Abstract
This study has described and analysed the functional independence of the patients served in the haemodialysis services of a countryside town in the State of São Paulo, Brazil, using the Functional Independence Measure (FIM). The population considered was that of 214 patients being treated with haemodialysis, assessed in 2011, by means of a social, demographic and clinical report, a Mini-Mental State Examination (MMSE) and also the FIM. The mean age of the population under study was 58.01 years, while the mean FIM point score was 118.38 points, showing a level of complete or modified independence within this population. Even though the level of dependence found has been low, this can be highlighted, within the locomotion domain, in the activity of going up and down stairs (10.28%). Age, complications arising from haemodialysis, and comorbidities show a negative correlation with FIM. Awareness of the level of functional independence of the patients being subjected to treatment with haemodialysis is essential in order to back up intervention for the improvement of nursing assistance provided to this population.
Highlights
Chronic Kidney Disease (CKD) means that the patients need to follow certain restrictions and limitations, especially after dialysis treatment has been introduced
The investigation of functional independence in patients with CKD is a recent issue for the professional people in the nursing professional, but the awareness of the needs of these patients in relation to the execution of their daily activities helps the nurse in establishing systematics for the assistance provided to this population
Age, complications arising from the haemodialysis, and comorbidities in general, diabetes mellitus, are important factors in establishing the functional independence of this population
Summary
Chronic Kidney Disease (CKD) means that the patients need to follow certain restrictions and limitations, especially after dialysis treatment has been introduced. Haemodialysis is the type of treatment which is most commonly used nowadays, and 90.6% of all patients with CKD undergo treatment based on haemodialysis [2]. This therapy interferes with the person’s normal life, preventing or limiting the carrying out of daily routine activities, as these often cause physical incapacity and emotional problems[3]. The issue of functional capacity has been one of the health components to be considered essential when appraising the health of the general population, especially of those who have chronic diseases like CKD [4]. Appraisal by the health team is essential, as it relates the impact of the disease to the limiting conditions of the individual, thereby reflecting on his or her quality of life[6]
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