Effect of long session hemodialysis on the quality of life in maintenance hemodialysis patients
10.3760/cma.j.issn.1001-7097.2012.10.001
- VernacularTitle:长程血液透析对维持性血液透析患者生活质量的影响
- Author:
Wendi DAI
;
Dongliang ZHANG
;
Wenhu LIU
- Publication Type:Journal Article
- Keywords:
Hemodialysis;
Quality of life;
Sleep;
Nutrition
- From:
Chinese Journal of Nephrology
2012;(10):747-751
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of long session hemodialysis (LSHD) on the quality of life in maintenance hemodialysis (MHD) patients.Methods A total of 40 MHD patients in our dialysis center were enrolled in the study.Quality of life was investigated by SF-36 table.Sleep questionnaire survey concluded the Athens insomnia scale (AIS),Pittsburgh sleep quality index (PSQI) and Epworth sleepiness scale (ESS).Clinical data were collected.Forty MHD patients were equally divided into HD and LSHD groups according to clinical data and sleep quality score for prospective study.Hemodialysis dose of HD group was 4 h thrice weekly,and of LSHD group was 8 h thrice weekly.The trial lasted for 6 months.Changes of life quality were compared between two groups.Results As compared to HD group,LSHD group had significant higher Kt/V (1.73±0.36 vs 1.41±0.23,P＜0.05),higher levels of serum hemoglobin [(124.67±9.08) vs (110.55±9.01) g/L,P＜0.01] and albumin [(45.01±2.66) vs (39.28±2.63) g/L,P＜0.01].better sleep quality score (16/20 vs 5/20,P=0.001) and higher blood pressure control proportion (14/20 vs 5/20,P=0.010),higher score of SF-36 (P＜0.05).Conclusion LSHD can improve the life quality of MHD patients by increasing sleep quality and nutrition level.
