Life In Chronic Renal Patients Research Articles

A Pilot Randomised Controlled Trial on the Effectiveness of an Anti-Stress Ball Technique for Pain Reduction during Vascular Access Cannulation in Haemodialysis Patients

Pain in patients under haemodialysis affects the quality of life of chronic renal patients. Distraction has been effective in controlling pain induced by the insertion of needles. Once applied adequately, distraction promotes endorphin release, with efficacy in acute pain management. This study evaluates pain perception while puncturing the haemodialysis device, using an anti-stress ball as a distraction strategy. This study is a retrospectively registered pilot randomised controlled trial of 47 chronic renal patients undergoing regular haemodialysis programs in a dialysis unit, in the central region of Portugal. Patients were randomly allocated into control and intervention groups. The intervention group received an anti-stress ball on the opposite limb of the vascular access, while the control group underwent pain evaluation without any intervention. Pain was monitored using a numeric pain scale. The study aimed to evaluate pain during vascular access cannulation and explore the potential benefits of using an anti-stress ball to reduce this pain. Patients in the intervention group experienced significantly lower pain scores (-1.23; p < 0.05) during vascular access cannulation compared to the control group (-0.51). Distraction through an anti-stress ball reduces the perception of pain experienced by the chronic renal patients undergoing haemodialysis. However, the trial's retrospective registration may introduce a risk of selective-outcome reporting. Further research with prospectively registered trials is recommended to validate the findings.

Evaluation of quality of life and functionality of patients chronic renal in hemodialysis treatment

Introduction: Chronic Renal Disease (CKD) is an insidious, asymptomatic, progressive and irreversible renal damage. Added to hemodialysis treatment triggers negative effects on the cardiorespiratory, musculoskeletal system and quality of life (QOL). Therefore, we sought to evaluate functionality, quality of life and respiratory muscle strength and peak expiratory flow in patients with chronic renal failure on hemodialysis. Materials and methods: A cross-sectional and descriptive study, with a convenience sample of 30 individuals. An individual identification form, the Kidney Disease and Quality-of-Life Short-Form (KDQOL- SF) quality of life assessment instrument and the Functional Independence Measure (FIM) instrument were used. Also, specific tests for evaluation of respiratory muscle strength (RMS) and peak expiratory flow (PEF). Results: A homogeneous sample characterized as old adults with low schooling, and mostly hypertensive and diabetic. Individuals with complete functional independence (FIM: 118.13±17.1). There was a great decline in respiratory muscle strength and peak expiratory flow, about 40-50% of predicted values. With significant impact on the situation of work and sexual function, 25±42.9 and 45.5±44.3, respectively. Positive values were obtained on social interaction and stimulation by the dialysis team. Conclusion: It was concluded that there are no impacts on its functionality. However, there is a significant decline in respiratory functional parameters, such as respiratory muscle strength and peak expiratory flow, as well as in the health-related quality of life of chronic renal patients undergoing hemodialysis treatment.

Qualidade de vida de pacientes renais crônicos em tratamento dialítico hemodialítico em Guaraí- TO

Chronic Renal Insufficiency (CRF) is a slow-graded pathology, characterized by structural and / or functional changes in renal function, a vital organ in maintaining hydroelectrolytic balance. To evaluate the quality of life of chronic renal patients undergoing substitution therapy undergoing Hemodialysis and Peritoneal Dialysis. Field research with a qualitative exploratorydescriptive approach, carried out at the Health Education Clinic (CEPS) of the Instituto Educacional Santa Catarina - IESC / FAG in the city of Guaraí - TO. The study population consists of 07 patients with CRF undergoing Renal Replacement Therapy (RRT). The WHOQOL questionnaire was applied to assess Quality of Life (QOL), the information collected was organized and presented in the form of graphs. In the QOL domain, 71.4% of the survey participants declared their QOL to be poor or very bad and only 28.6% reported good QOL, these results show how much the disease interferes with the individual's biopsychosocial aspects. The prevalence of patients on Hemodialysis is significantly higher when compared to Peritoneal Dialysis. The QoL of patients on RRT is substantially lower due to the burden caused by the disease, which reinforces the need for preventive measures.

Quality of life of chronic kidney patients on hemodialysis and related factors.

