Introduction: Quality of life (QoL) of hemodialysis patients is a major evaluative marker currently measured, while treatment time is a clinical determinant associated with impaired QOL. Objective: To evaluate QOL in individuals undergoing hemodialysis (HD) considering treatment time and the presence of comorbidities. Methods: A cross-sectional study conducted in the hemodialysis unit of the Hospital das Clínicas da Universidade Federal de Pernambuco (HC-UFPE). We studied patients with Chronic Kidney Disease (CKD) of both genders over the age of 18 years, at any level of education and undergoing HD for at least 6 months. We evaluated the demographic/socioeconomic and clinical data, followed by application of the quality of life questionnaire (KDQOL-SF). Results: Participants were 47 patients with a mean age of 50.94 ± 13.33 years, 55.3% were male and average treatment time of 57.35 ± 61.46 months. Hypertension (59.6%) was the most frequent underlying disease. According to the responses obtained through the KDQOL-SF, the situation at work and physical limitation scored worse. Sexual function (85.83) and encouragement by the team had the best performance. There were no differences in dimensions of questionnaire and treatment time. Conclusion: The presence of comorbidities and HD duration were not found to be possible factors for changing QoL in this study. However, we suggest that future studies evaluate other factors such as laboratory, emotional and functional data to check for changes in QoL in these patients related to HD duration.
Resumo Pessoas acometidas pela insuficiência renal crônica têm sua qualidade de vida diminuída em razão do tratamento hemodialítico a que são submetidas. Essas alterações podem ser mais ou menos intensas, dependendo das estratégias de enfrentamento (coping) que elas usam para lidar com os efeitos do tratamento. Este estudo objetivou investigar a relação entre estratégias de coping e qualidade de vida de pacientes em hemodiálise. Três instrumentos (questionário sociodemográfico, Escala Modos de Enfrentamento de Problemas e o Kidney Disease and Quality-of-Life Short-Form) foram aplicados em 49 pacientes do Setor de Hemodiálise de um hospital público da cidade de Recife, Brasil. Foram encontradas principalmente correlações negativas entre a estratégia de coping focalizado na emoção e várias dimensões da qualidade de vida. Esses resultados são compatíveis com pesquisas anteriores, inclusive as realizadas com outros tipos de pacientes. As implicações desses resultados para a atuação profissional do psicólogo são discutidas. Palavras-chave: coping; qualidade de vida; insuficiência renal crônica.
This study sought evidence of validity based on the internal structure (factorial validity) and its relationship with external variables (psychopathological indicators and personal data) for the Emotional Regulation Test (ERT). This instrument is composed by conflict-related scenarios (vignettes) involving eight basic emotions, and questions about the effectiveness of different ways to deal with the emotional conflict of each scenario. The sample consisted of 289 adults, who answered the ERT via internet. A smaller portion of the sample (N = 191) also responded to the Clinical Dimensional Inventory of Personality - Screening. The study resulted in a two-factor structure related to effective (factor 1) and non-effective (factor 2) strategies to regulate emotions, with good reliability indexes. No significant correlations with psychopathological indicators were found. We recommended the use of the instrument for research purposes.
Sistema de avaliação: às cegas por pares (double blind review).
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