The 36 references with contexts in paper I. Vasilieva A., И. Васильева А. (2005) “КАЧЕСТВО ЖИЗНИ БОЛЬНЫХ НА ХРОНИЧЕСКОМ ГЕМОДИАЛИЗЕ // QUALITY OF LIFE IN CHRONIC HEMODIALYSIS PATIENTS” / spz:neicon:nefr:y:2005:i:3:p:48-54

1
World Health Organization: Constitution of the World Health Organization. Basic Documents, Geneva, 1948
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    Ýòî îïðåäåëåíèå ïåðåêëèêàåòñÿ ñ ïîíÿòèåì çäîðîâüÿ ïî îïðåäåëåíèþ Âñåìèðíîé îðãàíèçàöèè çäðàâîîõðàíåíèÿ: « çäîðîâüå – ýòî íå òîëüêî îòñóòñòâèå ôèçè÷åñêèõ äåôåêòîâ è áîëåçíåé, íî òàêæå è ñîñòîÿíèå ôèçè÷åñêîãî, ïñèõè÷åñêîãî è ñîöèàëüíîãî áëàãîïîëó÷èÿ»
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    [1]
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    .  ïîñëåäíèå ãîäû âñå áîëüøóþ àêòóàëüíîñòü ïðèîáðåòàåò ïðîáëåìà ÊÆ áîëüíûõ ñ õðîíè÷åñêîé áîëåçíüþ ïî÷åê (ÕÁÏ), ïîëó÷àþùèõ çàìåñòèòåëüíóþ òåðàïèþ. Ýòî îáóñëîâëåíî óâåëè÷åíèåì ïðîäîëæèòåëüíîñòè æèçíè ïàöèåíòîâ â ñâÿçè ñ óñïåõàìè ñîâpåìåííîé íåôpîëîãèè, â òîì ÷èñëå òåõíè÷åñêèì ñîâåpøåíñòâîâàíèåì ãåìîäèàëèçà (ÃÄ).

2
Ware JE, Snow KK, Kosinski M et al. SF-36 Health Survey Manual and Interpretation Guide. Boston, MA, The Health Institute, New England Medical Center, 1993; 3-143
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    Íàðÿäó ñ çàäà÷åé ïðîäëåíèÿ æèçíè âñòàåò âîïðîñ è î êà÷åñòâåííîì ñîäåðæàíèè ýòîé íîâîé, èñêóññòâåííî ñîçäàííîé â óñëîâèÿõ ëå÷åíèÿ ÃÄ æèçíè. Îäíèì èç íàèáîëåå øèðîêî ðàñïðîñòðàíåííûõ îáùèõ îïðîñíèêîâ äëÿ îöåíêè ñâÿçàííîãî ñî çäîðîâüåì ÊÆ ÿâëÿåòñÿ ìåòîäèêà Medical Outcomes Study Short Form-36 (SF-36)
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    [2]
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    . Îíà ïðîñòà â ïðèìåíåíèè, èìååò âûñîêèå ïîêàçàòåëè íàäåæíîñòè è âàëèäíîñòè. Ñóùåñòâóþò âåðñèè îïðîñíèêà íà ðàçíûõ ÿçûêàõ, â òîì ÷èñëå ðóññêîÿçû÷íàÿ âåðñèÿ îïðîñíèêà [3–7]. SF-36 ïðèãîäåí äëÿ ïðîâåäåíèÿ ìîíèòîðèíãà ñîñòîÿíèÿ çäîðîâüÿ ðàçëè÷íûõ ãðóïï íàñåëåíèÿ, äëÿ êðîññêóëüòóðàëüíûõ èññëåäîâàíèé, à òàêæå äëÿ îöåíêè ôèçè÷åñêîãî è ïñèõîëîãè÷åñêîãî áðåìåíè õðîíè÷åñêîãî çàáîëåâàíèÿ è ëå÷åíèÿ.

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    Ñðåäíèé âîçðàñò áîëüíûõ ñîñòàâèë 43,5±12,5 ëåò (îò 15 äî 72 ëåò), äëèòåëüíîñòü ÃÄ òåðàïèè – 55,0±47,2 ìåñÿöåâ (îò 1 äî 228 ìåñÿöåâ). Ìóæ÷èíû ñîñòàâèëè 55% èçó÷åííûõ áîëüíûõ. Äëÿ îöåíêè ñâÿçàííîãî ñî çäîðîâüåì ÊÆ èñïîëüçîâàíà ðóññêîÿçû÷íàÿ âåðñèÿ ìåòîäèêè SF-36 Health Status Survey
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    [2, 7]
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    . Ðåçóëüòàòû îöåíèâàþòñÿ ïî âîñüìè îñíîâíûì øêàëàì. Ðàçáðîñ áàëëîâ ïî êàæäîé øêàëå – îò 0 äî 100. ×åì âûøå áàëë, òåì ëó÷øå ÊÆ. Îïðîñíèê âêëþ÷àåò ñëåäóþùèå øêàëû: ñïîñîáíîñòü âûäåðæèâàòü ôèçè÷åñêèå íàãðóçêè (PF); âëèÿíèå ôèçè÷åñêîãî ñîñòîÿíèÿ íà ïîâñåäíåâíóþ äåÿòåëüíîñòü (RP); ÷óâñòâèòåëüíîñòü ê áîëè (ÂÐ); îáùåå ñîñòîÿíèÿ çäîðîâüÿ (GH); îáùàÿ àêòèâíîñòü/ýíåðãè÷íîñòü (V); ñîöèàëüíîå ôóíêöèîíèðîâàíèÿ

3
Aaronson NK, Muller M, Cohen PAD et al. Translation, validation, and norming of the Dutch language version of the SF-36 health survey in community and chronic disease populations. J Clin Epidemiol 1998; 51(11): 1055-1068
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    Îäíèì èç íàèáîëåå øèðîêî ðàñïðîñòðàíåííûõ îáùèõ îïðîñíèêîâ äëÿ îöåíêè ñâÿçàííîãî ñî çäîðîâüåì ÊÆ ÿâëÿåòñÿ ìåòîäèêà Medical Outcomes Study Short Form-36 (SF-36) [2]. Îíà ïðîñòà â ïðèìåíåíèè, èìååò âûñîêèå ïîêàçàòåëè íàäåæíîñòè è âàëèäíîñòè. Ñóùåñòâóþò âåðñèè îïðîñíèêà íà ðàçíûõ ÿçûêàõ, â òîì ÷èñëå ðóññêîÿçû÷íàÿ âåðñèÿ îïðîñíèêà
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    [3–7]
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    . SF-36 ïðèãîäåí äëÿ ïðîâåäåíèÿ ìîíèòîðèíãà ñîñòîÿíèÿ çäîðîâüÿ ðàçëè÷íûõ ãðóïï íàñåëåíèÿ, äëÿ êðîññêóëüòóðàëüíûõ èññëåäîâàíèé, à òàêæå äëÿ îöåíêè ôèçè÷åñêîãî è ïñèõîëîãè÷åñêîãî áðåìåíè õðîíè÷åñêîãî çàáîëåâàíèÿ è ëå÷åíèÿ.

4
Thumboo J, Fong KY, Machin D et al. A communitybased study of scaling assumptions of the English (UK) and Chinese (HK) SF-36 in Singapore. Qual Life Res 2001; 10 (2): 175-188
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    Îäíèì èç íàèáîëåå øèðîêî ðàñïðîñòðàíåííûõ îáùèõ îïðîñíèêîâ äëÿ îöåíêè ñâÿçàííîãî ñî çäîðîâüåì ÊÆ ÿâëÿåòñÿ ìåòîäèêà Medical Outcomes Study Short Form-36 (SF-36) [2]. Îíà ïðîñòà â ïðèìåíåíèè, èìååò âûñîêèå ïîêàçàòåëè íàäåæíîñòè è âàëèäíîñòè. Ñóùåñòâóþò âåðñèè îïðîñíèêà íà ðàçíûõ ÿçûêàõ, â òîì ÷èñëå ðóññêîÿçû÷íàÿ âåðñèÿ îïðîñíèêà
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    . SF-36 ïðèãîäåí äëÿ ïðîâåäåíèÿ ìîíèòîðèíãà ñîñòîÿíèÿ çäîðîâüÿ ðàçëè÷íûõ ãðóïï íàñåëåíèÿ, äëÿ êðîññêóëüòóðàëüíûõ èññëåäîâàíèé, à òàêæå äëÿ îöåíêè ôèçè÷åñêîãî è ïñèõîëîãè÷åñêîãî áðåìåíè õðîíè÷åñêîãî çàáîëåâàíèÿ è ëå÷åíèÿ.

5
Fukuhara S, Bito S, Green J et al. Translation, adaptation, and validation of the SF-36 Health Survey for use in Japan. J Clin Epidemiol 1998; 51(11): 1037-1044
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    Îäíèì èç íàèáîëåå øèðîêî ðàñïðîñòðàíåííûõ îáùèõ îïðîñíèêîâ äëÿ îöåíêè ñâÿçàííîãî ñî çäîðîâüåì ÊÆ ÿâëÿåòñÿ ìåòîäèêà Medical Outcomes Study Short Form-36 (SF-36) [2]. Îíà ïðîñòà â ïðèìåíåíèè, èìååò âûñîêèå ïîêàçàòåëè íàäåæíîñòè è âàëèäíîñòè. Ñóùåñòâóþò âåðñèè îïðîñíèêà íà ðàçíûõ ÿçûêàõ, â òîì ÷èñëå ðóññêîÿçû÷íàÿ âåðñèÿ îïðîñíèêà
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    [3–7]
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    . SF-36 ïðèãîäåí äëÿ ïðîâåäåíèÿ ìîíèòîðèíãà ñîñòîÿíèÿ çäîðîâüÿ ðàçëè÷íûõ ãðóïï íàñåëåíèÿ, äëÿ êðîññêóëüòóðàëüíûõ èññëåäîâàíèé, à òàêæå äëÿ îöåíêè ôèçè÷åñêîãî è ïñèõîëîãè÷åñêîãî áðåìåíè õðîíè÷åñêîãî çàáîëåâàíèÿ è ëå÷åíèÿ.

6
Alonso J, Prieto L, Anto JM. La version espanola del SF36 Health Survey (Cuestionario de Salud SF-36): Un instrumento para la medida de los resultados clinicos. Med Clin (Barc) 1995; 104: 771-776
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    Îäíèì èç íàèáîëåå øèðîêî ðàñïðîñòðàíåííûõ îáùèõ îïðîñíèêîâ äëÿ îöåíêè ñâÿçàííîãî ñî çäîðîâüåì ÊÆ ÿâëÿåòñÿ ìåòîäèêà Medical Outcomes Study Short Form-36 (SF-36) [2]. Îíà ïðîñòà â ïðèìåíåíèè, èìååò âûñîêèå ïîêàçàòåëè íàäåæíîñòè è âàëèäíîñòè. Ñóùåñòâóþò âåðñèè îïðîñíèêà íà ðàçíûõ ÿçûêàõ, â òîì ÷èñëå ðóññêîÿçû÷íàÿ âåðñèÿ îïðîñíèêà
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    . SF-36 ïðèãîäåí äëÿ ïðîâåäåíèÿ ìîíèòîðèíãà ñîñòîÿíèÿ çäîðîâüÿ ðàçëè÷íûõ ãðóïï íàñåëåíèÿ, äëÿ êðîññêóëüòóðàëüíûõ èññëåäîâàíèé, à òàêæå äëÿ îöåíêè ôèçè÷åñêîãî è ïñèõîëîãè÷åñêîãî áðåìåíè õðîíè÷åñêîãî çàáîëåâàíèÿ è ëå÷åíèÿ.

