کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5688132 | 1409779 | 2017 | 9 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Patients receiving frequent hemodialysis have better health-related quality of life compared to patients receiving conventional hemodialysis
ترجمه فارسی عنوان
بیمارانی که همودیالیز مکرر دریافت می کنند، کیفیت زندگی مرتبط با سلامت را در مقایسه با بیماران دریافت کننده همودیالیزی معمولی افزایش می دهند
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کلمات کلیدی
کارازمایی بالینی، همودیالیز روزانه، کیفیت زندگی مرتبط با سلامت، همودیالیز شبانه،
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای کلیوی
چکیده انگلیسی
Most patients with end-stage kidney disease value their health-related quality of life (HRQoL) and want to know how it will be affected by their dialysis modality. We extended the findings of two prior clinical trial reports to estimate the effects of frequent compared to conventional hemodialysis on additional measures of HRQoL. The Daily Trial randomly assigned 245 patients to receive frequent (six times per week) or conventional (three times per week) in-center hemodialysis. The Nocturnal Trial randomly assigned 87 patients to receive frequent nocturnal (six times per week) or conventional (three times per week) home hemodialysis. All patients were on conventional hemodialysis prior to randomization, with an average feeling thermometer score of 70 to 75 (a visual analog scale from 0 to 100 where 100 is perfect health), an average general health scale score of 40 to 47 (a score from 0 to 100 where 100 is perfect health), and an average dialysis session recovery time of 2 to 3 hours. Outcomes are reported as the between-treatment group differences in one-year change in HRQoL measures and analyzed using linear mixed effects models. After one year in the Daily Trial, patients assigned to frequent in-center hemodialysis reported a higher feeling thermometer score, better general health, and a shorter recovery time after a dialysis session compared to standard thrice-weekly dialysis. After one year in the Nocturnal Trial, patients assigned to frequent home hemodialysis also reported a shorter recovery time after a dialysis session, but no statistical difference in their feeling thermometer or general health scores compared to standard home dialysis schedules. Thus, patients receiving day or nocturnal hemodialysis on average recovered approximately one hour earlier from a frequent compared to conventional hemodialysis session. Patients treated in an in-center dialysis facility reported better HRQoL with frequent compared to conventional hemodialysis.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Kidney International - Volume 91, Issue 3, March 2017, Pages 746-754
Journal: Kidney International - Volume 91, Issue 3, March 2017, Pages 746-754
نویسندگان
Amit X. Garg, Rita S. Suri, Paul Eggers, Fredric O. Finkelstein, Tom Greene, Paul L. Kimmel, Alan S. Kliger, Brett Larive, Robert M. Lindsay, Andreas Pierratos, Mark Unruh, Glenn M. Chertow,