Quality of Life and Influence Factors Analysis of Kidney Transplantation Patients and Hemodialysis Patients / 昆明医科大学学报

ABSTRACT

Objective Investigate the quality of life (QoL) and its related factors of end stage renal disease (ESRD) patients subjected to kidney transplantation or hemodialysis. Methods From March 2011 to July 2012, patients subjected to kidney transplantation or hemodialysis more than three months hospitalized in the first affiliated hospital of Kunming Medical University and the Yunnan Kidney Disease Hospital were enrolled. Their biochemical indexes were determined and questionnaire survey was performed using KDQOL-SFTM1.2 scale to assess the QoL of ESRD patients. Results (1) The QoL of renal transplantation group was significantly higher than hemodialysis group in the 36-item health survey (SF-36),its physiological and psychological field scores,and the difference was statistically significant ( <0.001);(2) The QoL of renal transplantation group was significantly higher than hemodialysis group in the kidney disease-targeted scales (KDTA) and its fields excepting cognitive function (CF), quality of social interaction (QSI) and sleep field, and the difference was statistically significant ( <0.001); (3) Correlation analysis showed that the scores of SF-36 and KDTA in two groups were positively associated with albumin (Alb) but negatively associated with age. The scores of SF-36 in two groups were positively associated with hemoglobin (Hb) and degree of education. Conclusion The results showed that the QoL of kidney transplantation patients was much higher than that of hemodialysis patients.