喀麦隆四家政府资助医院维持性血液透析患者的生活质量和重新融入社会的情况。

IF 2.2 4区 医学 Q2 UROLOGY & NEPHROLOGY
Denis Georges Teuwafeu, Mervis Sehbing, Marie-Patrice Halle, Maimouna Mahamat, Hermine Fouda, Gloria Ashuntantang
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引用次数: 0

摘要

背景:生活质量下降与慢性病患者的生存期缩短有关。然而,在喀麦隆等资源有限的国家,维持性血液透析患者的健康相关生活质量(HRQOL)和重新融入社会的问题远未得到重视:方法:2022 年 2 月 22 日至 5 月 20 日,在喀麦隆随机选择的三个地区的 4 家政府资助的血液透析中心开展了一项基于医院的横断面研究。患者每周接受两次透析。采用结构化问卷和肾脏病生活质量工具(KDQOL-36™)对患者的社会融入和 HRQOL 进行评估。HRQOL 得分为 50 分,表示 HRQOL 较好。数据使用社会科学统计软件包 25.0 版进行分析。统计显著性以 p 值为标准:研究共纳入 434 名患者。平均年龄为 48.33(13.55)岁,65.7%(285/434)为男性,62.3%(269/434)无月收入,平均透析年限为 3.74(3.83)年。平均 HRQOL 得分为 44.34 (9.77),76.2%(325/434)的 HRQOL 得分为结论:维持性血液透析患者的 HRQOL 大大降低,尤其是他们的身体健康状况。高龄是导致患者生活质量低的一个因素。此外,由于这些患者及其家庭在开始透析后发生的不利变化,他们的社会融入程度仍然很低:临床试验编号:不适用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quality of life and social reinsertion of patients on maintenance haemodialysis in four government funded hospitals in Cameroon.

Background: Reduced quality of life is associated with shorter survival in chronic illnesses. However, the health-related quality of life (HRQOL) and social reinsertion of patients on maintenance haemodialysis is much more underappreciated in resource-limited countries such as Cameroon.

Method: A hospital-based cross-sectional study was carried out from February 22nd to May 20th, 2022, in 4 government-funded haemodialysis centres in three randomly selected regions of Cameroon. Patients received twice-weekly dialysis sessions. Social reinsertion and HRQOL were assessed using a structured questionnaire and the kidney disease quality of life instrument (KDQOL-36™). HRQOL scores < 50 were categorized as low, while scores > 50 reflected better HRQOL. Data were analysed using the software statistical package for Social Sciences version 25.0. Statistical significance was set at a p value < 0.05.

Results: The study included 434 patients. The mean age was 48.33 (13.55) years, 65.7% (285/434) were male, 62.3% (269/434) had no monthly income, and the mean dialysis vintage was 3.74 (3.83) years. The mean HRQOL score was 44.34 (9.77), and 76.2% (325/434) had HRQOL scores < 50). Overall HRQOL was associated with older age (aOR: 2.344, CI 1.089-5.04). After the initiation of maintenance haemodialysis, 67.1% (49/73) of students dropped out of school. The main reason for school absenteeism and unemployment was physical insufficiency, with 82.4% (19/24) and 52.4% (75/144), respectively. There were no promotions or marriages after initiation; 51% (221/434) of relationships with relatives and friends were affected negatively, while 83.3% (66/79) of those of marriageable ages could not find suitors. The social participation score was poor in 61.5% (267/434) of participants. There was an association between low QOL and social participation (p = 0.009).

Conclusion: The HRQOL of patients on maintenance haemodialysis is greatly reduced, especially their physical health status. Older age was a determinant of low QOL. Additionally, social reinsertion remains poor due to adverse changes that occur to these patients and their families after dialysis initiation.

Clinical trial number: Not applicable.

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来源期刊
BMC Nephrology
BMC Nephrology UROLOGY & NEPHROLOGY-
CiteScore
4.30
自引率
0.00%
发文量
375
审稿时长
3-8 weeks
期刊介绍: BMC Nephrology is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of kidney and associated disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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