7
Petrova NN, Varshavsky S, Vasilyeva I. Translation of a quality of life questionnaire: first experience in Russia.In: 2nd meeting of International Society for Quality of Life Research, Canada, Montreal, 14-17 October, 1995: 498
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    Îäíèì èç íàèáîëåå øèðîêî ðàñïðîñòðàíåííûõ îáùèõ îïðîñíèêîâ äëÿ îöåíêè ñâÿçàííîãî ñî çäîðîâüåì ÊÆ ÿâëÿåòñÿ ìåòîäèêà Medical Outcomes Study Short Form-36 (SF-36) [2]. Îíà ïðîñòà â ïðèìåíåíèè, èìååò âûñîêèå ïîêàçàòåëè íàäåæíîñòè è âàëèäíîñòè. Ñóùåñòâóþò âåðñèè îïðîñíèêà íà ðàçíûõ ÿçûêàõ, â òîì ÷èñëå ðóññêîÿçû÷íàÿ âåðñèÿ îïðîñíèêà
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    . SF-36 ïðèãîäåí äëÿ ïðîâåäåíèÿ ìîíèòîðèíãà ñîñòîÿíèÿ çäîðîâüÿ ðàçëè÷íûõ ãðóïï íàñåëåíèÿ, äëÿ êðîññêóëüòóðàëüíûõ èññëåäîâàíèé, à òàêæå äëÿ îöåíêè ôèçè÷åñêîãî è ïñèõîëîãè÷åñêîãî áðåìåíè õðîíè÷åñêîãî çàáîëåâàíèÿ è ëå÷åíèÿ.

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    Ñðåäíèé âîçðàñò áîëüíûõ ñîñòàâèë 43,5±12,5 ëåò (îò 15 äî 72 ëåò), äëèòåëüíîñòü ÃÄ òåðàïèè – 55,0±47,2 ìåñÿöåâ (îò 1 äî 228 ìåñÿöåâ). Ìóæ÷èíû ñîñòàâèëè 55% èçó÷åííûõ áîëüíûõ. Äëÿ îöåíêè ñâÿçàííîãî ñî çäîðîâüåì ÊÆ èñïîëüçîâàíà ðóññêîÿçû÷íàÿ âåðñèÿ ìåòîäèêè SF-36 Health Status Survey
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    . Ðåçóëüòàòû îöåíèâàþòñÿ ïî âîñüìè îñíîâíûì øêàëàì. Ðàçáðîñ áàëëîâ ïî êàæäîé øêàëå – îò 0 äî 100. ×åì âûøå áàëë, òåì ëó÷øå ÊÆ. Îïðîñíèê âêëþ÷àåò ñëåäóþùèå øêàëû: ñïîñîáíîñòü âûäåðæèâàòü ôèçè÷åñêèå íàãðóçêè (PF); âëèÿíèå ôèçè÷åñêîãî ñîñòîÿíèÿ íà ïîâñåäíåâíóþ äåÿòåëüíîñòü (RP); ÷óâñòâèòåëüíîñòü ê áîëè (ÂÐ); îáùåå ñîñòîÿíèÿ çäîðîâüÿ (GH); îáùàÿ àêòèâíîñòü/ýíåðãè÷íîñòü (V); ñîöèàëüíîå ôóíêöèîíèðîâàíèÿ

8
Mingardi G, Cornalba L, Cortinovis E et al. Health-related quality of life in dialysis patients. A report from an Italian study using the SF-36 Health Survey. Nephrol Dial Transplant 1999; 14 (6): 1503-1510
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    SF-36 ïðèãîäåí äëÿ ïðîâåäåíèÿ ìîíèòîðèíãà ñîñòîÿíèÿ çäîðîâüÿ ðàçëè÷íûõ ãðóïï íàñåëåíèÿ, äëÿ êðîññêóëüòóðàëüíûõ èññëåäîâàíèé, à òàêæå äëÿ îöåíêè ôèçè÷åñêîãî è ïñèõîëîãè÷åñêîãî áðåìåíè õðîíè÷åñêîãî çàáîëåâàíèÿ è ëå÷åíèÿ. Õîòÿ èìååòñÿ íåìàëî çàðóáåæíûõ ïóáëèêàöèé, â êîòîðûõ ñ ïîìîùüþ SF-36 àíàëèçèðóåòñÿ ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ
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    , ðÿä âîïðîñîâ îñòàåòñÿ íåðåøåííûì. Ïðîòèâîðå÷èâû äàííûå î êëèíè÷åñêèõ è ïñèõîëîãè÷åñêèõ ôàêòîðàõ, âëèÿþùèõ íà ñóáúåêòèâíóþ óäîâëåòâîðåííîñòü æèçíüþ ýòîé êàòåãîðèè áîëüíûõ [12–19]. Îòå÷åñòâåííûå ðàçðàáîòêè ïðîáëåìû ÊÆ ÃÄ-ïàöèåíòîâ ìàëî÷èñëåííû è áàçèðóþòñÿ íà íåçíà÷èòåëüíîì ÷èñëå íàáëþäåíèé [20].

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     íèõ òàêæå ïîêàçàíî, ÷òî ïî ñðàâíåíèþ ñî çäîðîâîé ïîïóëÿöèåé ó áîëüíûõ íà ÃÄ ñòðàäàåò ôèçè÷åñêàÿ ñîñòàâëÿþùàÿ ÊÆ, â òî âðåìÿ êàê ïàðàìåòðû ïñèõîëîãè÷åñêîé êîìïîíåíòû ÊÆ â ìåíüøåé ñòåïåíè ïîäâåðæåíû ñíèæåíèþ, à ïî îòäåëüíûì ïîêàçàòåëÿì ïðèáëèæàþòñÿ ê ïîïóëÿöèîííîé íîðìå
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    .  ïðîâåäåííîì íàìè èññëåäîâàíèè ïîêàçàòåëü ñóáúåêòèâíîé óäîâëåòâîðåííîñòè ÃÄ-ïàöèåíòîâ ñâîèì ïñèõè÷åñêèì çäîðîâüåì (MH) äàæå ïðåâûñèë íîðìàòèâíûå äàííûå. Íà ïåðâûé âçãëÿä, ýòî ìîæíî áûëî áû îáúÿñíèòü òåì îáñòîÿòåëüñòâîì, ÷òî â âûáîðêå ÃÄ-áîëüíûõ áûë íèæå ïðîöåíò ëèö ñòàðøåé âîçðàñòíîé ãðóïïû (áîëåå 70 ëåò), ÷åì â íîðìàòèâíîé âûáîðêå (1% ïðîòèâ 7% â çäîðîâîé ïîïóëÿöèè).

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    Áîëüøèíñòâî àâòîðîâ îòìå÷àþò îòðèöàòåëüíîå âëèÿíèå íà óðîâåíü ÊÆ âûðàæåííîñòè àíåìèè, íàëè÷èÿ ñîïóòñòâóþùåé ïàòîëîãèè, äëèòåëüíîñòè ëå÷åíèÿ äèàëèçîì, âîçðàñòà ïàöèåíòîâ [13, 15, 18, 19].  òî æå âðåìÿ â èññëåäîâàíèè G. Mingardi è ñîàâò. íå óñòàíîâëåíî ñâÿçè ìåæäó ïîêàçàòåëÿìè ÊÆ è ñîäåðæàíèåì ãåìîãëîáèíà
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    .  ðÿäå ðàáîò çàðåãèñòðèðîâàíà âûñîêî çíà÷èìàÿ ñâÿçü óäîâëåòâîðåííîñòè æèçíüþ äèàëèçíûõ ïàöèåíòîâ ñ óðîâíåì àëüáóìèíà ñûâîðîòêè êðîâè [14, 16, 17]. Ïî ïîëó÷åííûì íàìè äàííûì, ïîêàçàòåëü àëüáóìèíà ÿâëÿåòñÿ îäíèì èç íåçàâèñèìûõ ïðåäèêòîðîâ ñîõðàííîñòè ñóììàðíîãî ïîêàçàòåëÿ ôèçè÷åñêîãî çäîðîâüÿ (PCS).

9
Groothoff JW, Grootenhuis MA, Offringa M et al. Quality of life in adults with end-stage renal disease since childhood is only partially impaired. Nephrol Dial Transplant 2003; 18 (2): 310-317
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    SF-36 ïðèãîäåí äëÿ ïðîâåäåíèÿ ìîíèòîðèíãà ñîñòîÿíèÿ çäîðîâüÿ ðàçëè÷íûõ ãðóïï íàñåëåíèÿ, äëÿ êðîññêóëüòóðàëüíûõ èññëåäîâàíèé, à òàêæå äëÿ îöåíêè ôèçè÷åñêîãî è ïñèõîëîãè÷åñêîãî áðåìåíè õðîíè÷åñêîãî çàáîëåâàíèÿ è ëå÷åíèÿ. Õîòÿ èìååòñÿ íåìàëî çàðóáåæíûõ ïóáëèêàöèé, â êîòîðûõ ñ ïîìîùüþ SF-36 àíàëèçèðóåòñÿ ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ
    Exact
    [8–11]
    Suffix
    , ðÿä âîïðîñîâ îñòàåòñÿ íåðåøåííûì. Ïðîòèâîðå÷èâû äàííûå î êëèíè÷åñêèõ è ïñèõîëîãè÷åñêèõ ôàêòîðàõ, âëèÿþùèõ íà ñóáúåêòèâíóþ óäîâëåòâîðåííîñòü æèçíüþ ýòîé êàòåãîðèè áîëüíûõ [12–19]. Îòå÷åñòâåííûå ðàçðàáîòêè ïðîáëåìû ÊÆ ÃÄ-ïàöèåíòîâ ìàëî÷èñëåííû è áàçèðóþòñÿ íà íåçíà÷èòåëüíîì ÷èñëå íàáëþäåíèé [20].

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    Prefix
     íèõ òàêæå ïîêàçàíî, ÷òî ïî ñðàâíåíèþ ñî çäîðîâîé ïîïóëÿöèåé ó áîëüíûõ íà ÃÄ ñòðàäàåò ôèçè÷åñêàÿ ñîñòàâëÿþùàÿ ÊÆ, â òî âðåìÿ êàê ïàðàìåòðû ïñèõîëîãè÷åñêîé êîìïîíåíòû ÊÆ â ìåíüøåé ñòåïåíè ïîäâåðæåíû ñíèæåíèþ, à ïî îòäåëüíûì ïîêàçàòåëÿì ïðèáëèæàþòñÿ ê ïîïóëÿöèîííîé íîðìå
    Exact
    [8–10, 12, 13]
    Suffix
    .  ïðîâåäåííîì íàìè èññëåäîâàíèè ïîêàçàòåëü ñóáúåêòèâíîé óäîâëåòâîðåííîñòè ÃÄ-ïàöèåíòîâ ñâîèì ïñèõè÷åñêèì çäîðîâüåì (MH) äàæå ïðåâûñèë íîðìàòèâíûå äàííûå. Íà ïåðâûé âçãëÿä, ýòî ìîæíî áûëî áû îáúÿñíèòü òåì îáñòîÿòåëüñòâîì, ÷òî â âûáîðêå ÃÄ-áîëüíûõ áûë íèæå ïðîöåíò ëèö ñòàðøåé âîçðàñòíîé ãðóïïû (áîëåå 70 ëåò), ÷åì â íîðìàòèâíîé âûáîðêå (1% ïðîòèâ 7% â çäîðîâîé ïîïóëÿöèè).

