Представлены результаты сравнительного анализа влияния различных видов заместительной почечной терапии на качество жизни (КЖ) пациентов с терминальной стадией хронической болезни почек на основании стандартизированных для оценки КЖ диализных больных опросников. Практически во всех исследованиях показано, что КЖ значительно улучшается после пересадки почки. В то же время показано, что внедрение в клиническую практику домашнего диализа, препаратов эпоэтина, активных метаболитов витамина D, кальцимиметиков расширило возможности трудовой реабилитации диализных больных и сделало сравнимым их КЖ с КЖ реципиентов почечного трансплантата.
Ключевые слова: качество жизни, регулярный гемодиализ, постоянный амбулаторный перитонеальный диализ, трансплантация почки.
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The study demonstrated the results of the comparative analysis of various types of renal replacement therapy effects on the quality of life patients with terminal stage of chronic kidney disease on the basis of standardized questionnaires. It has been shown that the quality of life is significantly improved after a kidney transplantation. At the same time, it has also been found that the introduction of home dialysis, epoetins, active metabolites of vitamin D, calcimimetics in the clinic care expanded the opportunities for the labor rehabilitation of the dialysis patients and made their quality of life comparable with the same of the kidney transplant recipients.
Keywords: the quality of life, regular hemodialysis, permanent ambulatory peritoneal dialysis, kidney transplantation.
Список литературы
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1. [Daugirdas DT, Blake PD, Ing T. Rukovodstvo po dializu [Dialysis Handbook]. English translation, eds Denisov AYu, Shilo VYu. Tver: Triada; 2003. 744 p. (In Russ.)].
2. [Nikolaev AYu, Milova-
nov YuS. Lechenie pochechnoy nedostatochnosti. Rukovodstvo dlya vrachey [Treatment of renal failure. A guide for doctors]. 2nd edition. Moscow: Medical information agency; 2011. 589 p. (In Russ.)].
3. [Vasserman LI, Iovlev BV, Karpova EB, Vuks AYa. Usovershenstvovannyy variant oprosnika dlya psikhologicheskoy diagnostiki tipov otnosheniya k bolezni: Metodicheskie rekomendatsii [Improved version of the questionnaire for psychological diagnosis of the types of attitude towards the disease: Methodological recommendations]. St. Petersburg; 2001 (In Russ.)].
4. Wu AW, Fink NE, Cagney KA, Bass EB, Rubin HR, Meyer KB, Sad-
ler JH, Powe NR. Developing a health-related quality-of-life measure for end-stage renal disease: The CHOICE Health Experience Questionnaire. Am J Kidney Dis. 2001;37(1):11-21.
5. Hays RD, Kallich JD, Mapes DL, Coons SJ, Carter WB. Development of the Kidney Disease Quality of Life (KDQOLTM) Instrument. Qual Life Res. 1994;3(5):329-38.
6. Merkus MP, Jager KJ, Dekker FW, de Haan RJ, Boeschoten EW, Kre-
diet RT. Quality of life over time in dialysis: the Netherlands Cooperative Study on the Adequacy of Dialysis. NECOSAD Study Group. Kidney Int. 1999;56(2):720-8. https://www.ncbi.nlm.nih.gov/pubmed/10432414#
7. Hays RD, Kallich JD, Mapes DL, Coons SJ, Amin N, Carter WB, Kamberg C. Kidney Disease Quality of Life Short Form (KDQOL-SF), Version 1.3: A Manual for Use and Scoring. P-7994. Santa Monica, CA;1997.
8. Tentori F, Blayney MJ, Albert JM, et al. Mortality risk for dialysis patients with different levels of serum calcium, phosphorus, and PTH: The Dialysis Outcomes and Practice Patterns Study (DOPPS). Am J Kidney Dis. 2008;52(3):519-30.
9. [Vasilieva IA, Babarikina YeV, Dobronravov VA. Age aspects of quality of life in patients with chronic hemodialysis. Nefrologiya = Nephrology. 2004;8(3):32-6 (In Russ.)].
10. Hou S. Pregnancy in women on haemodialysis and peritoneal dialysis. Clin Obstet Gynaecol. 1994;8:481-500.