| Summary: | 碩士 === 國立陽明大學 === 臨床護理研究所 === 90 === The purpose of this study was to compare the life quality and its correlators on patients who received different renal replacement therapies. This is a cross-sectional descriptive and correlational research. Eighty patients from each renal replacement therapy of hemodialysis, continuous-ambulatory peritoneal dialysis (CAPD) and transplantation from two medical centers were recruited. The study instruments used in the study were ”WHO QOL-BREF” and ”Physical Symptom Distress Scale”. Statistical methods of means, percentage, one way ANOVA, Pearson''s correlation and multiple regression were used to analyze the research data. The significant major findings of this study were as follows:
1. The score on quality of life for transplantation patients was higher than both hemodialysis and CAPD patients.
2. There were statistically significant differences between variables of age, marital status, work status, economic status, duration of using the current renal treatment, whether using another type of replacement therapy before, and the duration for using another renal replacement therapy and types of renal replacement therapy (P <.05).
3. There were statistically significant differences between variables of age, marital status, education levels, economic status, whether using another type of replacement therapy before, decision maker of renal therapy, and whether chronic ill diagnosed and quality of life (P <.05).
4. Combined variables of physical symptom distress, economic status, type of replacement therapy, and education levels can significally predict the quality of life which accounts for 43.8% of the variance. The variable of physical symptom distress was the most significant predictor of quality of life.
5.The major physical symptom in different renal replacement therapy patients was fatigue.
6.Physical symptom distress was negatively correlated with quality of life (r=-0.50, P <.05), which means the more distress patients feel the bad quality of life they were.
7.Each domain of quality of life was positively correlated with type of renal replacement therapy (r=.67, P＜.05).
Results of this study provide useful references while making suggestion for nursing education, practice and nursing administration.
|
|---|