10
Molsted S, Aadahi M, Schou L et al. Self-rated health and employment status in chronic haemodialysis patients. Scand J Urol Nephrol 2004; 38 (2): 99-105
Total in-text references: 2
  1. In-text reference with the coordinate start=7677
    Prefix
    SF-36 ïðèãîäåí äëÿ ïðîâåäåíèÿ ìîíèòîðèíãà ñîñòîÿíèÿ çäîðîâüÿ ðàçëè÷íûõ ãðóïï íàñåëåíèÿ, äëÿ êðîññêóëüòóðàëüíûõ èññëåäîâàíèé, à òàêæå äëÿ îöåíêè ôèçè÷åñêîãî è ïñèõîëîãè÷åñêîãî áðåìåíè õðîíè÷åñêîãî çàáîëåâàíèÿ è ëå÷åíèÿ. Õîòÿ èìååòñÿ íåìàëî çàðóáåæíûõ ïóáëèêàöèé, â êîòîðûõ ñ ïîìîùüþ SF-36 àíàëèçèðóåòñÿ ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ
    Exact
    [8–11]
    Suffix
    , ðÿä âîïðîñîâ îñòàåòñÿ íåðåøåííûì. Ïðîòèâîðå÷èâû äàííûå î êëèíè÷åñêèõ è ïñèõîëîãè÷åñêèõ ôàêòîðàõ, âëèÿþùèõ íà ñóáúåêòèâíóþ óäîâëåòâîðåííîñòü æèçíüþ ýòîé êàòåãîðèè áîëüíûõ [12–19]. Îòå÷åñòâåííûå ðàçðàáîòêè ïðîáëåìû ÊÆ ÃÄ-ïàöèåíòîâ ìàëî÷èñëåííû è áàçèðóþòñÿ íà íåçíà÷èòåëüíîì ÷èñëå íàáëþäåíèé [20].

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    Prefix
     íèõ òàêæå ïîêàçàíî, ÷òî ïî ñðàâíåíèþ ñî çäîðîâîé ïîïóëÿöèåé ó áîëüíûõ íà ÃÄ ñòðàäàåò ôèçè÷åñêàÿ ñîñòàâëÿþùàÿ ÊÆ, â òî âðåìÿ êàê ïàðàìåòðû ïñèõîëîãè÷åñêîé êîìïîíåíòû ÊÆ â ìåíüøåé ñòåïåíè ïîäâåðæåíû ñíèæåíèþ, à ïî îòäåëüíûì ïîêàçàòåëÿì ïðèáëèæàþòñÿ ê ïîïóëÿöèîííîé íîðìå
    Exact
    [8–10, 12, 13]
    Suffix
    .  ïðîâåäåííîì íàìè èññëåäîâàíèè ïîêàçàòåëü ñóáúåêòèâíîé óäîâëåòâîðåííîñòè ÃÄ-ïàöèåíòîâ ñâîèì ïñèõè÷åñêèì çäîðîâüåì (MH) äàæå ïðåâûñèë íîðìàòèâíûå äàííûå. Íà ïåðâûé âçãëÿä, ýòî ìîæíî áûëî áû îáúÿñíèòü òåì îáñòîÿòåëüñòâîì, ÷òî â âûáîðêå ÃÄ-áîëüíûõ áûë íèæå ïðîöåíò ëèö ñòàðøåé âîçðàñòíîé ãðóïïû (áîëåå 70 ëåò), ÷åì â íîðìàòèâíîé âûáîðêå (1% ïðîòèâ 7% â çäîðîâîé ïîïóëÿöèè).

11
Rebollo P, Ortega F, Baltar JM et al. Is the loss of healthrelated quality of life during renal replacement therapy lower in elderly patients than in younger ones? Nephrol Dial Transplant 2001; 16 (8): 1675-1680
Total in-text references: 2
  1. In-text reference with the coordinate start=7677
    Prefix
    SF-36 ïðèãîäåí äëÿ ïðîâåäåíèÿ ìîíèòîðèíãà ñîñòîÿíèÿ çäîðîâüÿ ðàçëè÷íûõ ãðóïï íàñåëåíèÿ, äëÿ êðîññêóëüòóðàëüíûõ èññëåäîâàíèé, à òàêæå äëÿ îöåíêè ôèçè÷åñêîãî è ïñèõîëîãè÷åñêîãî áðåìåíè õðîíè÷åñêîãî çàáîëåâàíèÿ è ëå÷åíèÿ. Õîòÿ èìååòñÿ íåìàëî çàðóáåæíûõ ïóáëèêàöèé, â êîòîðûõ ñ ïîìîùüþ SF-36 àíàëèçèðóåòñÿ ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ
    Exact
    [8–11]
    Suffix
    , ðÿä âîïðîñîâ îñòàåòñÿ íåðåøåííûì. Ïðîòèâîðå÷èâû äàííûå î êëèíè÷åñêèõ è ïñèõîëîãè÷åñêèõ ôàêòîðàõ, âëèÿþùèõ íà ñóáúåêòèâíóþ óäîâëåòâîðåííîñòü æèçíüþ ýòîé êàòåãîðèè áîëüíûõ [12–19]. Îòå÷åñòâåííûå ðàçðàáîòêè ïðîáëåìû ÊÆ ÃÄ-ïàöèåíòîâ ìàëî÷èñëåííû è áàçèðóþòñÿ íà íåçíà÷èòåëüíîì ÷èñëå íàáëþäåíèé [20].

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    Prefix
    Rebollo è ñîàâò. è â íàøèõ ïðåäûäóùèõ ðàáîòàõ áûëî ïîêàçàíî, ÷òî âîçðàñòíîå ñíèæåíèå êàñàåòñÿ, ãëàâíûì îáðàçîì, ôèçè÷åñêîé êîìïîíåíòû ÊÆ, à îöåíêà ïñèõè÷åñêîãî ôóíêöèîíèðîâàíèÿ ÃÄ-ïàöèåíòîâ îñòàåòñÿ ñòàáèëüíîé
    Exact
    [11, 30]
    Suffix
    . Ïî äàííûì àíàëîãè÷íûõ èññëåäîâàíèé çäîðîâûõ ëèö, ïðîâåäåííûõ â Ðîññèè è Øâåöèè, ïîêàçàòåëè øêàëû ïñèõè÷åñêîãî çäîðîâüÿ (MH) â çäîðîâîé ïîïóëÿöèè òàêæå ìàëî ìåíÿþòñÿ ñ âîçðàñòîì [27, 31] Òàêèì îáðàçîì, áîëåå âûñîêèé, ÷åì â íîðìàòèâíîé âûáîðêå, ïîêàçàòåëü ïñèõè÷åñêîãî çäîðîâüÿ ó ÃÄïàöèåíòîâ âðÿä ëè ñâÿçàí ñ ìåíüøåé ïðåäñòàâëåííîñòüþ ëèö ñòàðøåé âîçðàñòíîé ãðóïïû.

12
Unruh M, Benz R, Greene T et al. Effects of hemodialysis dose and membrane flux on health-related quality of life in the HEMO Study. Kidney Int 2004; 66 (1): 355-366
Total in-text references: 2
  1. In-text reference with the coordinate start=7855
    Prefix
    Õîòÿ èìååòñÿ íåìàëî çàðóáåæíûõ ïóáëèêàöèé, â êîòîðûõ ñ ïîìîùüþ SF-36 àíàëèçèðóåòñÿ ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ [8–11], ðÿä âîïðîñîâ îñòàåòñÿ íåðåøåííûì. Ïðîòèâîðå÷èâû äàííûå î êëèíè÷åñêèõ è ïñèõîëîãè÷åñêèõ ôàêòîðàõ, âëèÿþùèõ íà ñóáúåêòèâíóþ óäîâëåòâîðåííîñòü æèçíüþ ýòîé êàòåãîðèè áîëüíûõ
    Exact
    [12–19]
    Suffix
    . Îòå÷åñòâåííûå ðàçðàáîòêè ïðîáëåìû ÊÆ ÃÄ-ïàöèåíòîâ ìàëî÷èñëåííû è áàçèðóþòñÿ íà íåçíà÷èòåëüíîì ÷èñëå íàáëþäåíèé [20]. Öåëü äàííîãî èññëåäîâàíèÿ – ïðîâåñòè ñðàâíåíèå ïîêàçàòåëåé ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ, è çäîðîâûõ ëèö, ñîïîñòàâèòü ïîêàçàòåëè ÊÆ ðîññèéñêèõ ÃÄ-ïàöèåíòîâ è áîëüíûõ èç äðóãèõ ñòðàí, îïðåäåëèòü ôàêòîðû, âëèÿþùèå íà ÊÆ ÃÄ-ïàöèåíòîâ.

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    Prefix
     íèõ òàêæå ïîêàçàíî, ÷òî ïî ñðàâíåíèþ ñî çäîðîâîé ïîïóëÿöèåé ó áîëüíûõ íà ÃÄ ñòðàäàåò ôèçè÷åñêàÿ ñîñòàâëÿþùàÿ ÊÆ, â òî âðåìÿ êàê ïàðàìåòðû ïñèõîëîãè÷åñêîé êîìïîíåíòû ÊÆ â ìåíüøåé ñòåïåíè ïîäâåðæåíû ñíèæåíèþ, à ïî îòäåëüíûì ïîêàçàòåëÿì ïðèáëèæàþòñÿ ê ïîïóëÿöèîííîé íîðìå
    Exact
    [8–10, 12, 13]
    Suffix
    .  ïðîâåäåííîì íàìè èññëåäîâàíèè ïîêàçàòåëü ñóáúåêòèâíîé óäîâëåòâîðåííîñòè ÃÄ-ïàöèåíòîâ ñâîèì ïñèõè÷åñêèì çäîðîâüåì (MH) äàæå ïðåâûñèë íîðìàòèâíûå äàííûå. Íà ïåðâûé âçãëÿä, ýòî ìîæíî áûëî áû îáúÿñíèòü òåì îáñòîÿòåëüñòâîì, ÷òî â âûáîðêå ÃÄ-áîëüíûõ áûë íèæå ïðîöåíò ëèö ñòàðøåé âîçðàñòíîé ãðóïïû (áîëåå 70 ëåò), ÷åì â íîðìàòèâíîé âûáîðêå (1% ïðîòèâ 7% â çäîðîâîé ïîïóëÿöèè).

13
Jiang MM, Li L. Assessment of health-related quality of life in hemodialysis patients with SF-36. Zhejiang Da Xue Xue Bao Yi Xue Ban] 2004; 33 (6): 546-549, 560
Total in-text references: 3
  1. In-text reference with the coordinate start=7855
    Prefix
    Õîòÿ èìååòñÿ íåìàëî çàðóáåæíûõ ïóáëèêàöèé, â êîòîðûõ ñ ïîìîùüþ SF-36 àíàëèçèðóåòñÿ ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ [8–11], ðÿä âîïðîñîâ îñòàåòñÿ íåðåøåííûì. Ïðîòèâîðå÷èâû äàííûå î êëèíè÷åñêèõ è ïñèõîëîãè÷åñêèõ ôàêòîðàõ, âëèÿþùèõ íà ñóáúåêòèâíóþ óäîâëåòâîðåííîñòü æèçíüþ ýòîé êàòåãîðèè áîëüíûõ
    Exact
    [12–19]
    Suffix
    . Îòå÷åñòâåííûå ðàçðàáîòêè ïðîáëåìû ÊÆ ÃÄ-ïàöèåíòîâ ìàëî÷èñëåííû è áàçèðóþòñÿ íà íåçíà÷èòåëüíîì ÷èñëå íàáëþäåíèé [20]. Öåëü äàííîãî èññëåäîâàíèÿ – ïðîâåñòè ñðàâíåíèå ïîêàçàòåëåé ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ, è çäîðîâûõ ëèö, ñîïîñòàâèòü ïîêàçàòåëè ÊÆ ðîññèéñêèõ ÃÄ-ïàöèåíòîâ è áîëüíûõ èç äðóãèõ ñòðàí, îïðåäåëèòü ôàêòîðû, âëèÿþùèå íà ÊÆ ÃÄ-ïàöèåíòîâ.

