Vol.5, No 1, 1998 pp. 64 - 68
UDC: 616.38
QUALITY OF LIFE OF END-STAGE RENAL FAILURE
PATIENTS
RECEIVING CONTINUOUS AMBULATORY PERITONEAL
DIALYSIS
Jasna Trbojević1, Dejan Nešić1,
Biljana
Stojimirović2,
Vidosava Nešić2
1University Medical School, Belgrade,
Yugoslavia,
2Institute of Urology and Nephrology,
University Medical School, Belgrade, Yugoslavia
Summary. Quality of life is an important attribute of continuous
ambulatory peritoneal dialysis (CAPD) therapy and it has not, to our knowledge,
been studied before in our country. This study describes how 87 patients
- 45 in end-stage renal failure treated conservatively (25 males and 20
females, mean age 59.5 ą 11.9) and 42 on CAPD (24 males and 18 females,
mean age 58.5 ą 11.6) - perceived their own quality of life. They were
all interviewed using the original questionnaire generating fifteen life
quality variables: marital status and family relations, employment status,
working ability, tiring, sleep, appetite, endurement of cold, wound healing,
travelling, sports, socializing, sexual activity, mood, home maintenance,
happiness. Differences between groups were assessed with chi-squared test
(?2) - correction by Mood, Student's t-test and McNemar's test.
The results obtained show statistically significant improvement in
working ability (p < 0,05) and in tiring (p < 0,05) in CAPD patients
compared to those in end-stage renal failure treated conservatively. Positive
influence of CAPD treatment was not impressive as expected due to the fact
that in our country this treatment modality is still mostly used in old
people and people suffering from serious systemic diseases whose general
status is already so heavily impaired even before the start of the treatment
that it can not be easily repaired.
Key words: Continuous ambulatory peritoneal dialysis, quality
of life
KVALITET ŽIVOTA BOLESNIKA U ZAVRŠNOM STADIJUMU
HRONIČNE INSUFICIJENCIJE BUBREGA LEČENIH PERITONEUMSKOM DIJALIZOM
Različiti postupci lečenja hronične insuficijencije bubrega imaju za cilj
i da poboljšaju kvalitet života obolelih. Da bi se utvrdio uticaj kontinuirane
ambulatorne peritoneumske dijalize (CAPD) na kvalitet života bolesnika
ispitano je 87 osoba: 45 u završnom stadijumu hronične slabosti bubrega
lečenih konzervativno (25 muškaraca i 20 žena, srednjeg starosnog doba
59,5 ą 11,9) i 42 na CAPD (24 muškaraca i 18 žena, srednjeg starosnog doba
58,5 ą 11,6). Korišćenjem originalnog upitnika ispitano je 15 varijabli
kvaliteta života: bračno stanje i odnosi u porodici, zaposlenost, radna
sposobnost, zamor, san, apetit, raspoloženje, podnošenje hladnoće, brzina
zarastanja rana, bavljenje sportom, putovanje, održavanje prijateljstava,
seksualna aktivnost, sposobnost za brigu o sebi i sreća.
Rezultati su pokazali statistički značajno poboljšanje radne sposobnosti
(p < 0,05) i smanjenje zamor (p < 0,05) kod osoba na CAPD u odnosu
na one lečene konzervativno. Iako rezultati ukazuju na pozitivan učinak
CAPD na kvalitet života obolelih oni nisu tako impresivni kao što bi se
moglo očekivati. Razlog tome je što se ovaj metod lečenja u našoj zemlji
još uvek primenjuje gotovo isključivo kod starih i osoba sa teškim sistemskim
oboljenjima čiji je kvalitet života toliko narušen još pre početka terapije
da se ne može značajnije popraviti.
Ključne reči: Kontinuirana ambulatorna peritoneumska dijaliza,
kvalitet života
