Relationship between frailty, social support and family functionality of hemodialysis patients: a cross-sectional study

Abstract

According to a Brazilian consensus, frailty consists of a state of physiological age-related vulnerability that is produced through reduction of homeostatic reserves and reduced capacity of the organism in response to negative health outcomes, such as hospital admissions, falls and functional loss, with increased likelihood of death. 1 Despite being a complex syndrome, frailty can be reversed or mitigated through effective interventions, but for this to occur, it is recommended that screening for frailty should be done early, while patients are still in care. 2 Although the concept of frailty is well established from the physical point of view, it is not an exclusively physical syndrome. It also encompasses biopsychosocial factors that depend on a holistic view of frail individuals. 3,4 The population with chronic kidney disease (CKD) has high incidence and prevalence of physical and cognitive impairment, and is more predisposed to early development of frailty. 5In addition, the process of CKD, from diagnosis to treatment with hemodialysis, leads to several biopsychosocial changes in patients' lives. 6 Mansur, Damasceno and Bastos carried out a study among 146 patients with CKD undergoing conservative treatment (CT), hemodialysis (HD) or peritoneal dialysis (PD), with the aim of assessing the prevalence of frailty and the factors associated with it. 7 They pointed out that frailty occurs frequently among patients with CKD undergoing conservative or dialysis treatment, even among those who are not elderly. In addition, a systematic review by Chowdhury et al. showed that frailty was associated with an increased risk of mortality and hospitalization. 8 In view of this scenario, screening for frailty among patients with CKD is extremely important: not only for elderly individuals but also for younger ones. At early stages of kidney disease, individuals

Frailty in Older Patients Undergoing Hemodialysis and Its Association with All-Cause Mortality: A Prospective Cohort Study

“…The prevalence of frailty has been reported much higher in the dialysis population. 19 , 20 Johansen et al 9 reported that the prevalence of frailty in the incident hemodialysis and peritoneal dialysis patients was 67.7% in the Dialysis Morbidity and Mortality Study (DMMS) Wave 2. Other reports from Japan and Korea showed that the prevalence of frailty was 21.4% and 34.8%, respectively.…”

Benefit finding in individuals undergoing maintenance hemodialysis in Shanghai: a latent profile analysis

“…In the context of their social networks, the family unit plays a crucial role. Family rearrangements, fostering intergenerational coexistence, are particularly significant ( Santos et al, 2021 ). These familial interactions, along with friendships, can be a source of happiness for individuals on MHD.…”

The association between academic stress, social support, and self-regulatory fatigue among nursing students: a cross-sectional study based on a structural equation modelling approach

“…Importantly, this study examines the social support pathway surrounding the physical and mental adjustment of current nursing students. Therefore, it is recommended that educational administrators in the future provide strategies such as peer strength [ 39 ], emotional support from families [ 40 , 41 ], and supportive teachers [ 42 , 43 ] to facilitate the recovery of physical and mental sources of strength for students through effective counseling and supportive training [ 44 – 46 ]. The low recovery rate of 46.80% in this study can be partly blamed on the fact that students were busy with their studies and didn’t have time to fill out the scale.…”