Dynamic Analysis Of End-stage Renal Disease Patients Quality Of Life In Initial Treatment

Objective: This research explores and compares the quality of life afterhemodialysis and peritoneal dialysis treatment for patients with ESRD.There is analysisof effect to patients quality of life in both treatment by studying the status of quality of lifein patients with end-stage renal disease.To provide a scientific basis for rationally andeffectively improving and enhancing the quality of life for patients with end-stage renaldisease after dialysis.To provide a scientific basis for the scientific and rational clinicalcare interventions.Methods: The research selected60examples in total, in which there were30examples for peritoneal dialysis and30examples for hemodialysis, adopting theforward-looking clinical investigation and study in two third-level grade-A hospitalsincluding The Second Affiliated Hospital of Dalian Medical University and The FirstAffiliated Hospital of Dalian Medical University from January2013to April2013.Theresearcher Used the questionnaire survey procedure, and kidney disease quality of lifeshort form (KDQOL SFTM)1.3meters to carry on the correlated investigation. Theforms was provided8times, once a month for8months. There were480questionnairesin total, in which effective questionnaires were480, effectiveness was100%.All investigation material was analyzed using the SPSS17.0statistics software,descriptive analyzing the basic information. The classified materials were comparedbetween two groups using the method of Chi-squared test. The measurement materialswere compared between two groups using the method of t-test. The comparison ofquality of life for hemodialysis group and peritoneal dialysis group patients was usingrepeated measures analysis of variance. Result:1. There were no differences in age, gender, educational level between thetwo groups, but two statistically significant differences in payment types (P=0.011) andhousehold incomes (p=0.021). The hemodialysis group has higher family income thanthe peritoneal dialysis group.2. On the comparison of the quality of life, quality of life were different in variousfactors:(1) Different dialysis modes have statistically significant differences (P=0.043) insymptom/Problem list (SPL): Peritoneal dialysis group better than hemodialysis group.(2) Different dialysis modes have statistically significant differences (P＝0.046) inquality of social interaction (QSI): Hemodialysis group better than peritoneal dialysisgroup.(3) Different dialysis modes have statistically significant differences (P＝0.026) ingeneral health(GH): Hemodialysis group better than peritoneal dialysis group.(4) SPL continued increase with time and in hemodialysis group reaches itsmaximum value in the6th month, later flat. The correlation is statistically significant(P=0.000).(5) Effects of kidney disease (EKD) increases over time, reaching the maximum inthe3rd month, later flat. The correlation is statistically significant (P=0.018).(6) Sleep increases over time, reaching the maximum in the3rd month inHemodialysis group, and6th month in peritoneal dialysis group. The correlation isstatistically significant (P=0.029).(7) Physical function (PF) increases over time in treatments. The correlation isstatistically significant (P=0.000).(8) Vitality (VT) changes over time in treatments.(P=0.000), increasing at first andthen decreasing, which should be noticed by medical personnel.Conclusions:1. There were no differences in age, gender, educational level, marriage andwork situation between the two groups, but two statistically significant differences in payment types and household incomes.2. The improving healthcare system can alleviate the burden on patientsmaximum, and improve the social return rate, improving the quality of life ofpatients with ESRD.3. Hemodialysis Patients are better than peritoneal dialysis patients insymptoms. Peritoneal dialysis patients are better than hemodialysis patients inquality of social interaction and general health.4. Symptom/Problem list, effects of kidney disease, sleep, physical functionand vitality in both groups are changes over time in treatments.