A comparison of quality of life between patients treated with different dialysis modalities in Taiwan


Autoři: Chu-Chun Hsu aff001;  Chiu-Ching Huang aff003;  Yue-Cune Chang aff005;  Jin-Shuen Chen aff006;  Wen-Chen Tsai aff008;  Kwua-Yun Wang aff002
Působiště autorů: Department of Nursing, Tri-Service General Hospital, Taipei City, Taiwan (R.O.C.) aff001;  School of Nursing, National Defense Medical Center, Taipei City, Taiwan (R.O.C.) aff002;  Department of Internal Medicine, Division of Nephrology and Kidney Institute, China Medical University and Hospitals, Taichung City, Taiwan (R.O.C.) aff003;  College of Medicine, China Medical University, Taichung City, Taiwan (R.O.C.) aff004;  Department of Mathematics, Tamkang University, New Taipei City, Taiwan (R.O.C.) aff005;  Department of Internal Medicine, Division of Nephrology, Tri-Service General Hospital, Taipei City, Taiwan (R.O.C.) aff006;  National Defense Medical Center, Taipei City, Taiwan (R.O.C.) aff007;  Department of Health Services Administration, China Medical University, Taichung City, Taiwan (R.O.C.) aff008;  Department of Nursing, Taipei Veterans General Hospital, Taipei city, Taiwan (R.O.C.) aff009
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
prolekare.web.journal.doi_sk: 10.1371/journal.pone.0227297

Souhrn

Purpose

This study compared the quality of life (QOL) of hemodialysis (HD) and peritoneal dialysis (PD) patients in Taiwan.

Methods

This cross-sectional study recruited end-stage renal disease patients from 34 Taiwanese hospitals or clinics. Patient characteristics, diagnoses, and laboratory data were extracted from charts. The Chinese version of the Quality of Life Index–Dialysis version (QLI-D) was used. Multiple linear regression analysis showed the effects of dialysis modality on QOL. P<0.05 indicated statistical significance.

Results

In total, 600 HD and 387 PD patients were included. The mean health and functioning, social and economic, psychological/spiritual, and family subscale scores and total QOL scores were significantly lower in HD patients than PD patients. After adjusting for region, hospital level, age, education level, marital status, and Karnofsky Performance Scale, the total QOL was 2.81 points higher for PD patients than for HD patients visiting medical centers (p<0.001). The total QOL was 2.53 points lower in PD patients than in HD patients for those visiting clinics.

Conclusion

Compared to HD patients, PD patients had better QOL in Taiwanese medical centers. The current survey improves our understanding of the QOL of patients undergoing different dialysis modalities in Taiwan.

Klíčová slova:

Educational attainment – Linear regression analysis – Medical dialysis – Patients – Quality of life – Schools – Socioeconomic aspects of health – Taiwan


Zdroje

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