慢性腎臟病患者生活品質測量的省思與展望

Measuring Quality of Life in Chronic Kidney Disease Patients: Reflections and Prospects

生活品質是複雜且多層次的概念，透過健康相關生活品質的評估可預防疾病進展，提供醫療人員早期發現患者住院及死亡的危險因子。然而，在慢性腎臟病患者身上，因疾病前後期症狀表現不同，若未針對患者期別選擇合適量表，將無法有效測得患者實際生活品質。因此，本文將針對慢性腎臟病患者生活品質測量工具，從量表發展背景至其適用性做綜合性探討，並提出對目前使用現況之建言與未來期望。

Quality of life is a complex and multidimensional concept. Understanding a patient’s quality of life can assist healthcare providers to assess risk factors associated with hospitalization and mortality, and, potentially, delay disease progression. As chronic kidney disease (CKD) symptoms vary during different stages of the disease, instruments must be properly adjusted to measure quality of life accurately. This article explores comprehensively the development and appropriateness of relevant instruments, and recommends specific instruments for use at specific CKD stages.