Fatores associados à qualidade de vida de pacientes incidentes em diálise peritoneal no Brasil (BRAZPD)

Abstract

Introduction: The number of patients on peritoneal dialysis (PD) in Brazil is significant, with a higher prevalence of diabetic and elderly individuals on PD than on hemodialysis. These data point to a selection bias in that population. Objective: To assess the quality of life (QoL) of patients starting PD in Brazil. Methods: The study assessed 6,198 patients participating in a multicenter prospective cohort study, using data from BRAZPD. The QoL was assessed by use of the Karnofsky index (QoL assessment by health professionals) and the SF-36 (patient's self-assessment) in 1,624 incident patients. Results: Of the patients analyzed, 40% were diabetic and 47% were elderly (over the age of 60 years). Patients had low QoL scores in all the SF-36 domains, the "physical role" domain being the most affected and the "social functioning" domain having the best score. On the other hand, according to the Karnofsky index, most patients had high QoL scores. Elderly and diabetic patients had lower QoL as compared with nonelderly and non-diabetic by using both the SF-36 and Karnofsky index. Conclusion:The overall evaluation by use of the SF-36 showed a reduction in the QoL. The Karnofsky index showed a better QoL as compared with the SF-36 assessment, but similar results were found in the subgroups evaluated: the ederly and the diabetic patients had the worst QoL in both assessments.

Qualidade de vida relacionada à saúde de pacientes renais crônicos em diálise

“…(17,18) As for schooling, it was observed that the prevalence was of subjects who had completed primary school (27.7%), similar to other studies in which 63.2% and 56.4% of individuals had the same education level. (6,19) Concerning income, most subjects had up to two times the minimum wage (30.8%). In other studies found in the literature, results were consistent with the present one, as 34% and 46% had a minimum wage or less.…”

Qualidade de vida dos pacientes renais crônicos em um intervalo de 4 anos

“…A cronicidade da doença associada às comorbidades e à idade avançada são fatores que podem impactar de forma significativa na redução das atividades diárias, nas relações sociais e na saúde mental desses pacientes 18 .…”

Pacientes Com Insuficiência Renal Crônica Em Hemodiálise: Tratamento E Diagnóstico

“…Nos dias atuais, além da reversão dos sintomas urêmicos, esse tratamento busca, a longo prazo, a redução das complicações, a diminuição do risco de mortalidade, a melhoria da qualidade de vida (QV) e a reintegração social do paciente, pois em pacientes com doença renal crônica, as falhas na adesão ou até mesmo a não adesão tem como consequência o aumento das complicações a da mortalidade (DRC) 24 A hemodiálise, é o tratamento dialítico mais utilizado na atualidade, é um processo que remove solutos acumulados em pacientes com perda total, ou quase total, da função renal. Apesar dos benefícios da HD, as condições impostas pela doença e pelo próprio tratamento dialítico resultam em uma série de alterações orgânicas, com complicações agudas, crônicas e nutricionais 25 .…”