Abstract
Objective: This study aimed to evaluate the physical and social factors that influence the quality of life of patients with chronic kidney disease (CKD) on hemodialysis (HD). Study Design: Descriptive and cross-sectional. Methods: There were 149 patients with CKD routinely submitted to HD that answered a questionnaire adapted (Medical Results Survey; SF-36) about the presence of symptoms during and after the HD sessions, main diseases concomitant, and the presence of factors that influence the quality of life. Results: According to the multivariate analysis, the presence of symptoms after the HD contributes to a decrease in the quality of life (p=0.04). However, emotional well-being was positively associated with social activities (p=0.01). The daily activities and the absence of concomitant diseases are associated with good health and, therefore, a better quality of life for patients with CKD (p<0.05). Patients with chronic diseases such as hypertension and diabetes should be better observed, since such illnesses are always associated with renal dysfunction. Conclusion: The results of the present study demonstrate that the chronic renal patients should be inserted into social environments and should perform daily activities despite the limitations of the treatment since an active lifestyle contributes positively to their well-being and quality of life.
Highlights
Chronic kidney disease (CKD) is a pathology that represents a significant public health problem, whose prevalence has increased considerable worldwide[1]
Data collection was performed using a questionnaire adapted from the Medical Outcome Survey - Short Form 36 (SF-36)[15] about the quality of life of chronic kidney disease patients, which included demographic, socioeconomic, pathological aspects, clinical characterization of patients and main complications presented during the hemodialysis sessions
A total of 149 patients undergoing hemodialysis were included, of which 92 (61.7%) patients came from the UNIRIM clinic in Parnaiba, Piauí, Brazil, and 57 (38.2%) patients came from the Instituto do Rim (IRCM) in Campo Maior, Piauí, Brazil
Summary
Chronic kidney disease (CKD) is a pathology that represents a significant public health problem, whose prevalence has increased considerable worldwide[1]. Patients with renal disease progressing to the chronic stage have several clinical aftereffects, some of which are partially corrected by renal replacement therapy. These patients present a higher mortality rate and a dropin quality of life due to several symptoms that influence performance in daily activities[2]. The causes of CKD include diabetic nephropathy, present in both type 1 and type 2 diabetes, or may be related to non-diabetic causes such as vascular, glomerular, tubulointerstitial and cystic[3]. The signs of the disease appear gradually and are nonspecific, such as fatigue, hypertension, nausea, shortness of breath, swelling in the limbs, decreased urine production and glomerular filtration rate, and albuminuria, which is used in the diagnosis[5]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
