透析患者におけるQOLの評価  SF‐36による健康関連QOL

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  • Quality of life in patients on chronic hemodialysis.

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Health-related quality of life (QOL) in patients on chronic hemodialysis was assessed using the SF-36 questionnaire. One hundred and eighty three patients were enrolled. The average age was 59.5 years and the average duration of hemodialysis was 6.9 years. The QOL scores of these patients were below normal.<br>Factors that reduced the patient's QOL score were aging, the duration of hemodialysis and hypoalbuminemia. From the perspective of complications, malignant disease, diabetes mellitus, problems with blood access, ischemic change on ECG, history of surgery on the extremities and dialysis-related amyloidosis reduced the QOL score. Judging from symptoms of the patients, being bothered by washed out or drained feeling, soreness of muscles, shortness of breath, lack of appetite and numbness in the hands and feet are related to a reduction in the QOL score.<br>From this evaluation, medical staff should be care for these patient's symptoms. Appropriate correspondence is required to improve the QOL of the patients.

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