혈액투석환자에서 환자의 삶의 질에 미치는 요인 평가 = The Factors Influencing the Health-related QOL in Hemodialysis Patients

다국어 초록 (Multilingual Abstract)

Because hemodialysis patients with end stage renal disease(ESRD) cannot be cured of their underlying conditions, the aim of therapeutic programs has been focused on functional status, well-beings and quality of life(QOL). This study was performed to evaluate the factors influencing the health-related QOL in hemodialysis(HD) patients using the U.K. Standard Short-Form 36(SF-36) Health Survey. The supposed influencing factors were designed into three variables of social characteristics, medication teaching by pharmacist and laboratory findings. The study was performed in the hemodialysis unit of Ajou University Hospital from January to August 2000. A total of 74 ESRD patients on HD successfully completed this study, and they were divided into 2 groups. Group A consisted of those patients who received the medication teaching offered by the pharmacist and group B consisted of those patients who didn't receive the medication teaching. Group A(n=57) scored higher in items of the knowledge of medication and positive recognition for medication than group B(n=18) (p=0.014). However, the medication compliance rate was not statistically different between the two groups. Sixty percent of patients preferred both written and verbal methods of educational teaching. The significant factors influencing the QOL in HD patients were age, occupation and medication teaching. Younger patients with the job marked higher scores in SF-36 mean value. In conclusions, occupation, age and medication teaching were the factors influencing the QOL in HD patients. This result indicates that patient education and counseling have a significant influence on QOL for HD patients.