Abstract：
This study examined the effects of the time of hemodialysis (HD) on patients\' quality of life (QOL). This study included 175 HD patients (116 males, 59 females), aged 18-80 years (mean = 58.1 ± 11.3 years). Shift 1 was 7:00-11:00 AM, Shift 2 was 12:00-4:00 PM, Shift 3 was 5:00-9:00 PM, and Shift 4 was 10:00-2:00 AM (38, 38, 43, and 56 patients, respectively). Those on Shift 4 had a higher mean age compared with the other shifts, with a higher number of widowed people (8.6%). The proportions of males and females showed no significant differences among the shifts. The mean duration on dialysis was 42.1 ± 39.3 months, with a shorter duration for Shift 4. We observed the highest QOL score for the psychological and spiritual subscale, followed by the family subscale. Half the patients were dissatisfied with their jobs and had less satisfaction with their sexual life, their education, and getting a kidney transplant. We found a significant difference in overall QOL among shifts, with the greatest difference between Shifts 3 and 4. Health and functioning, psychological and spiritual, and social and economic scores were lowest in Shift 4, which was significantly different from Shift 1 and Shift 3. We found significant associations between overall QOL and general health, and the scores from different domains. Satisfaction was moderate in all groups. The study revealed poor QOL among Shift 4 patients; hence, they need more support in clinical practice guidelines.
摘要：
这项研究检查了血液透析（HD）时间对患者生活质量（QOL）的影响。这项研究包括175名HD患者(116名男性，59名女性），年龄18-80岁（平均=58.1±11.3岁）。第一班是早上7:00-11:00，第二班是12:00-4:00PM，三班是下午5:00-9:00，4班是上午10:00-2:00（38、38、43和56名患者，分别)。与其他班次相比，4班次的人的平均年龄更高，丧偶人数较多(8.6%)。男性和女性的比例在班次之间没有显着差异。平均透析时间为42.1±39.3个月，与更短的持续时间为4班。我们观察到心理和精神量表的最高QOL得分，其次是家庭分量表。一半的病人对自己的工作不满意,对性生活的满意度较低,他们的教育,做肾脏移植.我们发现不同班次的总体生活质量有显著差异，第3班和第4班之间的差异最大。健康和功能，心理和精神，在第4班，社会和经济得分最低，与第1班和第3班显著不同。我们发现总体生活质量和一般健康状况之间存在显著关联，以及来自不同领域的分数。所有组的满意度均中等。该研究显示4班患者的生活质量较差；因此，他们在临床实践指南中需要更多的支持.
