The Quality Of Life In Maintenance Hemodialysis Patients

• Main Author: 林智廣
• Other Authors: 周明智
• Format: Others
• Language: zh-TW
• Published: 1994
• Online Access: http://ndltd.ncl.edu.tw/handle/71961040322500022404

碩士 === 中山醫學院 === 醫學研究所 === 82 === 　　The treatment of uremia is not only for life extension but also for the improvement of life sadtisfication. The assessment of life quality must be included in the evaluation of the efficiency and adequacy of the hemodialysis therapy. Quality of life is conceptulized in multidimensional terms with three main dimensions: Physical well-being, emotional well-being, and social well-being. This is a pilot study assessing the quality of life in 149 maintenance dialysis patients. It concludes 73 males and 76 females with the mean age of 55.73±13.60 years and 53.95±14.29 years respectively, having been on maintenance hemodialysis for more then one year. The quality of life study was obtained from a structured questionaire including family function and life, stress score, symptoms and signs score, physical functional acivity, marriage life, sexual life, social well-being, and life satisfication. Among the 149 patients, 78% have good family function and life, 73% get self-care and rehabitatin, 89% keep good marrigae life and 88% satisfied with their life. Decreased sexual and social activity were found 59% and 43% respectively. The stress score in females was greater than that in males (71.43±22.55 VS 63.28 ± 25.06, P<0.05). A significant difference was also found in symptoms and signs score, male 41.61± 20.11, ferale 52.92 ± 21.39, P<0.05. Assessment of the quality of life is complex. The parameters of quality of life are subject to variation on time. Longitudinal studies are needed and to be used for evaluation the outcome of hemodialysis therapy and make therapeutic approach more meaningful.