بررسی کیفیت زندگی و عوامل موثر بر آن در بیماران نارسایی مزمن کلیه تحت همودیالیز در بیمارستانهای شهرستان بروجرد در سال 1400

نوع مقاله : کاربردی

نویسندگان

1 گروه آموزش بهداشت و ارتقای سلامت ، دانشکده بهداشت ،دانشگاه علوم پزشکی اراک، تهران، ایران

2 گروه اپیدمیولوژی دانشکده بهداشت، دانشگاه علوم پزشکی اراک، تهران، ایران

چکیده

مقدمه و هدف: نارسایی مزمن کلیوی بیماری پیشرونده و غیر قابل برگشت است که در اثر آن کلیه ها عملکرد خود را از دست می دهند، این بیماری کیفیت زندگی بیماران را نحت تاثیر قرار می‌دهد. بررسی ابعاد کیفیت زندگی بیماران تحت دیالیز در جهت طراحی  مداخلات آموزشی ضروری می باشد. این مطالعه با هدف تعیین عوامل موثر بر کیفیت زندگی بیماران همودیالیزی  اجرا گردید.
مواد و روش ها: مطالعه حاضر یک مطالعه مقطعی-تحلیلی می باشد که به بررسی سطح کیفیت زندگی کلیه بیماران نارسایی مزمن کلیه تحت  همودیالیز (80 نفر)، در دو بیمارستان امام خمینی (ره) و آیت الله بروجردی، شهرستان بروجرد در سال 1400 پرداخته است. ابزار جمع آوری داده‌ها، پرسشنامه استاندارد کیفیت زندگی بیماران کلیوی (KDQOL-SF)  بود. داده ها با استفاده از آمار توصیفی نظیر فراوانی و میانگین و همچنین آزمون های تی مستقل، آنالیز واریانس و ضریب همبستگی پیرسون مورد تجزیه و تحلیل قرار گرفتند.
نتایج: میانگین کل نمره کیفیت زندگی 22/6±86/47 بود، همچنین بین درک بیمار از وضعیت سلامت خود با سطح کیفیت زندگی ارتباط معنی داری وجود داشت(005/0p=)، به طوری که هرچه شخص وضعیت سلامت خود را ضعیف تر قلمداد می کند، نمره کیفیت زندگی نیز کاهش می یابد. همچنین آزمون همبستگی پیرسون نشان داد که همبستگی منفی و معنی دار بین سن و کیفیت زندگی وجود دارد (001/0p=، 390/0r=-).
نتیجه‌گیری: نتایج این مطالعه بیانگر سطح متوسط کیفیت زندگی در بیماران نارسایی مزمن  تحت همودیالیز بود.

کلیدواژه‌ها

عنوان مقاله [English]

Evaluation of quality of life and its effective factors in patients with chronic renal failure undergoing hemodialysis in Boroujerd hospitals in 2021

نویسندگان [English]

  • Reza Moridi 1
  • Raheleh Soltani 1
  • Mahboobeh Khorsandi 1
  • Amir Almasi 2
1 Department of Health Education and Health Promotion, School of Health, Arak University of Medical Sciences, Tehran, Iran
2 Department of Epidemiology, School of Health, Arak University of Medical Sciences, Tehran, Iran
چکیده [English]

Background and Objective: Chronic renal failure is a progressive and irreversible disease in which the kidneys lose their function. This disease affects the quality of life of patients. The study of the dimensions of quality of life in patients undergoing dialysis is necessary to design educational interventions. This study was performed with the aim of determining the factors affecting the quality of life in hemodialysis patients.
Materials and Methods: The study was a cross-sectional study that examined the quality of life of all patients with chronic renal failure undergoing hemodialysis (80 people) in two hospitals of Imam Khomeini and Ayatollah Boroujerdi, Boroujerd city in 2021. Data collection was the standard quality of life questionnaire for kidney patients (KDQOL-SF). Data were analyzed using descriptive statistics such as frequency and mean as well as independent t-test, analysis of variance, Pearson correlation coefficient.
Results: The mean of the total quality of life score was 47.86± 6.22. Also, there was a significant relationship between the patient's perception of health status and the quality of life level (p = 0.005); so that the more a person considered his health status weaker the quality of life score also decreases. Also, Pearson correlation test showed that there was a significant negative correlation between age and quality of life (p=0.001, r=0.390).
Conclusion: The results of this study showed a low level of quality of life in patients undergoing hemodialysis.

کلیدواژه‌ها [English]

  • Quality of life
  • Renal dialysis
  • Chronic kidney disease

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دانشور پزشکی
دوره 30، شماره 3 - شماره پیاپی 160
مرداد و شهریور 1401
صفحه 23-33

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