Abstract
Objectives:To summarize existing evidence on the quality of life and influencing factors in maintenance hemodialysis (MHD) patients.Methods:Total 122 MHD patients treated in the department of hemodialysis, Liyang branch of Jiangsu Provincial People’s Hospital from January 2018 to June 2020 were selected as the patient group. and 98 healthy persons in the same period were selected as the control group. The quality of life of the two groups was investigated by SF-36 score scale. At the same time, the clinical data of the patient group were investigated. Influencing factors of patients’ quality of life were analyzed by univariate test, and independent risk factors were analyzed by logistic multiple regression.Results:Univariate analysis showed that age, education, marital status, dialysis time, urea clearance index (Kt/V), income level, diabetic nephropathy, nutritional status, medical insurance type, depression and anxiety were single factors influencing the quality of life of MHD patients (P<0.05). Logistic multiple regression analysis showed that age ≥ 60 years, dialysis time ≥ one year, income less than 3000 yuan/month, primary disease is diabetic nephropathy., low medical insurance reimbursement, depression and anxiety were independent risk factors affecting the quality of life of MHD patients (P < 0.05).Conclusions:There was a relatively high proportion of patients with age ≥ 60 years, dialysis time ≥ one year, income less than 3000 yuan/month, primary disease is diabetic nephropathy, low medical insurance reimbursement, depression and anxiety. Timely nursing interventions such as reasonable nutritional support, comprehensive monitoring and psychological counseling for patients with the above situation may be helpful in improving quality of life of MHD patients.
Highlights
With the change of health concept and medical model, the purpose of medical measures is to improve the outcome, and to improve quality of life of patients and their physical and mental health
One hundred twenty two maintenance hemodialysis (MHD) patients treated in the department of hemodialysis, Liyang branch of Jiangsu Provincial People’s Hospital from January 2018 to June 2020 were selected as the patient group, there were 65 males and 57 females; The age ranged from 22~80 years, with an average of (62.83±11.45) years, and the dialysis age ranged from 0.6~12 years, with an average of (2.9±1.4) years; The length of education is 0~16 years, with an average of (7.01±3.35) years
The results of univariate analysis showed that age, marital status, dialysis time, urea clearance index (Kt/V), income level, diabetic nephropathy, nutritional status, medical insurance type, depression and anxiety were single factors influencing the quality of life
Summary
With the change of health concept and medical model, the purpose of medical measures is to improve the outcome (survival time, survival rate, etc.), and to improve quality of life of patients and their physical and mental health. Maintenance hemodialysis is a renal replacement therapy that uses semi permeable membrane to help uremic patients eliminate blood metabolic waste.[1,2]. This technology can significantly prolong the survival time of patients with chronic renal failure and improve the quality of life of patients to a certain extent, various chronic complications of dialysis, economic burden related to dialysis, limitations of patients’ normal physiological and. Analyzing factors that may impact quality of life of MHD patients is crucial in order to establish timely and effective intervention measures. Clinical data of 122 MHD patients were analyzed to identify independent risk factors affecting their quality of life
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