Determination of the relationship between adequacy of dialysis and quality of life and self-care agency

作者：Kalender Nurten^*; Tosun Nuran

来源：Journal of Clinical Nursing, 2014, 23(5-6): 820-828.

DOI：10.1111/jocn.12208

<jats:sec><jats:title>Aim and objectives</jats:title><jats:p>To investigate the relationship between the dialysis adequacy and the quality of life and self‐care agency.</jats:p></jats:sec><jats:sec><jats:title>Background</jats:title><jats:p>Haemodialysis (<jats:styled-content style="fixed-case">HD</jats:styled-content>), which is the leading treatment option for chronic renal failure (<jats:styled-content style="fixed-case">CRF</jats:styled-content>), leads to significant changes in the life of the patient. These changes affecting almost all the dimensions of life also negatively affect the quality of life and self‐care agency.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Descriptive study.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>The research was conducted with a total of 112 patients who had been admitted to two private dialysis centres between <jats:styled-content style="fixed-case">M</jats:styled-content>ay 2009 and <jats:styled-content style="fixed-case">S</jats:styled-content>eptember 2010, who met the research criteria. The <jats:styled-content style="fixed-case">D</jats:styled-content>ata <jats:styled-content style="fixed-case">C</jats:styled-content>ollection <jats:styled-content style="fixed-case">F</jats:styled-content>orm for the <jats:styled-content style="fixed-case">S</jats:styled-content>ocio‐demographic and <jats:styled-content style="fixed-case">M</jats:styled-content>edical <jats:styled-content style="fixed-case">C</jats:styled-content>haracteristics, the <jats:styled-content style="fixed-case">B</jats:styled-content>iochemical and <jats:styled-content style="fixed-case">M</jats:styled-content>edical <jats:styled-content style="fixed-case">P</jats:styled-content>arameters <jats:styled-content style="fixed-case">F</jats:styled-content>orm to determine the adequacy of dialysis, the <jats:styled-content style="fixed-case">SF</jats:styled-content>‐36 <jats:styled-content style="fixed-case">Q</jats:styled-content>uality of <jats:styled-content style="fixed-case">L</jats:styled-content>ife <jats:styled-content style="fixed-case">S</jats:styled-content>cale and the <jats:styled-content style="fixed-case">S</jats:styled-content>elf‐<jats:styled-content style="fixed-case">C</jats:styled-content>are <jats:styled-content style="fixed-case">A</jats:styled-content>gency <jats:styled-content style="fixed-case">S</jats:styled-content>cale were used in the research.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A significant relationship was found between <jats:styled-content style="fixed-case">K</jats:styled-content>t/<jats:styled-content style="fixed-case">V</jats:styled-content>, one of the parameters used for the assessment of dialysis adequacy, and the emotional role scores of the <jats:styled-content style="fixed-case">SF</jats:styled-content>‐36 Quality of Life Scale and between the <jats:styled-content style="fixed-case">URR</jats:styled-content> level and physical functioning (<jats:italic>r</jats:italic> = +0·192, <jats:italic>p </jats:italic>= 0·045) and emotional role scores (<jats:italic>r</jats:italic> = +0·284, <jats:italic>p</jats:italic> = 0·003). No significant relationship could be found between the self‐care agency and the evaluated parameters.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Kt/<jats:styled-content style="fixed-case">V</jats:styled-content> and <jats:styled-content style="fixed-case">URR</jats:styled-content>, which have an effect on dialysis adequacy, may affect the quality of life. Our results are similar to those of previous studies, which showed that <jats:styled-content style="fixed-case">K</jats:styled-content>t/<jats:styled-content style="fixed-case">V</jats:styled-content> and <jats:styled-content style="fixed-case">URR</jats:styled-content> affect the quality of life.</jats:p></jats:sec><jats:sec><jats:title>Relevance to clinical practice</jats:title><jats:p>It was recommended to regularly control the parameters used for the assessment of dialysis adequacy and to evaluate their effects on the quality of life, to determine the most affected quality of life subparameters and to address these problems and solve them.</jats:p></jats:sec>

• 出版日期2014-3
• 单位中国人民解放军军事医学科学院