关键词: CKD Chronic Kidney disease Dialysis QoL Quality of life Tools

来  源:   DOI:10.1016/j.jsps.2024.101958   PDF(Pubmed)

Abstract:
UNASSIGNED:  The universal increase in obesity and diabetes has increased the chronic kidney disease (CKD) rate. In 2017, almost 800 million individuals suffered from CKD worldwide. Kidney dialysis becomes necessary as the disease progresses. Dialysis negatively impacts CKD patients\' quality of life (QoL). It causes several complications that affect patients\' physical, social, psychological, and spiritual aspects of life. This systematic review aims to identify condition-specific tools used to assess CKD patients\' quality of life on dialysis.
UNASSIGNED: A systematic literature search was conducted to investigate studies using QoL tools among patients on dialysis from February 2000 to June 2023. The search was conducted in several databases and followed the PRISMA guidelines. The focus was to identify tools that capture intrinsic factors, such as spiritual subdomains, rather than extrinsic factors, such as environmental subdomains.
UNASSIGNED: The review identified five studies and seven dialysis-specific tools for assessing the QoL of CKD patients on dialysis. The physical domain was the most assessed, followed by the psychological and social domains. Fatigue, muscle weakness, sleep disorders, and pain were identified as the most common concerns in the physical domain.
UNASSIGNED: Dialysis negatively impacts all aspects of QoL in CKD patients. This review can guide clinicians in understanding the disease and treatment burden by identifying the most appropriate tools for assessing the QoL of adult CKD patients undergoing dialysis. There is a need for further studies to explore the detrimental effects of CKD treatment and better understand its impact on patients\' QoL.
摘要:
肥胖和糖尿病的普遍增加增加了慢性肾脏疾病(CKD)的发病率。2017年,全球有近8亿人患有CKD。随着疾病的进展,肾脏透析变得必要。透析对CKD患者生活质量(QoL)有负面影响。它会引起几种影响患者身体的并发症,社会,心理,和精神方面的生活。本系统综述旨在确定用于评估CKD患者透析生活质量的条件特异性工具。
进行了系统的文献检索,以调查2000年2月至2023年6月在透析患者中使用QoL工具的研究。搜索是在几个数据库中进行的,并遵循PRISMA指南。重点是确定捕获内在因素的工具,如精神子领域,而不是外在因素,例如环境子域。
该综述确定了5项研究和7项透析专用工具,用于评估接受透析的CKD患者的QoL。物理领域是评估最多的,其次是心理和社会领域。疲劳,肌肉无力,睡眠障碍,疼痛被认为是物理领域中最常见的问题。
透析对CKD患者QoL的各个方面都有负面影响。这篇综述可以通过确定评估接受透析的成年CKD患者QoL的最合适工具来指导临床医生了解疾病和治疗负担。需要进一步的研究来探索CKD治疗的有害影响,并更好地了解其对患者QoL的影响。
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