Maintennance Hemodialysis Patients Quality Of Life And Related Evaluation Factor Analysis

Background:With the widespread application of hemodialysis, It had greatly extended the patients’life expectancy of maintenanceing hemodialysis. But studies have repeatedly reported that MHD patients have a lower quality of life. The study investigates factors associated with the quality of maintenance hemodialysis patients’life, in order to provide the basis of improving and enhancing the hemodialysis patients’quality of life. Methods:we choose maintenance hemodialysis patients in the first affiliated hospital of guangxi medical university center of blood purification from March 12,2016 to March20,Data obtained population of social information, case information, blood purification treatment and laboratory results, using KDQOL-SF assessment of the patients’quality of life. KDQOL-SF scale includes general health quality of life scale (SF-36) and Kidney disease, Targeted Areas (KDTA) scale. SF-36 includes Mental Component Summary (MCS) and Physical Component Summary (PCS). The results:the total score of KDTA is 55.99 ± 8.90, SF-36 total score was 47.08± 12.3, PCS total score and the MCS total scores were 48.93± 16.96 and 48.93 ± 14.78. Independent factors of KDTA associated with age (B=-0.23, P=0.00), albumin (B=0.55, P=0.00), The understanding of the uremia (B=5.17, P=0.00), and duration of dialysis (B=-0.92, P= 0.00), the family income (B= 1.30, P= 0.00), the degree of education (B=2.26^ P=0.00), the frequency of dialysis (Exp (B)=-1.61、p=0.01). Independent factors of PCS associated with age (B=-0.54, P= 0.00), gender (B＝-7.19, P= 0.01), duration of dialysis (B=-0.89, P= 0.02) and hypersensitive c-reactive protein (B=-0.38, P=0.04). Independent factors of MCS associated with age(B=-0.36, P= 0.00) and gender (B=-8.03,P =0.00), whether diabetes (Exp (B)=-4.08、p=0.01), Hemoglobin (Exp(B)= 0.959、p=0.037). Conclusion:Sociodemographic and clinical factors will affect the quality of the MHD patients’ life. Sociodemographic factors include gender, age, family income, education level, clinical factors include low serum albumin leels, duration of dialysis, in a state of inflammation,the understanding of uremia,the frequency of dialysis, Hemoglobin and whether diabetes.In order to improve the hemodialysis patients’poor quality of life, reduce the health complications and further improve the quality of MHD patients, we need the support of many aspects,Including social support, better medical care and nutritional support, and so on.