Kidney disease quality of life (KDQOL),自己決定尺度,食事に関する自己効力を用いた患者支援 第1報

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  • Individual support of hemodialysis patients based on kidney disease quality of life (KDQOL), scale of self-determination, and dietary self-efficacy-The first report.

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An open questionnaire survey was conducted to obtain information from hemodialysis patients based on KDQOL, a scale of self-determination, and self-efficacy to evaluate what factors of patient backgrounds influence these parameters, a well as to discuss whether these parameters could be used to support individual patients.<br>The subjects consisted of 52 hemodialysis patients who had been treated at Atsugi Clinic (25 males and 27 females; mean age: 59.8±11.4 years). Of these patients, 15 were diabetic and 37 were non-diabetic. Moreover, 37 had been undergoing hemodialysis during the daytime, while 15 had semi-night hemodialysis. The mean duration of hemodialysis was 6.2±6.2 years.<br>Regarding gender difference, social support, sleep and physical function were more satisfactory in males than in females. Between patients who had been undergoing daytime hemodialysis and those who had been undergoing semi-night hemodialysis, self-determination for life and social support were found to more satisfactory in the semi-night hemodialysis patients. Compared among patients based on the duration of hemodialysis, physical function and bodily pain were found to be poorer in those who had been undergoing hemodialysis more than 5 years. When the results were compared among patients based on their work status, those without ongoing employment tended to show lower values for all parameters investigated. Regarding the family makeup, those who had been leading a solitary life tended to show lower values for general health perceptions and dietary self-efficacy. In a patient who underwent surgery for intestinal perforation, KDQOL showed prominent changes exceeding 1 S. D. between before admission and during ambulatory treatment after surgery.<br>Information from hemodialysis patients based on KDQOL, scale of self-determination, and dietary self-efficacy was useful in recognizing disparity between medical staff members and hemodialysis patients. Moreover, it was considered that such information might useful to objectively evaluate mental, physical and social conditions of hemodialysis patients and might be indices together with refined cooperation of various caregivers.

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