СРАВНИТЕЛЬНЫЙ АНАЛИЗ КАЧЕСТВА ЖИЗНИ БОЛЬНЫХ ПРИНИМАЮЩИХ ПРОГРАММНЫЙ ГЕМОДИАЛИЗ
Keywords:
Hemodialysis, end-stage renal disease, chronic kidney disease, chronic glomerulonephritis.Abstract
Relevance. End-stage renal disease is a chronic disease that has a large negative impact on the health-related quality of life of patients, mainly due to comorbid disorders or imposed restrictions in almost all areas of their daily life.
Goal. Comparative assessment of the quality of life of those receiving renal replacement therapy.
Materials and methods. The study included 60 patients with ESRD receiving program hemodialysis for at least a year. The patients were divided into 2 groups. The first group n-30 patients with type 2 diabetes and ESRD, the second group n-30 patients with chronic glomerulonephritis and ESRD. In order to assess QOL, the Kidney Disease Quality of Life Short Form (KDQOL-SFTM) questionnaire was used, which includes sections specific to dialysis therapy, which makes it possible to assess and compare the quality of life (QOL) of patients treated with hemodialysis (HD)
Results. This article presents the results of a prospective study conducted in the Bukhara region. Among patients on renal replacement therapy, a survey was conducted reflecting the specifics of the provision of program hemodialysis and its impact on the quality of life of patients. The analysis of the results showed that the self-assessment of the health status of patients with CG, in contrast to those with diabetes on dialysis, was significantly lower in terms of psycho-emotional parameters. However, the results of physical health parameters were lower in patients with type 2 diabetes, which, as a result, indicates a low quality of life in the first group of patients.
Conclusion. The data indicate that RRT is more difficult in patients with diabetes and, accordingly, the quality of life in this category of patients is much lower. The version of the KDQOL-SF™ 1.3 questionnaire adapted by us makes it possible to quite clearly study and evaluate various psychometric parameters of QoL in patients on renal replacement therapy.
References
Васильева И.А., Смирнов А.В. Оценка качества жизни больных на гемодиализе при помощи опросника KDQOL-SF TM. Нефрология. 2017;21(4):55-60
Васильева И.А., Петрова Н.Н. Современные подходы к психологической реабилитации больных с хронической почечной недостаточностью. Пособие для врачей. - СПб, 6-изд., СПбГМУ, 2003.
Хрулев А.Е., Кудрявцева Е.С., Егорова П.А., Родионова А.Д., Сорокоумова С.Н., Суворова О.В. Качество жизни больных на программном гемодиализе. Общая реаниматология. 2019;15(2):4-12.
Avramovic M, Stefanovic V. Health-related quality of life in different stages of renal failure Artif Organs. 2012;36(7):581–589
American Diabetes Association. “Standards of medical care in diabetes—2018 abridged for primary care providers.” Clinical Diabetes 36.1(2018): 14-37
Gerasimoula K, Lefkothea L, Maria L, Victoria A, Paraskevi T, Maria P. QUALITY OF LIFE IN HEMODIALYSIS PATIENTS. Mater Sociomed. 2015 Oct; 27(5):305-9. doi: 10.5455/msm.2015.27.305-309. Epub 2015 Oct 5. PMID: 26622195; PMCID: PMC4639348.
IDF Diabetes Atlas 2021 – 10th edition
Kamalidinovna, B. B. (2022). Features of Phosphoric-Calcium Exchange in Patients Treated with Program Hemodialysis. Research Journal of Trauma and Disability Studies, 1(2), 39–45.
Djuraeva A. Sh. and Badridinova B. K. "METHODS FOR PREVENTING THE DEVELOPMENT OF TERMINAL RENAL FAILURE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS." British Medical Journal 2.1 (2022).
Dzhuraeva A. Sh., Badridinova B. K. ASSESSMENT OF THE INFLUENCE OF DYSLIPIDIMIA ON THE QUALITY OF LIFE OF PATIENTS RECEIVING PROGRAM HEMODIALYSIS //Art of Medicine. International Medical Scientific Journal. – 2022. – Т. 2. – №.1.