提高透析患者的生活质量教学课件

(八)提高透析患者的生活质量ReniiHospital,2000B61B象(,000)110.6171001981198619912019ReniiHospital,2000EB的6AA1f子E囗AE■E8990919293949596979899RenjiHospital,2000如何提高透析患者的生活质量?ReniiHospital,2000HealthAstateofcompletephysicalpsychologicalandsocialwellbeingandnotmerelytheabsenceofdiseaseorinfirmityWorldHealthOrganization,1958RenjiHospital,2000生活质量的评定(1)36-ItemMos-shortFormhealthSurvey(SF-36)KidneyDiseaseQualityoflifeKDQOLTM)°EuroQol(EQ-5D)RenjiHospital,2000生活质量评定(2)BeckDepressionInventory(BDD)DepressivesymptomsIllnessEffectsQuestionaire(EQ)PerceptionofillnesseffectsMultidimensionalScaleofPerceivedSocialSupport(MsP)SocialsupportSatisfactionWithLifeScale(SWLS)SatisfactionwithlifeKarnofskyScaleObjectivefuctioningReniiHospital,2000在CRI和HD患者中生活质量的比较变量CRI(50)HD(99)BDI8.0±7.010.1±8.3CDI4.1±4.15.6±5.3MSP163±4.122.4±4.2米IEQ37.9±24.760.6±2.9米Karnofsky86.9±14.7723±161SWLS22.8±8.423.2±7.6P<0.01ShidlerNR.AmJKidneyDis98RenjiHospital,2000透析前的尿毒症患者与普通人群的生活质量的比较表现正常的百分比普通人群血透前腹透前(n=750)(n=152)(n=149)Mobility(%o95.128.350.3Selfcare(%0)96.773.8aUsualactivities(%)85.823.129.9Pain/discomfort(%)68.037.0483Anxiety/Depression(%)83.667.3Valuationofwonhealth85.3557a58.6(0-100)a与普通人群相比P<0.05b与血透前人群比较P<0.05KorevaarJC.PDI.2000standardscorcentresFig1.DifferencesinSF36scoresbetweenthedialatientsandtherefeIcegroupexpressedinmeanstandardscoresCentilesofthereferen6+eP.n=15%population:forexample,X%ferencepopulatiofallsbelowXthcentileandtheremainingmembersfallaboveth