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Changes in physical-functional performance and quality of life in hemodialysis patients in Taiwan: a preliminary study.
Type
article
Resource
Journal of Nephrology . 2010 Jan-Feb;23(1):41-8.
Date Issued
2010-01
Author(s)
Hsieh RL, Huang HY, Chen SC, Lin WH, Wu CW, Chang CH, Lee WC
Subjects
學科：復健學科
期刊論文
Abstract
Purpose: To study the long-term changes in physical
functional performance and quality of life in hemodialysis
patients living in the community in Taiwan.
Methods: This prospective study monitored 27 ambulatory
hemodialysis patients for 16 months living in
the community in Taiwan. Physical capacity (6-minute
walk test, grip strength, pinch strength and chair-rising
time), maximal cardiovascular fitness test, functional
performance (Functional Independence Measure)
and quality of life (WHOQOL-BREF) were evaluated.
Results: There were 17 men and 7 women, with a
mean age of 61.3 (± 9.0) years. The results showed
significantly decreased pinch strength (right hand:
from 6.4 kg to 4.5 kg, p=0.009; left hand: from 5.6 kg
to 4.7 kg, p=0.017) and decreased quality of life (from
89.5 to 85.3 for WHOQOL-BREF total score, p=0.026),
especially in the domain of physical health and subcategories
of concentrating ability, satisfaction with
working ability and sex life, and “eating foods whenever
wanted,” over the 16-month period. Maximal
cardiovascular fitness and functional performance
remained stationary during the 16-month period.
Conclusion: Significantly declined pinch strength and
quality of life, with maintained maximal cardiovascular
fitness and functional performance, were noted in
ambulatory hemodialysis patients over the 16-month
period of follow-up. An intensive pinch strengthening
program and overall improvement in quality of life for
these patients is needed.
functional performance and quality of life in hemodialysis
patients living in the community in Taiwan.
Methods: This prospective study monitored 27 ambulatory
hemodialysis patients for 16 months living in
the community in Taiwan. Physical capacity (6-minute
walk test, grip strength, pinch strength and chair-rising
time), maximal cardiovascular fitness test, functional
performance (Functional Independence Measure)
and quality of life (WHOQOL-BREF) were evaluated.
Results: There were 17 men and 7 women, with a
mean age of 61.3 (± 9.0) years. The results showed
significantly decreased pinch strength (right hand:
from 6.4 kg to 4.5 kg, p=0.009; left hand: from 5.6 kg
to 4.7 kg, p=0.017) and decreased quality of life (from
89.5 to 85.3 for WHOQOL-BREF total score, p=0.026),
especially in the domain of physical health and subcategories
of concentrating ability, satisfaction with
working ability and sex life, and “eating foods whenever
wanted,” over the 16-month period. Maximal
cardiovascular fitness and functional performance
remained stationary during the 16-month period.
Conclusion: Significantly declined pinch strength and
quality of life, with maintained maximal cardiovascular
fitness and functional performance, were noted in
ambulatory hemodialysis patients over the 16-month
period of follow-up. An intensive pinch strengthening
program and overall improvement in quality of life for
these patients is needed.
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