腹膜透析病患生活品質及其相關因素探討

Factors Related to Quality of Life in Peritoneal Dialysis Patients

本研究目的為探討腹膜透析病患生活品質及其相關因素。採用橫斷式描述性相關性研究設計，研究對象為北區某醫學中心腹膜透析病患，研究工具採「台灣簡明版世界衛生組織生活品質問卷」。以方便取樣發出問卷79份，取得有效問卷75份，並以SPSS10.0進行資料分析。結果顯示腹膜透析病患生活品質平均得分84.88±14.85，四層面以環境層面得分最高(13.04±2.25)，心理層面得分最低(11.12±2.78)。影響因素則包括年齡、工作、經濟狀況、個人收入、接受透析治療的時間、換液次數、治療決定及其操作者、腹膜的功能:透析液與血漿中的肌酸酐比(D/Pcr)等。本研究結果可作為臨床護理人員介入腹膜透析病患生活品質改善措施時之參考。

The purpose of this study was to describe the quality of life of patients on peritoneal dialysis. In this descriptive-correlation study, convenience samples were obtained from a peritoneal dialysis unit of a major medical center in northern Taiwan, and Taiwanese WHOQOL-BREF were used to assess outcomes. We sent out 79 questionnaires and 75 valid questionnaires were returned. Data were coded and analyzed using SPSS for Windows 10.0 edition software. The major findings of this study were as follows; using the Taiwanese WHOQOL-BREF, the mean score of overall quality of life in Peritoneal Dialysis Patients was 84.88±14.85. Of the results of the four domains, the highest scores were recorded for the social relationships domain (13.04±2.25), and the lowest score was for psychological domain (11.12±2.78). Quality of life was profoundly influenced by age, employment, economic condition, time on peritoneal dialysis, APD with extra exchanges, treatment decision and the operator, as well as the peritoneum function (D/Pcr). The results of this study provide useful references for improving the quality of life of patients on peritoneal dialysis.