Objective:to verify the association between the health-related quality of life of chronic renal patients on hemodialysis with sociodemographic, clinical, depression and medication adherence characteristics.Method:a cross-sectional study with 183 chronic renal patients undergoing hemodialysis in the state of Rio Grande do Sul, Brazil. A sociodemographic and clinical questionnaire, Kidney Disease and Quality of Life Short-Form, Beck Depression Inventory and Morisky Medication Adherence Scale - eight items were used. Among the variables, comorbidities, complications of kidney disease and intercurrences during and after hemodialysis were evaluated. The analysis was performed with descriptive and analytical statistics.Results:55.2% of the patients were 60 years old or older, 35.0% were hypertensive, with regular quality of life, average of 62.61. Scores below average in the dimensions of quality of life were mainly associated with repetitive infections and edema as complications of the disease, pain during hemodialysis and weakness afterwards. Low drug adherence resulted in a worse quality of life, impacting ten of the 20 dimensions evaluated and depression in all, except for patient satisfaction.Conclusion:reduced quality of life in this population is associated with depressive symptoms, complications such as repetitive infections, pain and anemia, weakness after the dialysis session and low medication adherence. Actions aimed at changing these factors can promote well-being.

Qualidade de vida de pacientes com insuficiência renal crônica submetidos à hemodiálise

Este artigo objetivaavaliar a qualidade de vida de pacientes com insuficiência renal crônica em tratamento de hemodiáliseTrata-se de umestudo transversal e descritivo, com abordagem quantitativa, realizado com 40 pessoas em tratamento hemodialítico em um centro de referência. A coleta de dados ocorreu mediante entrevista, utilizando instrumento semiestruturado e WHOQOLbref. Não foram identificadas associações estatisticamente significativas entre a qualidade de vida e as variáveis sociodemográficas. O domínio Relações sociais apresentou a maior média (63,7) e o domínio Físico sofreu maior prejuízo na qualidade de vida, exibindo média de 45,4. Foi evidenciada uma redução na qualidade de vida dos pacientes renais crônicos submetidos a terapia renal substitutiva, sendo necessário que o profissional de saúde esteja preparado para cuidar dos problemas e dificuldades enfrentadas por essas pessoas. No âmbito da assistência em nefrologia, esta pesquisa propicia uma reflexão acerca de intervenções que visem melhorar a qualidade de vida dos pacientes submetidos ao tratamento hemodialítico.&#x0D; Palavras-chave: Enfermagem em Nefrologia; Doença Crônica; Qualidade de Vida.&#x0D; &#x0D;

Conhecimento de pacientes em hemodiálise quanto ao autocuidado com cateter venoso central

Objetivo: Analisar o conhecimento de pacientes em hemodiálise sobre o autocuidado com o cateter venoso central. Método: Estudo descritivo de abordagem qualitativa realizado com 9 pacientes matriculados no Serviço de Terapia Renal Substitutiva da Fundação Hospital de Clínicas Gaspar Vianna, no município de Belém do Pará. Utilizou-se um instrumento para a coleta dos dados que posteriormente foi analisado segundo o modelo proposto por Bardin. Resultados: Após as a análise e interpretação dos dados coletados dos 09 pacientes, os quais compuseram a amostra do estudo, emergiram 3 categorias: Conhecimento e significância da hemodiálise na vida dos pacientes renais crônicos; O autocuidado e o cotidiano do paciente renal crônico em hemodiálise; A autoestima e autoimagem do paciente renal crônico em hemodiálise. Percebeu-se que de maneira geral todos os pacientes possuem carência de conhecimento acerca de seu tratamento e sobre o autocuidado necessário à manutenção correta de seu cateter. Conclusão: Destaca-se a importância do enfermeiro no repasse de orientações para a promoção do autocuidado dos pacientes renais crônicos e, consequentemente, melhor qualidade de vida. Sugerimos a construção de tecnologias educativas para uso com estes pacientes, além da implementação da Sistematização da Assistência de Enfermagem, a qual poderá identificar as deficiências no autocuidado e implementar as intervenções de enfermagem minimizando tal problemática

Correlation between pain and quality of life of patients under hemodialysis

ABSTRACT BACKGROUND AND OBJECTIVES: To evaluate pain symptoms and their influence on quality of life of chronic renal patients submitted to hemodialysis. METHODS: Descriptive, exploratory, comparative and cross-sectional study paired by frequency, having as tested group (GI, n=50) chronic renal patients under hemodialysis with hypertension and diabetes mellitus type 2, and as control group (GII, n=50) patients with hypertension or diabetes mellitus type 2, assisted by the Hypertension Ambulatory. Quality of life was evaluated by the Kidney Disease and Quality of Life Short-Form, pain by the Brief Pain Inventory, emotional factors by Beck anxiety and depression scales and neuropathic pain by DN4 questionnaire. RESULTS: Both groups had predominance of males, mean age of 47.3±16.5 years. With regard to labor, the group under hemodialysis (GI) had 80% of inactive patients. Most impaired quality of life domains were job situation and physical function. There has been prevalence of depression and anxiety, neuropathic pain and more pain complaint in GI, significantly interfering with general activities such as sleep and walking ability. There has been significant correlation (p<0.05) between anxiety, physical function and labor situation versus pain. CONCLUSION: Pain is often ignored, but brings significant consequences to quality of life of patients, contributing for relevant worsening of anxious or depressive symptoms. Thus, it is critical the multidisciplinary management of such patients.