  2. In-text reference with the coordinate start=20385
    Prefix
     íèõ òàêæå ïîêàçàíî, ÷òî ïî ñðàâíåíèþ ñî çäîðîâîé ïîïóëÿöèåé ó áîëüíûõ íà ÃÄ ñòðàäàåò ôèçè÷åñêàÿ ñîñòàâëÿþùàÿ ÊÆ, â òî âðåìÿ êàê ïàðàìåòðû ïñèõîëîãè÷åñêîé êîìïîíåíòû ÊÆ â ìåíüøåé ñòåïåíè ïîäâåðæåíû ñíèæåíèþ, à ïî îòäåëüíûì ïîêàçàòåëÿì ïðèáëèæàþòñÿ ê ïîïóëÿöèîííîé íîðìå
    Exact
    [8–10, 12, 13]
    Suffix
    .  ïðîâåäåííîì íàìè èññëåäîâàíèè ïîêàçàòåëü ñóáúåêòèâíîé óäîâëåòâîðåííîñòè ÃÄ-ïàöèåíòîâ ñâîèì ïñèõè÷åñêèì çäîðîâüåì (MH) äàæå ïðåâûñèë íîðìàòèâíûå äàííûå. Íà ïåðâûé âçãëÿä, ýòî ìîæíî áûëî áû îáúÿñíèòü òåì îáñòîÿòåëüñòâîì, ÷òî â âûáîðêå ÃÄ-áîëüíûõ áûë íèæå ïðîöåíò ëèö ñòàðøåé âîçðàñòíîé ãðóïïû (áîëåå 70 ëåò), ÷åì â íîðìàòèâíîé âûáîðêå (1% ïðîòèâ 7% â çäîðîâîé ïîïóëÿöèè).

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    Prefix
    Âûñêàçûâàþòñÿ ðàçëè÷íûå òî÷êè çðåíèÿ ïî âîïðîñó î òîì, îò ÷åãî çàâèñèò ÊÆ áîëüíûõ, ïîëó÷àþùèõ õðîíè÷åñêèé ÃÄ. Áîëüøèíñòâî àâòîðîâ îòìå÷àþò îòðèöàòåëüíîå âëèÿíèå íà óðîâåíü ÊÆ âûðàæåííîñòè àíåìèè, íàëè÷èÿ ñîïóòñòâóþùåé ïàòîëîãèè, äëèòåëüíîñòè ëå÷åíèÿ äèàëèçîì, âîçðàñòà ïàöèåíòîâ
    Exact
    [13, 15, 18, 19]
    Suffix
    .  òî æå âðåìÿ â èññëåäîâàíèè G. Mingardi è ñîàâò. íå óñòàíîâëåíî ñâÿçè ìåæäó ïîêàçàòåëÿìè ÊÆ è ñîäåðæàíèåì ãåìîãëîáèíà [8].  ðÿäå ðàáîò çàðåãèñòðèðîâàíà âûñîêî çíà÷èìàÿ ñâÿçü óäîâëåòâîðåííîñòè æèçíüþ äèàëèçíûõ ïàöèåíòîâ ñ óðîâíåì àëüáóìèíà ñûâîðîòêè êðîâè [14, 16, 17].

14
Mittal SK, Ahern L, Flaster E et al. Self-assessed physical and mental function of haemodialysis patients. Nephrol Dial Transplant 2001; 16 (7): 1387-1394
Total in-text references: 2
  1. In-text reference with the coordinate start=7855
    Prefix
    Õîòÿ èìååòñÿ íåìàëî çàðóáåæíûõ ïóáëèêàöèé, â êîòîðûõ ñ ïîìîùüþ SF-36 àíàëèçèðóåòñÿ ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ [8–11], ðÿä âîïðîñîâ îñòàåòñÿ íåðåøåííûì. Ïðîòèâîðå÷èâû äàííûå î êëèíè÷åñêèõ è ïñèõîëîãè÷åñêèõ ôàêòîðàõ, âëèÿþùèõ íà ñóáúåêòèâíóþ óäîâëåòâîðåííîñòü æèçíüþ ýòîé êàòåãîðèè áîëüíûõ
    Exact
    [12–19]
    Suffix
    . Îòå÷åñòâåííûå ðàçðàáîòêè ïðîáëåìû ÊÆ ÃÄ-ïàöèåíòîâ ìàëî÷èñëåííû è áàçèðóþòñÿ íà íåçíà÷èòåëüíîì ÷èñëå íàáëþäåíèé [20]. Öåëü äàííîãî èññëåäîâàíèÿ – ïðîâåñòè ñðàâíåíèå ïîêàçàòåëåé ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ, è çäîðîâûõ ëèö, ñîïîñòàâèòü ïîêàçàòåëè ÊÆ ðîññèéñêèõ ÃÄ-ïàöèåíòîâ è áîëüíûõ èç äðóãèõ ñòðàí, îïðåäåëèòü ôàêòîðû, âëèÿþùèå íà ÊÆ ÃÄ-ïàöèåíòîâ.

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    Prefix
    Mingardi è ñîàâò. íå óñòàíîâëåíî ñâÿçè ìåæäó ïîêàçàòåëÿìè ÊÆ è ñîäåðæàíèåì ãåìîãëîáèíà [8].  ðÿäå ðàáîò çàðåãèñòðèðîâàíà âûñîêî çíà÷èìàÿ ñâÿçü óäîâëåòâîðåííîñòè æèçíüþ äèàëèçíûõ ïàöèåíòîâ ñ óðîâíåì àëüáóìèíà ñûâîðîòêè êðîâè
    Exact
    [14, 16, 17]
    Suffix
    . Ïî ïîëó÷åííûì íàìè äàííûì, ïîêàçàòåëü àëüáóìèíà ÿâëÿåòñÿ îäíèì èç íåçàâèñèìûõ ïðåäèêòîðîâ ñîõðàííîñòè ñóììàðíîãî ïîêàçàòåëÿ ôèçè÷åñêîãî çäîðîâüÿ (PCS). Íåãàòèâíî âëèÿþò íà ýòîò èíòåãðàëüíûé ïîêàçàòåëü ôèçè÷åñêîãî ôóíêöèîíèðîâàíèÿ íàëè÷èå ñîïóòñòâóþùåé ïàòîëîãèè, äëèòåëüíîñòü ÃÄ, êîëè÷åñòâî äíåé ãîñïèòàëèçàöèè çà ïîñëåäíèå 6 ìåñÿöåâ, èíäåêñ ìàññû òåëà, âîçðàñò è óðîâåíü äåïðåññèè.

15
Chiang CK, Peng YS, Chiang SS et al. Other healthrelated quality of life in hemodialysis patients in Taiwan. Hemodialysis Int 2004; 8 (1): 106
Total in-text references: 2
  1. In-text reference with the coordinate start=7855
    Prefix
    Õîòÿ èìååòñÿ íåìàëî çàðóáåæíûõ ïóáëèêàöèé, â êîòîðûõ ñ ïîìîùüþ SF-36 àíàëèçèðóåòñÿ ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ [8–11], ðÿä âîïðîñîâ îñòàåòñÿ íåðåøåííûì. Ïðîòèâîðå÷èâû äàííûå î êëèíè÷åñêèõ è ïñèõîëîãè÷åñêèõ ôàêòîðàõ, âëèÿþùèõ íà ñóáúåêòèâíóþ óäîâëåòâîðåííîñòü æèçíüþ ýòîé êàòåãîðèè áîëüíûõ
    Exact
    [12–19]
    Suffix
    . Îòå÷åñòâåííûå ðàçðàáîòêè ïðîáëåìû ÊÆ ÃÄ-ïàöèåíòîâ ìàëî÷èñëåííû è áàçèðóþòñÿ íà íåçíà÷èòåëüíîì ÷èñëå íàáëþäåíèé [20]. Öåëü äàííîãî èññëåäîâàíèÿ – ïðîâåñòè ñðàâíåíèå ïîêàçàòåëåé ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ, è çäîðîâûõ ëèö, ñîïîñòàâèòü ïîêàçàòåëè ÊÆ ðîññèéñêèõ ÃÄ-ïàöèåíòîâ è áîëüíûõ èç äðóãèõ ñòðàí, îïðåäåëèòü ôàêòîðû, âëèÿþùèå íà ÊÆ ÃÄ-ïàöèåíòîâ.

  2. In-text reference with the coordinate start=25167
    Prefix
    Âûñêàçûâàþòñÿ ðàçëè÷íûå òî÷êè çðåíèÿ ïî âîïðîñó î òîì, îò ÷åãî çàâèñèò ÊÆ áîëüíûõ, ïîëó÷àþùèõ õðîíè÷åñêèé ÃÄ. Áîëüøèíñòâî àâòîðîâ îòìå÷àþò îòðèöàòåëüíîå âëèÿíèå íà óðîâåíü ÊÆ âûðàæåííîñòè àíåìèè, íàëè÷èÿ ñîïóòñòâóþùåé ïàòîëîãèè, äëèòåëüíîñòè ëå÷åíèÿ äèàëèçîì, âîçðàñòà ïàöèåíòîâ
    Exact
    [13, 15, 18, 19]
    Suffix
    .  òî æå âðåìÿ â èññëåäîâàíèè G. Mingardi è ñîàâò. íå óñòàíîâëåíî ñâÿçè ìåæäó ïîêàçàòåëÿìè ÊÆ è ñîäåðæàíèåì ãåìîãëîáèíà [8].  ðÿäå ðàáîò çàðåãèñòðèðîâàíà âûñîêî çíà÷èìàÿ ñâÿçü óäîâëåòâîðåííîñòè æèçíüþ äèàëèçíûõ ïàöèåíòîâ ñ óðîâíåì àëüáóìèíà ñûâîðîòêè êðîâè [14, 16, 17].

16
Kalantar-Zadeh K, Kopple JD, Block G et al. Association among SF36 Quality of life measures and nutrition, hospitalization, and mortality in hemodialysis. J Am Soc Nephrol 2001; 12 (12): 2796-2806
Total in-text references: 2
  1. In-text reference with the coordinate start=7855
    Prefix
    Õîòÿ èìååòñÿ íåìàëî çàðóáåæíûõ ïóáëèêàöèé, â êîòîðûõ ñ ïîìîùüþ SF-36 àíàëèçèðóåòñÿ ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ [8–11], ðÿä âîïðîñîâ îñòàåòñÿ íåðåøåííûì. Ïðîòèâîðå÷èâû äàííûå î êëèíè÷åñêèõ è ïñèõîëîãè÷åñêèõ ôàêòîðàõ, âëèÿþùèõ íà ñóáúåêòèâíóþ óäîâëåòâîðåííîñòü æèçíüþ ýòîé êàòåãîðèè áîëüíûõ
    Exact
    [12–19]
    Suffix
    . Îòå÷åñòâåííûå ðàçðàáîòêè ïðîáëåìû ÊÆ ÃÄ-ïàöèåíòîâ ìàëî÷èñëåííû è áàçèðóþòñÿ íà íåçíà÷èòåëüíîì ÷èñëå íàáëþäåíèé [20]. Öåëü äàííîãî èññëåäîâàíèÿ – ïðîâåñòè ñðàâíåíèå ïîêàçàòåëåé ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ, è çäîðîâûõ ëèö, ñîïîñòàâèòü ïîêàçàòåëè ÊÆ ðîññèéñêèõ ÃÄ-ïàöèåíòîâ è áîëüíûõ èç äðóãèõ ñòðàí, îïðåäåëèòü ôàêòîðû, âëèÿþùèå íà ÊÆ ÃÄ-ïàöèåíòîâ.

