不同透析類別方式病患生活品質的比較－以中部某一醫學中心為例

The Comparison the Health related quality of Life between hemodialysis patients and peritoneal dialysis－ A case of central Taiwan medical center

陳春美(Chen Chun Mei)

指導教授 ： 徐尚為

亞洲大學/健康學院/健康管理研究所/碩士(2008年)

摘要

本研究目的在探討影響透析患者的生活品質之因素，研究樣本取自中部某醫學中心之透析患者，共146名。研究工具採用「生活品質之健康量表SF-36」，結果顯示在SF-36健康量表八大構面中，社會功能的平均得分為最高67.72分（SD=20.85），因生理功能導致角色受限平均得分最低32.19分(SD=40.25)。患者對於身體生理功能上費力活動受很多限制，不費力的活動則不受限制，在生理健康問題、情緒功能問題均表示角色會受限制，自覺目前健康狀況方面較無活力，大部份患者有輕微的身體疼痛，在心理健康上覺得悶悶不樂和憂鬱，但不會因身體健康或情緒問題而妨礙到與家人或朋友的平常活動。
不同性別與透析方式達顯著差異、原發病為腎臟病患者使用腹膜透析之情形顯著高於其他原發病患者。在年齡、教育程度、婚姻、宗教、自我照顧、與家人同住、接受透析治療時間、有無慢性病及罹患慢性病種類未達顯著差異；而透析患者依研究結果建議臨床護理人員應多注意透析患者生活品質狀況，且在未來研究可以介入措施改善並提高患者生活品質。

關鍵字

血液透析、腹膜透析、生活品質

並列摘要

This paper aims at inquiring the factors affecting the life quality of the dialysis patients. The subjects are the dialysis patients in a medical center in Central Taiwan and are total 146. The tool is “short form 36 health survey”. The results indicate that among the 8 dimensions the average points of social function achieve highest 67.72 (SD=20.58) and those of the role limitation due to the physical function achieve lowest 32.19 (SD=40.25). Since the patients are limited in the labor-consuming activities and less limited in the non-labor-consuming activities, they express that the role is limited relating to the physical health problem and emotional issue and are aware of the less vitality concerning the health. Most patients have the slight body pains and feel unhappy and blue mentally. Nevertheless, they will not hinder the common activities of the family members and friends due to the physical problems or emotional issue.
The difference exists in genders and dialysis manners. The patients with kidney diseases employ the peritoneal dialysis more frequent than other patients. The difference fails to exist relating to ages, education, marriage, religion, self care, living with family members, time of accepting dialysis therapy, having chronic diseases or not and the kind of chronic diseases. According to the results, the suggestions to the clinical nurses is that they shall pay more attention to the life quality of the dialysis patients and the future studies can engage in the intervention for improving the life quality of patients.

並列關鍵字

hemodialysis, peritoneal dialysis, life quality

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