 2021 to March 2022.General information,laboratory examination indicators,and hemodialysis related indicators were collected,and an on-site questionnaire survey was conducted using the KDQOL-SFtm 1.3 scale.Statistical analysis was conducted to evaluate the quality of life of patients and analyze relevant influencing factors based on the above data.Use Epidata3.1 to complete the entry and summary of the original data,use SPSS 27.0 software for statistical analysis,use the mean ± standard deviation(S(?) ±)for measurement data with normal distribution,use the median and quartile for measurement data with non normal distribution,use t test for comparison between two groups,and use ANOVA for comparison between multiple groups.Multiple regression analysis was used to analyze the influencing factors of quality of life in maintenance hemodialysis patients,and the difference was statistically significant with p<0.05.Results:1.This study included 182 MHD patients,of which 151 were actually completed.The effective response rate of the questionnaire was 82.97%,with 92 males(60.9%)and 59females(39.1%);The primary disease of MHD patients was glomerulonephritis in 58 cases(38.4%),followed by diabetes nephropathy in 26 cases(17.2%),hypertensive nephropathy in10 cases(6.6%),and other 57 cases(37.8%).2.Among 151 MHD patients,71(47.0%)had systolic blood pressure that met the standard,while 80(53.0%)did not meet the standard;99 cases(65.6%)of diastolic blood pressure met the standard,while 52 cases(34.4%)did not meet the standard;144 cases(95.4%)met the albumin standard,and 7 cases(4.6%)did not meet the standard;113 cases(74.8%)met the alkaline phosphatase standard,while 38 cases(25.2%)did not meet the standard;114 cases(75.5%)met the standard for serum calcium,while 37 cases(24.5%)did not meet the standard;66 cases(43.7%)met the blood phosphorus standard,while 85 cases(56.3%)did not meet the standard;35 cases(23.2%)met the standard for parathyroid hormone,while 116 cases(76.8%)did not meet the standard;78 cases(51.7%)met the hemoglobin standard,while 73 cases(48.3%)did not meet the standard;70 cases(46.4%)of ferritin met the standard,while 81 cases(53.6%)did not meet the standard;57 cases(37.7%)met the urea clearance rate,while 94 cases(62.3%)did not meet the standard.3.MHD patients’ quality of life score: The KDTA score is 48.04 ± 17.06,with the highest average score in the field of symptoms and discomfort(SPL)being 85.03 ± 12.15,and the lowest average score in the field of sexual function(Se F)being 16.72 ± 30.58;The SF-36 score is 61.03 ± 25.38,with the highest average score in the field of physical pain(BP)being 83.18 ± 24.43,and the lowest average score in the field of general health condition(GH)being 43.71 ± 17.97;The Physical Health(PCS)score is 43.85 ± 8.25,and the Mental Health(MCS)domain score is 45.97 ± 10.30.4.The impact of kidney disease on life(EKD)domain score decreases with age and increases with educational level;The KDTA score increases with the increase of education level and household income;The higher the education level,the higher the patient satisfaction(PS)score;Patients with higher annual household income and closer access to medical services have higher scores in the field of kidney disease burden(BKD),while those with lower scores in the field of work status(WS);Unmarried patients have the highest score in the field of emotional function(RE);The higher the household income,the higher the score in the field of mental health(MCS);Patients with serum calcium levels that do not meet the standard have higher scores in the support and encouragement(DSE)field of dialysis workers;Patients who meet the urea clearance rate score higher in the sleep(SL)field.Conclusions:1.The scores of SF-36 and KDTA of MHD patients in this dialysis center are low.2.The impact of kidney disease on life(EKD)domain score decreases with age and increases with educational level;The KDTA score increases with the increase of education level and household income;The higher the education level,the higher the patient satisfaction(PS)score;Patients with higher annual household income and closer access to medical services have higher scores in the field of kidney disease burden(BKD),while those with lower scores in the field of work status(WS);Unmarried patients have the highest score in the field of emotional function(RE);The higher the household income,the higher the score in the field of mental health(MCS);Patients with serum calcium levels that do not meet the standard have higher scores in the support and encouragement(DSE)field of dialysis workers;Patients who meet the urea clearance rate score higher in the sleep(SL)field. |
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