Quality of life in patients with chronic kidney disease
- 作者: Gulov M.1, Abdulloev S.1, Rofiev K.1
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隶属关系:
- Avicenna Tajik State Medical University name after Abu Ali Ibn Sina
- 期: 卷 26, 编号 4 (2018)
- 页面: 493-499
- 栏目: Original study
- URL: https://journals.rcsi.science/pavlovj/article/view/10844
- DOI: https://doi.org/10.23888/PAVLOVJ2018264493-499
- ID: 10844
如何引用文章
详细
Aim to study the quality of life (QOL) of patients with chronic kidney disease (CKD) in the Republic of Tajikistan.
Materials and Methods. The study was conducted in 2016-2018 and included 319 patients, with CKD (of them 58.9% men, with CKD I-IV stages – 121, receiving long term hemodialysis – 109, after kidney transplantation – 89) and 103 relatively healthy individuals (control group, men – 53.4%). The main causes of CKD were glomerulonephritis, diabetes mellitus, and pyelonephritis. QOL was evaluated by the SF-36.
Results. Impairment of the quality of life in patients with CKD was demonstrated in most parameters, both in comparison with the control group and with progression of CKD. In the terminal stage of CKD the quality of life evaluated by some parameters (bodily pain, general health, physical health, social functioning) was lower in patients dependent on program hemodialysis than in patients after kidney transplantation. The parameters of mental and psychological health did not show any differences between these groups which is explained by the authors as due to lack of psychological support after surgical intervention, to necessity of using immunosuppressive therapy and to the economical constituent of treatment.
Conclusions. Evaluation of the quality of life should be an obligatory component of the analysis of the quality and effectiveness of management of patients with chronic kidney disease including those at the terminal stage. In the work, impairment of the quality of life and of its separate parameters in progression of chronic kidney disease was objectively demonstrated. At the terminal stage, the quality of life evaluated by some most important parameters was lower in patients receiving program hemodialysis that in patients after transplantation of kidney.
作者简介
Makhmadsho Gulov
Avicenna Tajik State Medical University name after Abu Ali Ibn Sina
编辑信件的主要联系方式.
Email: egan0428@mail.ru
ORCID iD: 0000-0001-5151-937X
SPIN 代码: 5463-6781
Researcher ID: D-7916-2018
MD, PhD, Professor of the General Surgery Department №1
塔吉克斯坦, 734003, Dushanbe, Rudaki ave., 139Saidkhodzha Abdulloev
Avicenna Tajik State Medical University name after Abu Ali Ibn Sina
Email: egan0428@mail.ru
ORCID iD: 0000-0003-0058-7633
Researcher ID: U-6069-2018
graduate student of the Epidemiology Department
塔吉克斯坦, 734003, Dushanbe, Rudaki ave., 139Khamdam Rofiev
Avicenna Tajik State Medical University name after Abu Ali Ibn Sina
Email: egan0428@mail.ru
ORCID iD: 0000-0002-3473-9378
SPIN 代码: 6025-4853
Researcher ID: 9087-2018
MD, PhD, Professor of the Epidemiology Department
塔吉克斯坦, 734003, Dushanbe, Rudaki ave., 139参考
- Chubutiya MS, Gulov МК, Ismoilov SS, et al. Prognostic risk factors of early transplant dysfunction after relative kidney transplantation. Health Care of Tajikistan. 2016;331(4):51-9. (In Russ).
- Pirov BS, Pikiren’ya II, Kalmykov EL, et al. Cytomegalovirus and bacterial infection in donors and recipients in kidney transplantation. I.P. Pavlov Russian Medical Biological Herald. 2015;23(4):17-20. (In Russ).
- Smirnov AP, Mashkina EA. Economic efficiency of kidney transplantation in comparison with hemodialysis program among patients with terminal stage of chronic renal insufficiency. International Research Journal. 2017;63(9-2):31-3. (In Russ). doi: 10.23670/irj.2017.63.031
- Khubutia MSh, Gulov MK, Ismoilov SS, et al. The prognostic value of risk factors having influence to long-term survival of patients and transplants after living-related kidney transplantation. Bulletin Avi-cenna Scientific Medical Journal. 2016;68 (3):7-13. (In Russ).
- Kalmykov E.L. An Overview of the Cologne Symposium on Issue of Vascular Access in Patients on Progmammic Hemodialysis («Kölner Dialyseshunt Symposium», June, 24-25, 2016 year). Novosti Khirurgii. 2017;25(2):211-4. (In Russ). doi:10.18484 /2305-0047.2017.2.211
- Vasilieva IA, Dobronravov VA, Panina IYu, et al. Quality of life in patients with different stages of chronic kidney disease. Nefrology. 2013;17(2):60-5. (In Russ). doi: 10.24884/1561-6274-2013-17-2-60-65
- Gazhva SI, Zagaynov VE, Igolkina NA, et al. Quality of life of patients with chronic kidney disease undergoing hemodialysis. Modern Problems of Science and Education. 2013;3:96. (In Russ).
- Elfimov DA, Elfimova IV, Moreva GV, et al. Izucheniye kachestva zhizni u patsiyentov s khronicheskoy bolezn’yu pochek. Universitetskaya meditsina Urala. 2017;3(3,10):14-6. (In Russ).
- Joshi VD. Quality of life in end stage renal disease patients. World Journal of Nephrology. 2014; 3(4):308-16. doi: 10.5527/wjn.v3.i4.308
- Manavalan M, Majumdar A, Harichandra Ku-mar KT, et al. Assessment of health-related quality of life and its determinants in patients with chronic kidney disease. Indian Journal of Nephrology. 2017;27(1):37-43. doi: 10.4103/0971-4065.179205