  2. In-text reference with the coordinate start=25440
    Prefix
    Mingardi è ñîàâò. íå óñòàíîâëåíî ñâÿçè ìåæäó ïîêàçàòåëÿìè ÊÆ è ñîäåðæàíèåì ãåìîãëîáèíà [8].  ðÿäå ðàáîò çàðåãèñòðèðîâàíà âûñîêî çíà÷èìàÿ ñâÿçü óäîâëåòâîðåííîñòè æèçíüþ äèàëèçíûõ ïàöèåíòîâ ñ óðîâíåì àëüáóìèíà ñûâîðîòêè êðîâè
    Exact
    [14, 16, 17]
    Suffix
    . Ïî ïîëó÷åííûì íàìè äàííûì, ïîêàçàòåëü àëüáóìèíà ÿâëÿåòñÿ îäíèì èç íåçàâèñèìûõ ïðåäèêòîðîâ ñîõðàííîñòè ñóììàðíîãî ïîêàçàòåëÿ ôèçè÷åñêîãî çäîðîâüÿ (PCS). Íåãàòèâíî âëèÿþò íà ýòîò èíòåãðàëüíûé ïîêàçàòåëü ôèçè÷åñêîãî ôóíêöèîíèðîâàíèÿ íàëè÷èå ñîïóòñòâóþùåé ïàòîëîãèè, äëèòåëüíîñòü ÃÄ, êîëè÷åñòâî äíåé ãîñïèòàëèçàöèè çà ïîñëåäíèå 6 ìåñÿöåâ, èíäåêñ ìàññû òåëà, âîçðàñò è óðîâåíü äåïðåññèè.

17
Kirmizis D, Belechri AM, Giamalis P et al. Quality of life in chronic hemodialysis patients. Hemodialysis Int 2004; 8 (1): 105
Total in-text references: 2
  1. In-text reference with the coordinate start=7855
    Prefix
    Õîòÿ èìååòñÿ íåìàëî çàðóáåæíûõ ïóáëèêàöèé, â êîòîðûõ ñ ïîìîùüþ SF-36 àíàëèçèðóåòñÿ ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ [8–11], ðÿä âîïðîñîâ îñòàåòñÿ íåðåøåííûì. Ïðîòèâîðå÷èâû äàííûå î êëèíè÷åñêèõ è ïñèõîëîãè÷åñêèõ ôàêòîðàõ, âëèÿþùèõ íà ñóáúåêòèâíóþ óäîâëåòâîðåííîñòü æèçíüþ ýòîé êàòåãîðèè áîëüíûõ
    Exact
    [12–19]
    Suffix
    . Îòå÷åñòâåííûå ðàçðàáîòêè ïðîáëåìû ÊÆ ÃÄ-ïàöèåíòîâ ìàëî÷èñëåííû è áàçèðóþòñÿ íà íåçíà÷èòåëüíîì ÷èñëå íàáëþäåíèé [20]. Öåëü äàííîãî èññëåäîâàíèÿ – ïðîâåñòè ñðàâíåíèå ïîêàçàòåëåé ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ, è çäîðîâûõ ëèö, ñîïîñòàâèòü ïîêàçàòåëè ÊÆ ðîññèéñêèõ ÃÄ-ïàöèåíòîâ è áîëüíûõ èç äðóãèõ ñòðàí, îïðåäåëèòü ôàêòîðû, âëèÿþùèå íà ÊÆ ÃÄ-ïàöèåíòîâ.

  2. In-text reference with the coordinate start=25440
    Prefix
    Mingardi è ñîàâò. íå óñòàíîâëåíî ñâÿçè ìåæäó ïîêàçàòåëÿìè ÊÆ è ñîäåðæàíèåì ãåìîãëîáèíà [8].  ðÿäå ðàáîò çàðåãèñòðèðîâàíà âûñîêî çíà÷èìàÿ ñâÿçü óäîâëåòâîðåííîñòè æèçíüþ äèàëèçíûõ ïàöèåíòîâ ñ óðîâíåì àëüáóìèíà ñûâîðîòêè êðîâè
    Exact
    [14, 16, 17]
    Suffix
    . Ïî ïîëó÷åííûì íàìè äàííûì, ïîêàçàòåëü àëüáóìèíà ÿâëÿåòñÿ îäíèì èç íåçàâèñèìûõ ïðåäèêòîðîâ ñîõðàííîñòè ñóììàðíîãî ïîêàçàòåëÿ ôèçè÷åñêîãî çäîðîâüÿ (PCS). Íåãàòèâíî âëèÿþò íà ýòîò èíòåãðàëüíûé ïîêàçàòåëü ôèçè÷åñêîãî ôóíêöèîíèðîâàíèÿ íàëè÷èå ñîïóòñòâóþùåé ïàòîëîãèè, äëèòåëüíîñòü ÃÄ, êîëè÷åñòâî äíåé ãîñïèòàëèçàöèè çà ïîñëåäíèå 6 ìåñÿöåâ, èíäåêñ ìàññû òåëà, âîçðàñò è óðîâåíü äåïðåññèè.

18
Turk S, Guney I, Altintepe L et al. Quality of life in male hemodialysis patients. Nephron Clin Pract 2004; 96 (1): 21-27
Total in-text references: 2
  1. In-text reference with the coordinate start=7855
    Prefix
    Õîòÿ èìååòñÿ íåìàëî çàðóáåæíûõ ïóáëèêàöèé, â êîòîðûõ ñ ïîìîùüþ SF-36 àíàëèçèðóåòñÿ ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ [8–11], ðÿä âîïðîñîâ îñòàåòñÿ íåðåøåííûì. Ïðîòèâîðå÷èâû äàííûå î êëèíè÷åñêèõ è ïñèõîëîãè÷åñêèõ ôàêòîðàõ, âëèÿþùèõ íà ñóáúåêòèâíóþ óäîâëåòâîðåííîñòü æèçíüþ ýòîé êàòåãîðèè áîëüíûõ
    Exact
    [12–19]
    Suffix
    . Îòå÷åñòâåííûå ðàçðàáîòêè ïðîáëåìû ÊÆ ÃÄ-ïàöèåíòîâ ìàëî÷èñëåííû è áàçèðóþòñÿ íà íåçíà÷èòåëüíîì ÷èñëå íàáëþäåíèé [20]. Öåëü äàííîãî èññëåäîâàíèÿ – ïðîâåñòè ñðàâíåíèå ïîêàçàòåëåé ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ, è çäîðîâûõ ëèö, ñîïîñòàâèòü ïîêàçàòåëè ÊÆ ðîññèéñêèõ ÃÄ-ïàöèåíòîâ è áîëüíûõ èç äðóãèõ ñòðàí, îïðåäåëèòü ôàêòîðû, âëèÿþùèå íà ÊÆ ÃÄ-ïàöèåíòîâ.

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    Prefix
    Âûñêàçûâàþòñÿ ðàçëè÷íûå òî÷êè çðåíèÿ ïî âîïðîñó î òîì, îò ÷åãî çàâèñèò ÊÆ áîëüíûõ, ïîëó÷àþùèõ õðîíè÷åñêèé ÃÄ. Áîëüøèíñòâî àâòîðîâ îòìå÷àþò îòðèöàòåëüíîå âëèÿíèå íà óðîâåíü ÊÆ âûðàæåííîñòè àíåìèè, íàëè÷èÿ ñîïóòñòâóþùåé ïàòîëîãèè, äëèòåëüíîñòè ëå÷åíèÿ äèàëèçîì, âîçðàñòà ïàöèåíòîâ
    Exact
    [13, 15, 18, 19]
    Suffix
    .  òî æå âðåìÿ â èññëåäîâàíèè G. Mingardi è ñîàâò. íå óñòàíîâëåíî ñâÿçè ìåæäó ïîêàçàòåëÿìè ÊÆ è ñîäåðæàíèåì ãåìîãëîáèíà [8].  ðÿäå ðàáîò çàðåãèñòðèðîâàíà âûñîêî çíà÷èìàÿ ñâÿçü óäîâëåòâîðåííîñòè æèçíüþ äèàëèçíûõ ïàöèåíòîâ ñ óðîâíåì àëüáóìèíà ñûâîðîòêè êðîâè [14, 16, 17].

19
Valderrabano F. Quality of life benefits of early anaemia treatment. Nephrol Dial Transplant 2000; 15 [Suppl 3]: 23-28
Total in-text references: 2
  1. In-text reference with the coordinate start=7855
    Prefix
    Õîòÿ èìååòñÿ íåìàëî çàðóáåæíûõ ïóáëèêàöèé, â êîòîðûõ ñ ïîìîùüþ SF-36 àíàëèçèðóåòñÿ ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ [8–11], ðÿä âîïðîñîâ îñòàåòñÿ íåðåøåííûì. Ïðîòèâîðå÷èâû äàííûå î êëèíè÷åñêèõ è ïñèõîëîãè÷åñêèõ ôàêòîðàõ, âëèÿþùèõ íà ñóáúåêòèâíóþ óäîâëåòâîðåííîñòü æèçíüþ ýòîé êàòåãîðèè áîëüíûõ
    Exact
    [12–19]
    Suffix
    . Îòå÷åñòâåííûå ðàçðàáîòêè ïðîáëåìû ÊÆ ÃÄ-ïàöèåíòîâ ìàëî÷èñëåííû è áàçèðóþòñÿ íà íåçíà÷èòåëüíîì ÷èñëå íàáëþäåíèé [20]. Öåëü äàííîãî èññëåäîâàíèÿ – ïðîâåñòè ñðàâíåíèå ïîêàçàòåëåé ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ, è çäîðîâûõ ëèö, ñîïîñòàâèòü ïîêàçàòåëè ÊÆ ðîññèéñêèõ ÃÄ-ïàöèåíòîâ è áîëüíûõ èç äðóãèõ ñòðàí, îïðåäåëèòü ôàêòîðû, âëèÿþùèå íà ÊÆ ÃÄ-ïàöèåíòîâ.

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    Prefix
    Âûñêàçûâàþòñÿ ðàçëè÷íûå òî÷êè çðåíèÿ ïî âîïðîñó î òîì, îò ÷åãî çàâèñèò ÊÆ áîëüíûõ, ïîëó÷àþùèõ õðîíè÷åñêèé ÃÄ. Áîëüøèíñòâî àâòîðîâ îòìå÷àþò îòðèöàòåëüíîå âëèÿíèå íà óðîâåíü ÊÆ âûðàæåííîñòè àíåìèè, íàëè÷èÿ ñîïóòñòâóþùåé ïàòîëîãèè, äëèòåëüíîñòè ëå÷åíèÿ äèàëèçîì, âîçðàñòà ïàöèåíòîâ
    Exact
    [13, 15, 18, 19]
    Suffix
    .  òî æå âðåìÿ â èññëåäîâàíèè G. Mingardi è ñîàâò. íå óñòàíîâëåíî ñâÿçè ìåæäó ïîêàçàòåëÿìè ÊÆ è ñîäåðæàíèåì ãåìîãëîáèíà [8].  ðÿäå ðàáîò çàðåãèñòðèðîâàíà âûñîêî çíà÷èìàÿ ñâÿçü óäîâëåòâîðåííîñòè æèçíüþ äèàëèçíûõ ïàöèåíòîâ ñ óðîâíåì àëüáóìèíà ñûâîðîòêè êðîâè [14, 16, 17].

