Children and adolescents on hemodialysis: attributes associated with quality of life

Abstract

The aim of this study was to estimate the prevalence and factors associated with the occurrence of incidents related to medication, registered in the medical records of patients admitted to a Surgical Clinic, in 2010. This is a cross-sectional study, conducted at a university hospital, with a sample of 735 hospitalizations. Was performed the categorization of types of incidents, multivariate analysis of regression logistic and calculated the prevalence. The prevalence of drug-related incidents was estimated at 48.0% and were identified, as factors related to the occurrence of these incidents: length of hospitalization more than four days, prescribed three or more medications per day and realization of surgery intervention. It is expected to have contributed for the professionals and area managers can identify risky situations and rethink their actions.

Vivências De Adolescentes E Jovens Diagnosticados Com Doença Renal Crônica

“…Dentro da categoria Alterações da Imagem Corporal Relacionadas à DRC, a autoimagem é abordada, sobretudo, pelos adolescentes e jovens, em virtude das alterações em sua aparência física, dada sua condição clínica. Essas alterações se comprovam pela presença do cateter ou da fístula arteriovenosa e dos acessos vasculares utilizados para a hemodiálise 15 .…”

Quality Of Life Of Children With Chronic Kidney Disease

“…A study conducted in the United Kingdom found no significant changes between studied and control groups, neither between different treatment modalities [18]. Differences between studies may be related to the use of different assessment instruments.…”

“…There is need for a strict dietary control, which includes food and liquid restriction so the patient stays healthy between hemodialysis sessions. The need for liquid restriction is reason for concern for both children and parents, as seen in qualitative studies [18].…”

“…The presence of peritoneal catheter, hemodialysis catheters and the arteriovenous fistula often places patients in the position of "ill" through the eyes of others. It is worth highlighting that adolescents are more vulnerable to these variables [18,19].…”

“…Poor academic performance was reason for concern in several studies, even in those centers where patients are tutored at the very place of treatment [12,16,18,19,23]. Frequent absences due to hemodialysis sessions, frequent doctor visits and examinations regularly may have an influence in this sense, which would not explain the poorer academic performance among children with CKD undergoing conservative treatment.…”