nidНефрология и диализNephrology and Dialysis1680-44222618-9801Российское диализное обществоnid-1323Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESСубъективные показатели физического здоровья связанные с выживаемостью больных на гемодиализеSubjective measures of physical health associated with survival in hemodialysis patientsВасильеваИ. А.VasilievaI. A.ira707@yandex.ruДобронравовВ. А.DobronravovV. A.noemail@neicon.ruБабарыкинаЕ. В.BabarykinaE. V.noemail@neicon.ruНИИ нефрологии Санкт-Петербургского государственного медицинского университета им. акад. И.П. Павлова, г. Санкт-ПетербургRussian FederationOбластная клиническая больница, г. ОмскRussian Federation200819062025102134139Copyright © Васильева И.А., Добронравов В.А., Бабарыкина Е.В., 20252025Васильева И.А., Добронравов В.А., Бабарыкина Е.В.Vasilieva I.A., Dobronravov V.A., Babarykina E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.nephro.ru/jour/article/view/1323

Проведен ретроспективный анализ выживаемости 125 больных, получавших лечение гемодиализом (ГД). Исходной временной точкой считалось проведение исследования качества жизни по методике SF-36 в сочетании с регистрацией клинико-демографических параметров. Оценивалась прогностическая значимость этих показателей в отношении выживаемости. Группа умерших больных (n = 46) исходно отличалась достоверно более низким уровнем показателей качества жизни. Установлено, что показатель физического функционирования и суммарный индекс физического здоровья, базирующиеся на самооценке больного, являются важными независимыми предикторами выживаемости ГД пациентов наряду со средним объемом ультрафильтрации, кальций-фосфатным произведением, средним уровнем альбумина. Показатели психического здоровья обследованной группы больных с выживаемостью связаны не были.

A retrospective analysis of survival of 125 haemodialysis patients was carried out. Evaluation of quality of life (using the SF-36 scoring method) and assessment of clinical and demographic variables have been performed the initial time point of the study. The aim of the work was to assess the predictive value of quality of life scores and clinical data. Quality of life scoring correlated significantly with survival rate. In the group of patients who died during the period of observation (n = 46) the baseline quality of life scores were significantly lower than in the group of survivals. Patient’s self-assessed physical functioning and physical summary score were found to be significant independent predictors of survival as well as the mean ultrafiltration volume, serum albumin level and Са-Р product. No significant correlation was found between the mental health scores and survival rate.

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The authors declare that there are no conflicts of interest present.