关键词: central venous catheter functional status quality of life renal dialysis vascular fistula

来  源:   DOI:10.3390/jcm13082425   PDF(Pubmed)

Abstract:
Background: Patient quality of life is widely used as a non-clinical determinant of care. For patients undergoing hemodialysis, vascular access is vital to the delivery of hemodialysis and its function may affect not only the clinical outcome of treatment but also the overall quality of life of the patient, highlighting the need for increased efforts to improve the quality of hemodialysis vascular access care. The objective of this study was to evaluate the correlation between vascular access perception and quality of life in patients undergoing hemodialysis. Methods: A total of 202 patients with active hemodialysis vascular access were included in the study. Quality of life was assessed using the Kidney Disease Quality of Life Instrument (KDQOL™) questionnaire, while vascular access perception was evaluated using the Vascular Access Questionnaire (VAQ). Results: The study presented evidence on the influence of vascular access for hemodialysis patients on their quality of life. This impact is related to factors directly associated with vascular access, such as the type of access and the patient\'s subjective evaluation of the access. Conclusions: The perception of vascular access is one of the factors that determines the quality of life of hemodialysis patients. The quality of life of hemodialysis patients decreases as the number of vascular access-related problems increases.
摘要:
背景:患者生活质量被广泛用作护理的非临床决定因素。对于接受血液透析的患者,血管通路对血液透析的输送至关重要,其功能可能不仅影响治疗的临床结果,而且影响患者的整体生活质量,强调需要加大力度提高血液透析血管通路护理的质量.这项研究的目的是评估血液透析患者的血管通路感知与生活质量之间的相关性。方法:共纳入202例主动血液透析患者的血管通路。使用肾脏疾病生活质量量表(KDQOL™)问卷评估生活质量,而血管通路感知使用血管通路问卷(VAQ)进行评估。结果:该研究提供了血液透析患者血管通路对其生活质量影响的证据。这种影响与血管通路直接相关的因素有关,例如访问的类型和患者对访问的主观评估。结论:血管通路感知是决定血液透析患者生活质量的因素之一。血液透析患者的生活质量随着血管通路相关问题数量的增加而降低。
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