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Peritoneal dialysis patients to maintain the quality of life and its influencing factors


Set and take appropriate intervention measures play an important role in guiding. The data, PD patients is lower than the overall quality of life of normal people, the largest decline in the score of physical, psychological, environmental domain score was significantly decreased, while the smaller differences in the social sphere. Analysis of reasons: First, PD patients often accompanied by anemia, malnutrition, high blood pressure, bone disease and edema caused by inadequate dialysis, dialysis solution replaced several times a day, interferes with the normal patterns of life, and poor appetite in patients with , lack of sleep, etc., will inevitably lead to decline in physical quality of life of the field; Second, PD patients not only to bear the agony of disease, but also acceptable from the economic, family and other aspects of life and mental stress brought about; Third, require long-term dialysis patients, when complications occur, affecting their work and learning; fourth, social factors, such as family, friends,[link widoczny dla zalogowanych], unit leaders, colleagues, concern, support, due to daily dialysis, affect social participation and activities. Antimicrobial Agents and Chemotherapy 10 August 2008 No. 8 wing of the survey, with the dialysis time (> 1 year), residual renal function in patients with progressive loss of the residual urine gradually reduced the dose of dialysis if it is not adjustment, inadequate dialysis to become more prominent, increasing the number of dialysis, strict control of drinking water or food with high water content, into the low-salt or no salt diet, which will affect the patients quality of life. In addition, there will be a part of dialysis patients with poor drainage, dialysis tube displacement, peritoneal infection, peritoneal dialysis-related complications such as excessive capacity, expressed as a negative ultra dialysate, edema, heart failure, abdominal pain, fever and other symptoms, resulting in psychological burden of patients, mental stress, anxiety,[link widoczny dla zalogowanych], depression, pessimism and other negative emotions increased. Male and age of patients is too small or too large a lower quality of life scores. Men are generally the main family, work, learn, more opportunities for social activities, and replaced several times daily dialysis, outpatient hospital treatment were followed up at least once a month to limit their activities, also affects the economic income. Age of the patients in the same school because the school further studies of dialysis treatment, elderly patients are because life can not take care of themselves, their families need help dialysis medium was changed to complete, so that the burden of their thoughts. Or just enjoy some of the farmers at their own expense insured patients to afford the high cost of dialysis treatment, usually more than 3 million per year for medical expenses, long-term overwhelmed. These are quality of life scores may be reasons for the decline. The group findings for clinical treatment and care of the Enlightenment: the impact of the traditional biological model, a long time, clinicians and nurses to improve patient's physical function, monitoring of biochemical-based, such as reducing disease symptoms and reduce complications and so on patients with mental,[link widoczny dla zalogowanych], psychological, subjective feelings of concern about inadequate. The survey shows that the quality of life in peritoneal dialysis patients affected by diseases, psychological, environmental, and social aspects of the field, so the psychological and sociological factors to be considered included in treatment programs, psychological intervention, will help patients face of reality changes, cognitive, ease the psychological pressure, positive response to disease. Studies have shown that social support is seen as psychological stress is to determine the relationship between health and one of the important intermediary factors, social support, on the one hand, individuals under stress to provide protection, a buffer corresponding to provoke the other hand, the maintenance of general Good emotional experience is of great significance [3. As a dialysis center doctors and nurses, in addition to usual medical care of support, should also provide emotional support, such as multi-respect, to encourage patients to communicate more with patients thought to make it build confidence to overcome the disease, usually have to strengthen the family follow-up,[link widoczny dla zalogowanych], as far as possible to help them obtain the necessary social support resources, such as units,[link widoczny dla zalogowanych], community and socio-economic support, encourage patients to return to society, to achieve the purpose of improving the quality of life.
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