国际护理科学（英文）2022，Vol.9Issue(4)：422-429,8.
维持性血液透析患者姑息照护需求和症状负担的调查研究
Palliative care needs and symptom burden in younger and older patients with end-stage renal disease undergoing maintenance hemodialysis:A cross-sectional study
摘要
Abstract
Objectives:To investigate the current situation of palliative care needs and the symptom burden in patients with end-stage renal disease(ESRD)undergoing maintenance hemodialysis(MHD),and to explore whether there are differences between younger and older patients.Methods:This cross-sectional study was conducted in the hemodialysis centers of two tertiary hospitals from November 2021 to June 2022.Participants were selected by convenience sampling.Socio-demographics,clinical characteristics,the Palliative Care Outcome Scale(POS),the Dialysis Symptom Index(DSI),and health-related quality of life(EQ-5D-3L)were used for evaluation.Descriptive statistics,between-group comparisons,and correlation analysis were used to analyze the data.Results:A total of 236 patients were enrolled,including 118 younger and 118 older patients.The total median(P25,P75)POS score was 16.0(12.0,23.0),and the score was higher in older patients(P＜0.01).The mean total number of symptoms in MHD patients was 15.04±5.06,and the overall median symptom severity score was 59.0(52.0,71.0);these scores were higher in the older group(P＜0.01).The most common symptom was dry mouth(91.5％),followed by itching(83.1％),and dry skin(82.2％).Additionally,palliative care needs were significantly associated with symptom burden and health-related quality of life(HRQOL).Conclusions:The results showed that patients with ESRD undergoing MHD have a significant symptom burden and moderate palliative care needs,which are more severe in older patients.Therefore,inter-disciplinary teams should be formed to actively manage patients'symptoms and meet the physical,psychological,social,and spiritual needs related to palliative care to improve patients'HRQOL.关键词
终末期肾病/血液透析/需求评估/姑息照护/生活质量/症状负担Key words
End-stage renal disease/Hemodialysis/Needs assessment/Palliative care/Quality of life/Symptom burden引用本文复制引用
王雪菲,史秋寅,莫永珍,刘静,苑影影..维持性血液透析患者姑息照护需求和症状负担的调查研究[J].国际护理科学（英文）,2022,9(4):422-429,8.基金项目
Social Development Project of Key R&D Program of Science and Technology Department of Jiangsu Province. （）
