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首页> 外文期刊>Journal of advanced nursing >Age is not a contraindication to home-based dialysis - Quality-of-Life outcomes favour older patients on peritoneal dialysis regimes relative to younger patients
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Age is not a contraindication to home-based dialysis - Quality-of-Life outcomes favour older patients on peritoneal dialysis regimes relative to younger patients

机译：年龄不是家庭透析的禁忌症-生活质量的结果相对于年轻患者而言，更有利于采用腹膜透析方案的老年患者

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Aim: To compare Quality of Life, anxiety and depression between older (≥65 years) and younger (<65 years) patients across automated peritoneal dialysis and continuous ambulatory peritoneal dialysis. Background: There is a lack of studies as to whether the different peritoneal dialysis modalities confer similar outcomes in older and younger patients. Design: Cross-sectional. Methods: A total of 201 patients completed the Kidney Disease Quality of Life Short-Form, World Health Organization Quality of Life Instrument, Short Form and Hospital Anxiety and Depression Scale. Comorbidity and biochemical values were abstracted from medical records. Results: Older patients reported significantly better quality of life than younger patients in the Kidney Disease Quality of Life Short-Form effects of kidney disease and patient satisfaction and the World Health Organization Quality of Life Instrument overall Quality-of-Life/health despite worse clinical profile. Quality of life outcomes were comparable between automated peritoneal dialysis and continuous ambulatory peritoneal dialysis with the exception of the Kidney Disease Quality of Life Short-Form symptoms in favour of automated peritoneal dialysis. Levels of anxiety and depression were equivalent for older and younger patients across peritoneal dialysis modalities. The observed quality-of-life advantages for older patients persisted after case-mix adjustments and extended to more quality-of-life domains and depression and anxiety. Conclusion: Our findings of superior quality of life in patients aged ≥ 65 support the expansion of peritoneal dialysis use in older patients.
机译：目的：比较自动腹膜透析和连续非卧床腹膜透析的年龄（≥65岁）和年轻（<65岁）患者的生活质量，焦虑和抑郁。背景：缺乏关于不同的腹膜透析方式是否在老年和年轻患者中产生相似结果的研究。设计：横截面。方法：共201例患者完成了肾脏疾病生活质量简表，世界卫生组织生活质量仪表，简表和医院焦虑抑郁量表。从病历中提取出合并症和生化价值。结果：在肾脏疾病的生活质量方面，老年患者报告的生活质量明显优于年轻患者，尽管临床表现较差，但肾脏疾病和患者满意度的短期影响以及世界卫生组织的生活质量仪器的总体生活质量/健康个人资料。生活质量的结果在自动腹膜透析和连续非卧床腹膜透析之间是可比的，但肾脏疾病的生活质量短期形式症状除外，而赞成进行自动腹膜透析。在整个腹膜透析方式中，老年和青年患者的焦虑和抑郁水平相同。在调整病例组合后，老年患者的生活质量优势仍然存在，并扩展到更多的生活质量领域，抑郁症和焦虑症。结论：我们对≥65岁患者的更高生活质量的发现支持了老年患者腹膜透析使用的扩大。

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