20
Шило ВЮ, Горин АА, Денисов АЮ. Трудовая реабилитация пациентов на программном гемодиализе. Нефрология и диализ 2002; 4 (4): 274-276
Total in-text references: 1
  1. In-text reference with the coordinate start=7976
    Prefix
    Ïðîòèâîðå÷èâû äàííûå î êëèíè÷åñêèõ è ïñèõîëîãè÷åñêèõ ôàêòîðàõ, âëèÿþùèõ íà ñóáúåêòèâíóþ óäîâëåòâîðåííîñòü æèçíüþ ýòîé êàòåãîðèè áîëüíûõ [12–19]. Îòå÷åñòâåííûå ðàçðàáîòêè ïðîáëåìû ÊÆ ÃÄ-ïàöèåíòîâ ìàëî÷èñëåííû è áàçèðóþòñÿ íà íåçíà÷èòåëüíîì ÷èñëå íàáëþäåíèé
    Exact
    [20]
    Suffix
    . Öåëü äàííîãî èññëåäîâàíèÿ – ïðîâåñòè ñðàâíåíèå ïîêàçàòåëåé ÊÆ áîëüíûõ, íàõîäÿùèõñÿ íà ëå÷åíèè ÃÄ, è çäîðîâûõ ëèö, ñîïîñòàâèòü ïîêàçàòåëè ÊÆ ðîññèéñêèõ ÃÄ-ïàöèåíòîâ è áîëüíûõ èç äðóãèõ ñòðàí, îïðåäåëèòü ôàêòîðû, âëèÿþùèå íà ÊÆ ÃÄ-ïàöèåíòîâ.

21
Ware JE, Kosinski M, Keller SD. SF-36 physical and mental health summary scales: a user’s manual (4th printing, revised). Boston, MA, The Health Institute, 1994
Total in-text references: 1
  1. In-text reference with the coordinate start=9380
    Prefix
    Êðîìå òîãî, ðàññ÷èòûâàëè äâà èíòåãðàëüíûõ ïîêàçàòåëÿ ÊÆ, êîòîðûå ñêëàäûâàþòñÿ èç îòäåëüíûõ ïîêàçàòåëåé îïðîñíèêà SF-36: ñóììàðíûé ïîêàçàòåëü ôèçè÷åñêîãî çäîðîâüÿ (physical component summary score – PCS) è ñóììàðíûé ïîêàçàòåëü ïñèõè÷åñêîãî çäîðîâüÿ (mental component summary score – MCS)
    Exact
    [21]
    Suffix
    .  èññëåäîâàíèè òàêæå ïðèìåíÿëèñü ñëåäóþùèå ïñèõîäèàãíîñòè÷åñêèå ìåòîäèêè: øêàëà ñàìîîöåíêè äåïðåññèè Çóíãà [22], øêàëà ëè÷íîñòíîé è ðåàêòèâíîé òðåâîæíîñòè Ñïèëáåðãåðà [23], ìåòîäèêà «Óðîâåíü íåâðîòè÷åñêîé àñòåíèè» (ÓÍÀ) [24], îïðîñíèê Êåòòåëëà (16-PF, ôîðìà À) äëÿ îïðåäåëåíèÿ îñîáåííîñòåé ëè÷íîñòè [25], òåñò ñìûñëîæèçíåííûõ îðèåíòàöèé (ÑÆÎ) [26].

22
Zung WWK. A Self-rating Depression Scale. Arch Gen Psychiat 1965; 12: 63-70
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    Prefix
    òîãî, ðàññ÷èòûâàëè äâà èíòåãðàëüíûõ ïîêàçàòåëÿ ÊÆ, êîòîðûå ñêëàäûâàþòñÿ èç îòäåëüíûõ ïîêàçàòåëåé îïðîñíèêà SF-36: ñóììàðíûé ïîêàçàòåëü ôèçè÷åñêîãî çäîðîâüÿ (physical component summary score – PCS) è ñóììàðíûé ïîêàçàòåëü ïñèõè÷åñêîãî çäîðîâüÿ (mental component summary score – MCS) [21].  èññëåäîâàíèè òàêæå ïðèìåíÿëèñü ñëåäóþùèå ïñèõîäèàãíîñòè÷åñêèå ìåòîäèêè: øêàëà ñàìîîöåíêè äåïðåññèè Çóíãà
    Exact
    [22]
    Suffix
    , øêàëà ëè÷íîñòíîé è ðåàêòèâíîé òðåâîæíîñòè Ñïèëáåðãåðà [23], ìåòîäèêà «Óðîâåíü íåâðîòè÷åñêîé àñòåíèè» (ÓÍÀ) [24], îïðîñíèê Êåòòåëëà (16-PF, ôîðìà À) äëÿ îïðåäåëåíèÿ îñîáåííîñòåé ëè÷íîñòè [25], òåñò ñìûñëîæèçíåííûõ îðèåíòàöèé (ÑÆÎ) [26].

23
Spielberger CD et al. Manual for the State-Trait Anxiety Inventory (STAI). Palo Alto, CA. Consulting Psychologists Press, 1983
Total in-text references: 1
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    Prefix
    ñêëàäûâàþòñÿ èç îòäåëüíûõ ïîêàçàòåëåé îïðîñíèêà SF-36: ñóììàðíûé ïîêàçàòåëü ôèçè÷åñêîãî çäîðîâüÿ (physical component summary score – PCS) è ñóììàðíûé ïîêàçàòåëü ïñèõè÷åñêîãî çäîðîâüÿ (mental component summary score – MCS) [21].  èññëåäîâàíèè òàêæå ïðèìåíÿëèñü ñëåäóþùèå ïñèõîäèàãíîñòè÷åñêèå ìåòîäèêè: øêàëà ñàìîîöåíêè äåïðåññèè Çóíãà [22], øêàëà ëè÷íîñòíîé è ðåàêòèâíîé òðåâîæíîñòè Ñïèëáåðãåðà
    Exact
    [23]
    Suffix
    , ìåòîäèêà «Óðîâåíü íåâðîòè÷åñêîé àñòåíèè» (ÓÍÀ) [24], îïðîñíèê Êåòòåëëà (16-PF, ôîðìà À) äëÿ îïðåäåëåíèÿ îñîáåííîñòåé ëè÷íîñòè [25], òåñò ñìûñëîæèçíåííûõ îðèåíòàöèé (ÑÆÎ) [26]. Êëèíè÷åñêèå è àíàìíåñòè÷åñêèå äàííûå âêëþ÷àëè ïîë, âîçðàñò, äëèòåëüíîñòü ÕÁÏ è ïðîäîëæèòåëüíîñòü ëå÷åíèÿ ÃÄ, óðîâåíü ñèñòîëè÷åñêîãî è äèàñòîëè÷åñêîãî àðòåðèàëüíîãî äàâëåíèÿ (ÀÄ), ñîäåðæàíèå ãåìîãëîáèíà, óðîâíè êðåàòèíèíà,

24
Вассерман ЛИ, Вукс АЯ, Иовлев БВ и др. Шкала для психологической диагностики уровня невротической астении. Методические рекомендации. Психоневрологический институт им. В. М. Бехтерева, СПб., 1998: 18
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     èññëåäîâàíèè òàêæå ïðèìåíÿëèñü ñëåäóþùèå ïñèõîäèàãíîñòè÷åñêèå ìåòîäèêè: øêàëà ñàìîîöåíêè äåïðåññèè Çóíãà [22], øêàëà ëè÷íîñòíîé è ðåàêòèâíîé òðåâîæíîñòè Ñïèëáåðãåðà [23], ìåòîäèêà «Óðîâåíü íåâðîòè÷åñêîé àñòåíèè» (ÓÍÀ)
    Exact
    [24]
    Suffix
    , îïðîñíèê Êåòòåëëà (16-PF, ôîðìà À) äëÿ îïðåäåëåíèÿ îñîáåííîñòåé ëè÷íîñòè [25], òåñò ñìûñëîæèçíåííûõ îðèåíòàöèé (ÑÆÎ) [26]. Êëèíè÷åñêèå è àíàìíåñòè÷åñêèå äàííûå âêëþ÷àëè ïîë, âîçðàñò, äëèòåëüíîñòü ÕÁÏ è ïðîäîëæèòåëüíîñòü ëå÷åíèÿ ÃÄ, óðîâåíü ñèñòîëè÷åñêîãî è äèàñòîëè÷åñêîãî àðòåðèàëüíîãî äàâëåíèÿ (ÀÄ), ñîäåðæàíèå ãåìîãëîáèíà, óðîâíè êðåàòèíèíà, ìî÷åâèíû äî è ïîñëå ñåàíñà ÃÄ, ÷èñëî äíåé ãîñïèòàëèç

25
Cattell RB, Cattell AK, Cattell HE. Sixteen Personality Factor Questionnaire, Fifth edition. Champaign, IL: Institute for Personality and Ability Testing, 1993
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    Prefix
     èññëåäîâàíèè òàêæå ïðèìåíÿëèñü ñëåäóþùèå ïñèõîäèàãíîñòè÷åñêèå ìåòîäèêè: øêàëà ñàìîîöåíêè äåïðåññèè Çóíãà [22], øêàëà ëè÷íîñòíîé è ðåàêòèâíîé òðåâîæíîñòè Ñïèëáåðãåðà [23], ìåòîäèêà «Óðîâåíü íåâðîòè÷åñêîé àñòåíèè» (ÓÍÀ) [24], îïðîñíèê Êåòòåëëà (16-PF, ôîðìà À) äëÿ îïðåäåëåíèÿ îñîáåííîñòåé ëè÷íîñòè
    Exact
    [25]
    Suffix
    , òåñò ñìûñëîæèçíåííûõ îðèåíòàöèé (ÑÆÎ) [26]. Êëèíè÷åñêèå è àíàìíåñòè÷åñêèå äàííûå âêëþ÷àëè ïîë, âîçðàñò, äëèòåëüíîñòü ÕÁÏ è ïðîäîëæèòåëüíîñòü ëå÷åíèÿ ÃÄ, óðîâåíü ñèñòîëè÷åñêîãî è äèàñòîëè÷åñêîãî àðòåðèàëüíîãî äàâëåíèÿ (ÀÄ), ñîäåðæàíèå ãåìîãëîáèíà, óðîâíè êðåàòèíèíà, ìî÷åâèíû äî è ïîñëå ñåàíñà ÃÄ, ÷èñëî äíåé ãîñïèòàëèçàöèè çà ïîñëåäíèå ïîëãîäà.

26
Леонтьев ДА. Тест смысложизненных ориентаций (СЖО). М.: «Смысл»,1992:16
Total in-text references: 1
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    Prefix
     èññëåäîâàíèè òàêæå ïðèìåíÿëèñü ñëåäóþùèå ïñèõîäèàãíîñòè÷åñêèå ìåòîäèêè: øêàëà ñàìîîöåíêè äåïðåññèè Çóíãà [22], øêàëà ëè÷íîñòíîé è ðåàêòèâíîé òðåâîæíîñòè Ñïèëáåðãåðà [23], ìåòîäèêà «Óðîâåíü íåâðîòè÷åñêîé àñòåíèè» (ÓÍÀ) [24], îïðîñíèê Êåòòåëëà (16-PF, ôîðìà À) äëÿ îïðåäåëåíèÿ îñîáåííîñòåé ëè÷íîñòè [25], òåñò ñìûñëîæèçíåííûõ îðèåíòàöèé (ÑÆÎ)
    Exact
    [26]
    Suffix
    . Êëèíè÷åñêèå è àíàìíåñòè÷åñêèå äàííûå âêëþ÷àëè ïîë, âîçðàñò, äëèòåëüíîñòü ÕÁÏ è ïðîäîëæèòåëüíîñòü ëå÷åíèÿ ÃÄ, óðîâåíü ñèñòîëè÷åñêîãî è äèàñòîëè÷åñêîãî àðòåðèàëüíîãî äàâëåíèÿ (ÀÄ), ñîäåðæàíèå ãåìîãëîáèíà, óðîâíè êðåàòèíèíà, ìî÷åâèíû äî è ïîñëå ñåàíñà ÃÄ, ÷èñëî äíåé ãîñïèòàëèçàöèè çà ïîñëåäíèå ïîëãîäà.