A qualidade de vida dos pacientes renais crônicos em hemodiálise na região de Marília, São Paulo

Hemodialysis is responsible for significant alterations in the quality of life of chronic renal patients. To compare the quality of life of patients on hemodialysis without depression (A) and those with some level of depression (B). This was a transversal and descriptive study in which the Beck Depression Inventory (BDI) and the WHOQOL-bref scale were used. The studied sample consisted of 130 patients, 65.15% in A, and 33.84% in B. The highest levels of depression were related to longer periods of treatment. Quality of life indexes were better for A, and, as certain domain increased, also were the others. More differences were observed in the Psychological (A: 69.40 and B: 49.22) and Physical (A: 62.81 and B: 42.19) Domains; and the Social Relations Domain had a better average between the populations, as well as a better correlation with the other domains. Although there was a low prevalence of depression among hemodialysis patients, some investments should be made in the social, psychological and physical support aiming to improve their quality of life.

Eficácia de um protocolo de exercícios físicos em pacientes com insuficiência renal crônica, durante o tratamento de hemodiálise, avaliada pelo SF-36

OBJETIVO: Analisar os efeitos de um protocolo de exercícios fisioterapêuticos em pacientes renais crônicos, durante a terapia hemodialítica, visando à melhora de sua qualidade de vida. MATERIAIS E MÉTODOS: Foram avaliados 27 pacientes, com idade média de 51 ± 10,5 anos, índice de massa corpórea média de 24,3 ± 3,8 e em tratamento hemodialítico há aproximadamente 50 ± 27,7 meses. Os pacientes assinaram o Termo de Consentimento Livre e Esclarecido e, durante três meses, participaram de um programa de tratamento, durante a hemodiálise, composto por alongamentos musculares de membros inferiores, de membro superior (que não apresentasse a fístula arteriovenosa), lombar e cervical (caso o paciente não apresentasse o cateter cervical de diálise); fortalecimentos musculares de membros inferiores e membro superior, sem o acesso vascular; e relaxamento. Foi aplicado o questionário de qualidade de vida SF-36 antes e após o período de tratamento. RESULTADOS: Após o tratamento, o teste SF-36 mostrou melhora significativa das seguintes variáveis: capacidade funcional, nível de dor, vitalidade e saúde mental. Também foi observado que, antes do tratamento, dez pacientes relatavam cãibras musculares e, após a fisioterapia, somente quatro pacientes continuaram relatando essas contrações. CONCLUSÃO: Conclui-se que a atuação da fisioterapia durante a hemodiálise contribuiu para a melhora da qualidade de vida de pacientes renais crônicos.

Depressed mood and poor quality of life in male patients with chronic renal failure undergoing hemodialysis

To assess mood and quality of life in male hemodialysis patients, and to correlate mood swings with the different domains of the quality of life questionnaire. Forty-seven male patients undergoing regular hemodialysis for more than six months were included in the study. The Hamilton Rating Scale for Depression and the Kidney Disease Quality of Life Questionnaire, in a version translated into and adapted to Portuguese, were used. The patients' age was 39.4±8.9 years (median±SD). Depression was observed in 32 (68.1%) patients according to the Hamilton Rating Scale for Depression. A significant negative correlation was found between the results from the Hamilton Rating Scale for Depression and the following parameters of the specific dimensions of the Kidney Disease Quality of Life Questionnaire: list of symptoms and problems (rs=-0.399; p=0.005), quality of social interaction (rs=-0.433; p=0.002), and quality of sleep (rs=-0.585; p<0.001). Among the generic domains, mood showed a significant negative correlation with general health (rs=-0.475; p<0.001), emotional well-being (rs=-0.354; p=0.015), social functioning and energy/fatigue (rs=-0.518; p<0.001). The other parameters of the Kidney Disease Quality of Life Questionnaire did not show significant correlations with the Hamilton Rating Scale for Depression. Mood showed a negative correlation with the various scores of quality of life assessed by the Kidney Disease Quality of Life Questionnaire, suggesting a possible influence of mood on the quality of life of chronic renal patients undergoing hemodialysis.