Factors Associated With the Quality of Life of Patients Undergoing Hemodialysis

Abstract

Objective: to identify factors associated with the quality of life/spirituality, religion and personal beliefs of patients with chronic kidney disease undergoing hemodialysis.Method: correlational cross-sectional study. The following instruments were applied through individual interviews: the WHOQOL-Bref, the WHOQOL-SRPB, along with a questionnaire to characterize the participants. The sample consisted of 110 participants with chronic kidney disease undergoing hemodialysis. Descriptive analysis was performed along with univariate and multiple logistic regression to identify associated factors.Results: low level of albumin was mainly associated with the "physical" and "social relationships" domains of the WHOQOL-BREF. Participants without an occupation presented the greatest compromise in the domains "Connectedness to a spiritual being or force" and "Awe". In the domain "spiritual strength", participants worth an occupation presented higher chances of low quality of life.Conclusion: the factors associated with the domains of quality of life of patients with chronic kidney disease undergoing hemodialysis were: occupation, marital status, sex, education, religion, levels of hematocrit and albumin, and overall health. FATORES ASSOCIADOS À QUALIDADE DE VIDA DE PACIENTES EM HEMODIÁLISE RESUMOObjetivo: identificar fatores associados à qualidade de vida/espiritualidade, religião e crenças pessoais de pacientes que apresentam doença renal crônica e estão em hemodiálise.Método: trata-se de estudo correlacional, de corte transversal. Realizou-se entrevista individual, com aplicação dos instrumentos WHOQOL-bref, WHOQOL-SRPB e instrumento de caracterização. A amostra foi composta por 110 participantes com doença renal crônica em hemodiálise. Foi realizada análise descritiva e de regressão logística univariada e múltipla, sendo esta última para identificação dos fatores associados.Resultados: o valor inferior da albumina foi associado, especificamente, aos domínios "físico" e "relações sociais" do WHOQOL-bref. Participantes sem ocupação possuíam maior comprometimento no domínio "conexão a um ser ou força espiritual" e "admiração". No domínio "força espiritual", os participantes sem ocupação apresentaram maiores chances de baixa qualidade de vida. Conclusão LOS FACTORES ASOCIADOS CON LA CALIDAD DE VIDA DE LOS PACIENTES EN HEMODIÁLISIS RESUMENObjetivo: identificar los factores asociados a la calidad de vida/espiritualidad, la religión y las creencias personales de los pacientes con enfermedad renal crónica en hemodiálisis.Método: se trata de un estudio correlacional de corte transversal. Hemos llevado a cabo entrevistas individuales con la aplicación de los instrumentos: WHOQOL-BREF, WHOQOL-SRPB y instrumentos de caracterización. La muestra consistió en 110 participantes con enfermedad renal crónica en hemodiálisis. Se realizó un análisis descriptivo y logística variada y múltiple, este último para identificar los factores asociados.Resultados: el valor más bajo de albúmina se asocia, sobre todo en los dominios "físic...

Benefits of spirituality and/or religiosity in patients with Chronic Kidney Disease: an integrative review

“…The comfort and well-being that faith linked to spirituality, religion and personal beliefs gives the individual a positive influence on their way of life, as well as promoting improvements in general health (28,37) . A research has indicated that patients who practice some religion have a better perception of their quality of life compared to non-practitioners, possibly associated with the support and social interaction that it provides (40) . Similar results were found in other international studies, the first one consisting of 362 patients in Iran and the second with 253 patients in Canada, in whom patients with CKD on peritoneal dialysis or hemodialysis who had some religious beliefs had a better perception of the related quality of life the health (21,27) .…”

“…Factors associated with the quality of life of patients undergoing hemodialysis (40) . Gesualdo Religiousness, among others, had a positive influence on health-related quality of life.…”

Effect of Educational Intervention on the Quality of Life of Hyperphosphathemic Chronic Renal Patients on Hemodialysis

“…5 In addition to hemodialysis treatment, a study showed that factors such as employment, marital status, gender, spirituality/religiosity, hematocrit and hemoglobin levels interfere with HRQoL. 6 Given this, it is emphasized that its evaluation is relevant because it demonstrates aspects related to the well-being of the person, satisfaction with the current state of health, directly linked to the individual perception of the effects of their disease and instituted treatments. 7 The circumstances that underlie CKD and renal replacement therapy, such as limitations that impact on biological, emotional and social aspects, can be perceived as stressful by patients.…”

Intervención de enfermería en la promoción de salud de las personas en hemodiálisis, una mirada desde la disciplina: Revisión integrativa

“…La CV según la OMS es considerada como "la percepción que un individuo tiene de su lugar en la existencia, en el contexto de cultura y del sistema de valores en los que vive y en relación con sus expectativas, sus normas y sus inquietudes" (8). La CV de las personas con IRCT se ve afectada sustancialmente en términos de salud física, mental, social, percepción general de salud y carga de la enfermedad, debido a las limitaciones en la dieta, los cambios en la imagen física, en las relaciones sociales, familiares, laborales; y finalmente, porque deben adaptarse a la enfermedad, al tratamiento y a la aparición de problemas físicos, emocionales y espirituales (9,10,11).…”