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Physical and psychOLOGical functions in Patients WITH THE END-STAGE RENAL DISEASE

机译:终末期肾脏疾病患者的生理和心理功能

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Understanding the physical and psychological status in patients with the end-stage renal disease (ESRD) on renal dialysis treatment (RDT) is a current issue of high importance due to a rising number of elderly patients. The aims of the study in ESRD patients were: 1) to test physical and psychological functions; 2) to propose suitable physical activities. Group of patients: (M/F,n=34/33, age 67.0+/-12.7yrs/64.0+/-13.1yrs). For testing we used Senior Fitness Test Manual, KDQOL-SF^T^M-questionnaire SF36, WHOQOL-BREF, Importance of quality of the life (QoL) - WHOQOL-100. Results were analysed using descriptive statistics and non-parametric Wilcoxon signed-rank test. In general, both the physical and psychological conditions were severely deteriorated in most components as compared to the non-renal population. Physical fitness was below the normal range of standard values, or to its lower limits, particularly in the tests requiring some degree of muscular strength of the lower limbs and physical efficiency. QoL results showed that in SF36 ESRD patients coincided with the normal range only in the domain of EWB-mental health. The questionnaire WHOQOL-BREF showed that QoL was: significantly lower in ESRD patients than in healthy population only in the domain ''physical health''. The most important domains of WHOQOL-100 were the domain of ''independence'' (the ability to take care of everyday needs - 4.5 and the ability to move - 4.3), ''environment'' (especially items related to the quality of health care - 4.4). The ESRD patients, especially the elderly, should be encouraged to pay attention to increased physical activity levels in order to maintain functional independence and high quality of the life for as long as possible.
机译:由于越来越多的老年患者,通过肾透析治疗(RDT)来了解终末期肾脏病(ESRD)患者的身体和心理状况是当前非常重要的问题。在ESRD患者中的研究目的是:1)测试身体和心理功能; 2)提出合适的体育锻炼。患者组:(男/女,n = 34/33,年龄67.0 +/- 12.7yrs / 64.0 +/- 13.1yrs)。为了进行测试,我们使用了高级体能测试手册,KDQOL-SF ^ T ^ M问卷SF36,WHOQOL-BREF,生活质量的重要性(QoL)-WHOQOL-100。使用描述性统计和非参数Wilcoxon秩和检验分析结果。一般而言,与非肾脏人群相比,大多数部位的身体和心理状况都严重恶化。身体适应性低于标准值的正常范围或其下限,特别是在要求下肢具有一定程度的肌肉力量和体能的测试中。 QoL结果显示,SF36 ESRD患者仅在EWB精神健康领域与正常范围相符。 WHOQOL-BREF问卷表明,ESRD患者的QoL仅在“身体健康”方面显着低于健康人群。 WHOQOL-100的最重要领域是“独立”(照顾日常需求的能力-4.5和行动能力-4.3),“环境”(尤其是与质量相关的项目)的领域。医疗保健-4.4)。应鼓励ESRD患者(尤其是老年人)注意增加体育锻炼,以尽可能长时间地保持功能独立性和高质量的生活。

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