27
Новик АА, Ионова ТИ. Руководство по исследованию качества жизни в медицине. Издательский Дом «Нева», СПб., «ОЛМА-ПРЕСС Звездный мир», М. 2002; 114-124
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    Òàêîå ñðàâíåíèå ïîçâîëÿåò îõàðàêòåðèçîâàòü âëèÿíèå ÕÁÏ è ëå÷åíèÿ ÃÄ íà âîñïðèÿòèå ÷åëîâåêîì ñâîåãî ñîñòîÿíèÿ çäîðîâüÿ è æèçíè â öåëîì.  òàáë. 1 ïðåäñòàâëåíû ñðåäíèå çíà÷åíèÿ ïîêàçàòåëåé ÊÆ ÃÄ-ïàöèåíòîâ è çäîðîâûõ ëèö. Íîðìàòèâíûå äàííûå ïîëó÷åíû íà 2114 çäîðîâûõ æèòåëÿõ Ñàíêò-Ïåòåðáóðãà â âîçðàñòå îò 15 äî 85 ëåò
    Exact
    [27]
    Suffix
    . Ïîêàçàòåëè ñåìè èç âîñüìè øêàë îïðîñíèêà SF-36 ó ÃÄ-ïàöèåíòîâ äîñòîâåðíî íèæå, ÷åì ó çäîðîâûõ ëèö. Òàê, çíà÷èòåëüíî íèæå íîðìû ïàðàìåòðû âñåõ øêàë ôèçè÷åñêîãî çäîðîâüÿ. Ðåçêî ñíèæåíû ñïîñîáíîñòü ê âûïîëíåíèþ âèäîâ äåÿòåëüíîñòè, ñâÿçàííûõ ñ ôèçè÷åñêèìè íàãðóçêàìè (õîäüáà, ïîäúåì ïî ëåñòíèöå, ïîäíÿòèå òÿæåñòåé) (PF), è îöåíêà îáùåãî ñîñòîÿíèÿ çäîðîâüÿ (GH).

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    Prefix
    Rebollo è ñîàâò. è â íàøèõ ïðåäûäóùèõ ðàáîòàõ áûëî ïîêàçàíî, ÷òî âîçðàñòíîå ñíèæåíèå êàñàåòñÿ, ãëàâíûì îáðàçîì, ôèçè÷åñêîé êîìïîíåíòû ÊÆ, à îöåíêà ïñèõè÷åñêîãî ôóíêöèîíèðîâàíèÿ ÃÄ-ïàöèåíòîâ îñòàåòñÿ ñòàáèëüíîé [11, 30]. Ïî äàííûì àíàëîãè÷íûõ èññëåäîâàíèé çäîðîâûõ ëèö, ïðîâåäåííûõ â Ðîññèè è Øâåöèè, ïîêàçàòåëè øêàëû ïñèõè÷åñêîãî çäîðîâüÿ (MH) â çäîðîâîé ïîïóëÿöèè òàêæå ìàëî ìåíÿþòñÿ ñ âîçðàñòîì
    Exact
    [27, 31]
    Suffix
    Òàêèì îáðàçîì, áîëåå âûñîêèé, ÷åì â íîðìàòèâíîé âûáîðêå, ïîêàçàòåëü ïñèõè÷åñêîãî çäîðîâüÿ ó ÃÄïàöèåíòîâ âðÿä ëè ñâÿçàí ñ ìåíüøåé ïðåäñòàâëåííîñòüþ ëèö ñòàðøåé âîçðàñòíîé ãðóïïû. Ïî-âèäèìîìó, âûñîêàÿ ñóáúåêòèâíàÿ óäîâëåòâîðåííîñòü ýòèõ áîëüíûõ ñâîèì ýìîöèîíàëüíûì ñîñòîÿíèåì, ïñèõîëîãè÷åñêèì íàñòðîåì ÿâëÿåòñÿ ïðîÿâëåíèåì äîñòàòî÷íî õîðîøèõ àäàïòàöèîííûõ âîçìîæíîñòåé, äåéñòâèÿ ìåõàíèçìîâ ïñèõîëîãè÷å

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    Fukuhara è ñîàâò. óñòàíîâèëè, ÷òî îöåíêè ïî øêàëå ïñèõè÷åñêîãî çäîðîâüÿ (MH) è ïî ñóììàðíîé ïñèõè÷åñêîé êîìïîíåíòå çäîðîâüÿ (MCS) ó ÃÄ-ïàöèåíòîâ èç ÑØÀ âûøå, ÷åì ó áîëüíûõ èç ßïîíèè è Åâðîïû [36]. Ñëåäóåò èìåòü â âèäó, ÷òî è àìåðèêàíñêàÿ ïîïóëÿöèîííàÿ íîðìà ïî ýòèì ïîêàçàòåëÿì ïðåâûøàåò òàêîâóþ ïî Êàíàäå, Âåëèêîáðèòàíèè è Ðîññèè
    Exact
    [27]
    Suffix
    . Âåðîÿòíî, ïðè÷èíà ëåæèò â îñîáåííîñòÿõ àìåðèêàíñêîãî íàöèîíàëüíîãî õàðàêòåðà. Ñíèæåííûå çíà÷åíèÿ áîëüøèíñòâà ïîêàçàòåëåé îïðîñíèêà SF-36 â ãðóïïå áîëüíûõ èç Âåëèêîáðèòàíèè, ïî âñåé âåðîÿòíîñòè, ñâÿçàíû ñ ïîíèæåííûì óðîâíåì ãåìîãëîáèíà â ýòîé âûáîðêå ïàöèåíòîâ [29].

28
Perelman RL, Finkelstein FO, Liu L et al. Quality of life in chronic kidney disease (CKD): a cross-sectional analysis in the Renal Research Institute – CKD study. Am J Kidney Dis 2005; 45 (4): 658-666
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    Ïîëó÷åííûå â íàøåì èññëåäîâàíèè äàííûå ïî ÊÆ ðîññèéñêèõ ÃÄ-áîëüíûõ ñîïîñòàâëÿëèñü ñ îöåíêàìè ïî SF-36 ÃÄ-ïàöèåíòîâ èç ÑØÀ (ïî äàííûì ìåæäóíàðîäíîãî èññëåäîâàíèÿ áîëüíûõ íà ÃÄ – the Dialysis Outcomes and Practice Patterns Study – DOPPS)
    Exact
    [28]
    Suffix
    , è ñ ïàðàìåòðàìè ÊÆ ÃÄ-áîëüíûõ èç Âåëèêîáðèòàíèè [29]. Ïðè îòáîðå äàííûõ äëÿ ñðàâíèòåëüíîãî êðîññêóëüòóðàëüíîãî àíàëèçà áûëè èñïîëüçîâàíû òå æå îñíîâíûå êðèòåðèè âêëþ÷åíèÿ â èññëåäîâàíèå, ÷òî è â çàðóáåæíûõ ðàáîòàõ.

29
John R, Stevens P, Webb M et al. Quality of life assessment in patients with unreferred chronic renal failure. Nephrol Dial Transplant 2002; 17 [Suppl 1]: 240
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    Ïîëó÷åííûå â íàøåì èññëåäîâàíèè äàííûå ïî ÊÆ ðîññèéñêèõ ÃÄ-áîëüíûõ ñîïîñòàâëÿëèñü ñ îöåíêàìè ïî SF-36 ÃÄ-ïàöèåíòîâ èç ÑØÀ (ïî äàííûì ìåæäóíàðîäíîãî èññëåäîâàíèÿ áîëüíûõ íà ÃÄ – the Dialysis Outcomes and Practice Patterns Study – DOPPS) [28], è ñ ïàðàìåòðàìè ÊÆ ÃÄ-áîëüíûõ èç Âåëèêîáðèòàíèè
    Exact
    [29]
    Suffix
    . Ïðè îòáîðå äàííûõ äëÿ ñðàâíèòåëüíîãî êðîññêóëüòóðàëüíîãî àíàëèçà áûëè èñïîëüçîâàíû òå æå îñíîâíûå êðèòåðèè âêëþ÷åíèÿ â èññëåäîâàíèå, ÷òî è â çàðóáåæíûõ ðàáîòàõ. Âûáîðêà ðîññèéñêèõ ÃÄïàöèåíòîâ ñîñòàâèëà 311 ÷åëîâåê, ñîïîñòàâèìûõ ñ çàðóáåæíûìè ïàöèåíòàìè ïî ïîëó, âîçðàñòó, äëèòåëüíîñòè ëå÷åíèÿ ÃÄ.

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    Âåðîÿòíî, ïðè÷èíà ëåæèò â îñîáåííîñòÿõ àìåðèêàíñêîãî íàöèîíàëüíîãî õàðàêòåðà. Ñíèæåííûå çíà÷åíèÿ áîëüøèíñòâà ïîêàçàòåëåé îïðîñíèêà SF-36 â ãðóïïå áîëüíûõ èç Âåëèêîáðèòàíèè, ïî âñåé âåðîÿòíîñòè, ñâÿçàíû ñ ïîíèæåííûì óðîâíåì ãåìîãëîáèíà â ýòîé âûáîðêå ïàöèåíòîâ
    Exact
    [29]
    Suffix
    . Âûñêàçûâàþòñÿ ðàçëè÷íûå òî÷êè çðåíèÿ ïî âîïðîñó î òîì, îò ÷åãî çàâèñèò ÊÆ áîëüíûõ, ïîëó÷àþùèõ õðîíè÷åñêèé ÃÄ. Áîëüøèíñòâî àâòîðîâ îòìå÷àþò îòðèöàòåëüíîå âëèÿíèå íà óðîâåíü ÊÆ âûðàæåííîñòè àíåìèè, íàëè÷èÿ ñîïóòñòâóþùåé ïàòîëîãèè, äëèòåëüíîñòè ëå÷åíèÿ äèàëèçîì, âîçðàñòà ïàöèåíòîâ [13, 15, 18, 19].

30
Васильева ИА, Бабарыкина ЕВ, Добронравов ВА. Возрастные аспекты качества жизни у пациентов на хроническом гемодиализе. Нефрология 2004; 8 (3): 32-36
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    Prefix
    Rebollo è ñîàâò. è â íàøèõ ïðåäûäóùèõ ðàáîòàõ áûëî ïîêàçàíî, ÷òî âîçðàñòíîå ñíèæåíèå êàñàåòñÿ, ãëàâíûì îáðàçîì, ôèçè÷åñêîé êîìïîíåíòû ÊÆ, à îöåíêà ïñèõè÷åñêîãî ôóíêöèîíèðîâàíèÿ ÃÄ-ïàöèåíòîâ îñòàåòñÿ ñòàáèëüíîé
    Exact
    [11, 30]
    Suffix
    . Ïî äàííûì àíàëîãè÷íûõ èññëåäîâàíèé çäîðîâûõ ëèö, ïðîâåäåííûõ â Ðîññèè è Øâåöèè, ïîêàçàòåëè øêàëû ïñèõè÷åñêîãî çäîðîâüÿ (MH) â çäîðîâîé ïîïóëÿöèè òàêæå ìàëî ìåíÿþòñÿ ñ âîçðàñòîì [27, 31] Òàêèì îáðàçîì, áîëåå âûñîêèé, ÷åì â íîðìàòèâíîé âûáîðêå, ïîêàçàòåëü ïñèõè÷åñêîãî çäîðîâüÿ ó ÃÄïàöèåíòîâ âðÿä ëè ñâÿçàí ñ ìåíüøåé ïðåäñòàâëåííîñòüþ ëèö ñòàðøåé âîçðàñòíîé ãðóïïû.

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    Prefix
    Ðåçóëüòàòû íàøèõ ïðåäûäóùèõ èññëåäîâàíèé ñâèäåòåëüñòâóþò î òîì, ÷òî ïðè âêëþ÷åíèè â ìíîæåñòâåííûé ðåãðåññèîííûé àíàëèç â êà÷åñòâå íåçàâèñèìûõ ïåðåìåííûõ òîëüêî êëèíè÷åñêèõ ïîêàçàòåëåé è âîçðàñòà óðîâåíü ãåìîãëîáèíà äîñòîâåðíî âëèÿë íà ñóììàðíûé ïîêàçàòåëü ïñèõè÷åñêîãî çäîðîâüÿ
    Exact
    [30]
    Suffix
    . Îäíàêî ïðè âêëþ÷åíèè â àíàëèç åùå è ïñèõîëîãè÷åñêèõ ïåðåìåííûõ (÷òî áûëî ñäåëàíî â íàñòîÿùåé ðàáîòå) ñòåïåíü âëèÿíèÿ ãåìîãëîáèíà íà èíòåãðàëüíûé ïîêàçàòåëü ïñèõè÷åñêîãî ôóíêöèîíèðîâàíèÿ íå äîñòèãëà óðîâíÿ ñòàòèñòè÷åñêîé çíà÷èìîñòè.

31
Sullivan M, Karlsson J. The Swedish SF-36 Health Survey. III. Evaluation of criterion-based validity: results from normative population. J Clin Epidemiol 1998; 51 (11): 1105-1113
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    Prefix
    Rebollo è ñîàâò. è â íàøèõ ïðåäûäóùèõ ðàáîòàõ áûëî ïîêàçàíî, ÷òî âîçðàñòíîå ñíèæåíèå êàñàåòñÿ, ãëàâíûì îáðàçîì, ôèçè÷åñêîé êîìïîíåíòû ÊÆ, à îöåíêà ïñèõè÷åñêîãî ôóíêöèîíèðîâàíèÿ ÃÄ-ïàöèåíòîâ îñòàåòñÿ ñòàáèëüíîé [11, 30]. Ïî äàííûì àíàëîãè÷íûõ èññëåäîâàíèé çäîðîâûõ ëèö, ïðîâåäåííûõ â Ðîññèè è Øâåöèè, ïîêàçàòåëè øêàëû ïñèõè÷åñêîãî çäîðîâüÿ (MH) â çäîðîâîé ïîïóëÿöèè òàêæå ìàëî ìåíÿþòñÿ ñ âîçðàñòîì
    Exact
    [27, 31]
    Suffix
    Òàêèì îáðàçîì, áîëåå âûñîêèé, ÷åì â íîðìàòèâíîé âûáîðêå, ïîêàçàòåëü ïñèõè÷åñêîãî çäîðîâüÿ ó ÃÄïàöèåíòîâ âðÿä ëè ñâÿçàí ñ ìåíüøåé ïðåäñòàâëåííîñòüþ ëèö ñòàðøåé âîçðàñòíîé ãðóïïû. Ïî-âèäèìîìó, âûñîêàÿ ñóáúåêòèâíàÿ óäîâëåòâîðåííîñòü ýòèõ áîëüíûõ ñâîèì ýìîöèîíàëüíûì ñîñòîÿíèåì, ïñèõîëîãè÷åñêèì íàñòðîåì ÿâëÿåòñÿ ïðîÿâëåíèåì äîñòàòî÷íî õîðîøèõ àäàïòàöèîííûõ âîçìîæíîñòåé, äåéñòâèÿ ìåõàíèçìîâ ïñèõîëîãè÷å

32
Held PJ, Brunner F, Odaka M et al. Five-year survival for end-stage renal disease patients in the United States, Europe, and Japan, 1982-1987. Am J Kidney Dis 1990; 15 (5):451-457
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  1. In-text reference with the coordinate start=22053
    Prefix
    Çà ñ÷åò äåéñòâèÿ ýòèõ ôàêòîðîâ, íåâçèðàÿ íà ñíèæåííûå ôèçè÷åñêèå âîçìîæíîñòè è íå ñëèøêîì õîðîøåå ñàìî÷óâñòâèå, ïñèõè÷åñêîå çäîðîâüå ÃÄïàöèåíòîâ îñòàåòñÿ äîñòàòî÷íî ñîõðàííûì.  ðÿäå çàðóáåæíûõ èññëåäîâàíèé óñòàíîâëåíû ìåæäóíàðîäíûå ðàçëè÷èÿ ïî ïîêàçàòåëÿì âûæèâàåìîñòè, íîíêîìïëàéåíñà è ÷àñòîòû ñëó÷àåâ îòêàçà ïàöèåíòà îò ëå÷åíèÿ ÃÄ
    Exact
    [32–34]
    Suffix
    . Ïðîâåäåííîå íàìè ñðàâíèòåëüíîå èññëåäîâàíèå ñâÿçàííîãî ñî çäîðîâüåì ÊÆ ïîêàçàëî, ÷òî ðîññèéñêèõ ÃÄ-ïàöèåíòîâ îòëè÷àþò áîëåå âûñîêèå îöåíêè ôèçè÷åñêîãî ôóíêöèîíèðîâàíèÿ, ÷åì áîëüíûõ èç ÑØÀ è Âåëèêîáðèòàíèè.

33
Bleyer AJ, Hylander B, Sudo H et al. An international study of patient compliance with hemodialysis. JAMA 1999; 281 (13): 1211-1213
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    Prefix
    Çà ñ÷åò äåéñòâèÿ ýòèõ ôàêòîðîâ, íåâçèðàÿ íà ñíèæåííûå ôèçè÷åñêèå âîçìîæíîñòè è íå ñëèøêîì õîðîøåå ñàìî÷óâñòâèå, ïñèõè÷åñêîå çäîðîâüå ÃÄïàöèåíòîâ îñòàåòñÿ äîñòàòî÷íî ñîõðàííûì.  ðÿäå çàðóáåæíûõ èññëåäîâàíèé óñòàíîâëåíû ìåæäóíàðîäíûå ðàçëè÷èÿ ïî ïîêàçàòåëÿì âûæèâàåìîñòè, íîíêîìïëàéåíñà è ÷àñòîòû ñëó÷àåâ îòêàçà ïàöèåíòà îò ëå÷åíèÿ ÃÄ
    Exact
    [32–34]
    Suffix
    . Ïðîâåäåííîå íàìè ñðàâíèòåëüíîå èññëåäîâàíèå ñâÿçàííîãî ñî çäîðîâüåì ÊÆ ïîêàçàëî, ÷òî ðîññèéñêèõ ÃÄ-ïàöèåíòîâ îòëè÷àþò áîëåå âûñîêèå îöåíêè ôèçè÷åñêîãî ôóíêöèîíèðîâàíèÿ, ÷åì áîëüíûõ èç ÑØÀ è Âåëèêîáðèòàíèè.

34
Sehgal AR, Weisheit C, Miura Y et al. Advance directives and withdrawal of dialysis in the United States, Germany, and Japan. JAMA 1996; 276 (20): 1652-1656
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    Prefix
    Çà ñ÷åò äåéñòâèÿ ýòèõ ôàêòîðîâ, íåâçèðàÿ íà ñíèæåííûå ôèçè÷åñêèå âîçìîæíîñòè è íå ñëèøêîì õîðîøåå ñàìî÷óâñòâèå, ïñèõè÷åñêîå çäîðîâüå ÃÄïàöèåíòîâ îñòàåòñÿ äîñòàòî÷íî ñîõðàííûì.  ðÿäå çàðóáåæíûõ èññëåäîâàíèé óñòàíîâëåíû ìåæäóíàðîäíûå ðàçëè÷èÿ ïî ïîêàçàòåëÿì âûæèâàåìîñòè, íîíêîìïëàéåíñà è ÷àñòîòû ñëó÷àåâ îòêàçà ïàöèåíòà îò ëå÷åíèÿ ÃÄ
    Exact
    [32–34]
    Suffix
    . Ïðîâåäåííîå íàìè ñðàâíèòåëüíîå èññëåäîâàíèå ñâÿçàííîãî ñî çäîðîâüåì ÊÆ ïîêàçàëî, ÷òî ðîññèéñêèõ ÃÄ-ïàöèåíòîâ îòëè÷àþò áîëåå âûñîêèå îöåíêè ôèçè÷åñêîãî ôóíêöèîíèðîâàíèÿ, ÷åì áîëüíûõ èç ÑØÀ è Âåëèêîáðèòàíèè.

35
Saran R, Bragg-Gresham JL, Rayner HC et al. Nonadherence in hemodialysis: Associations with mortality, hospitalization, and practice patterns in the DOPPS. Kidney Int 2003; 64 (1): 254-262
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    Prefix
    Îäíà èç âîçìîæíûõ ïðè÷èí îòëè÷èé ïî ôèçè÷åñêîìó çäîðîâüþ – áîëåå âûñîêèé ïðîöåíò áîëüíûõ ñ äèàáåòîì â àìåðèêàíñêîé âûáîðêå (36,6% ïðîòèâ 3,5%). Ïî äàííûì R. Saran è ñîàâò., áîëüíûõ èç ÑØÀ îòëè÷àåò áîëüøàÿ ÷àñòîòà íåñîáëþäåíèÿ ðåæèìà ÃÄ ïî ïîêàçàòåëÿì ïðîïóñêîâ è ñîêðàùåíèÿ ñåàíñîâ ÃÄ, ÷åì ïàöèåíòîâ èç ßïîíèè è Åâðîïû
    Exact
    [35]
    Suffix
    . Ñ ýòèì ìîæåò áûòü ñâÿçàíà íåäîñòàòî÷íàÿ àäåêâàòíîñòü äèàëèçà è ïîíèæåííûå ïîêàçàòåëè ôèçè÷åñêîãî çäîðîâüÿ. Âîçìîæíî, äåëî íå òîëüêî â îáúåêòèâíûõ ïîêàçàòåëÿõ (íàëè÷èå äèàáåòà, ïðîïóñêè è ñîêðàùåíèÿ ñåàíñîâ ÃÄ), à è â êóëüòóðàëüíûõ ôàêòîðàõ è ñîöèàëüíî-ýêîíîìè÷åñêèõ ôàêòîðàõ – ïðèâû÷êà ïðåîäîëåâàòü òðóäíîñòè, èñïûòûâàòü äîñòàòî÷íî áîëüøèå ôèçè÷åñêèå íàãðóçêè, íåïðèõîòëèâîñòü ÿâëÿþòñÿ íîðìîé ä

36
Fukuhara S, Lopes AA, Bragg-Gresham JL et al. Healthrelated quality of life among dialysis patients on three continents: The Dialysis Outcomes and Practice Patterns Study. Kidney Int 2003; 64 (5): 1903-1910 Ïîñòóïèëà â ðåäàêöèþ 22.03.2005 ã.
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    Prefix
    Ïðè èíòåðïðåòàöèè áîëåå âûñîêîé ñàìîîöåíêè ïñèõè÷åñêîãî çäîðîâüÿ áîëüíûìè èç ÑØÀ òàêæå ñëåäóåò ïðèíèìàòü âî âíèìàíèå êóëüòóðàëüíûå ðàçëè÷èÿ. S. Fukuhara è ñîàâò. óñòàíîâèëè, ÷òî îöåíêè ïî øêàëå ïñèõè÷åñêîãî çäîðîâüÿ (MH) è ïî ñóììàðíîé ïñèõè÷åñêîé êîìïîíåíòå çäîðîâüÿ (MCS) ó ÃÄ-ïàöèåíòîâ èç ÑØÀ âûøå, ÷åì ó áîëüíûõ èç ßïîíèè è Åâðîïû
    Exact
    [36]
    Suffix
    . Ñëåäóåò èìåòü â âèäó, ÷òî è àìåðèêàíñêàÿ ïîïóëÿöèîííàÿ íîðìà ïî ýòèì ïîêàçàòåëÿì ïðåâûøàåò òàêîâóþ ïî Êàíàäå, Âåëèêîáðèòàíèè è Ðîññèè [27]. Âåðîÿòíî, ïðè÷èíà ëåæèò â îñîáåííîñòÿõ àìåðèêàíñêîãî íàöèîíàëüíîãî õàðàêòåðà.