Fatores Associados À Função Cognitiva De Pacientes Com Doença Renal Crônica

Abstract

Factors associated with cognitive function of patients with chronic kidney diseaseAbstract: Introduction: Cognitive performance can be compromised in individuals affected by debilitating diseases such as chronic kidney disease (CKD). Objective: To evaluate the association between sociodemographic, economic and clinical variables with the cognitive level of kidney patients attending the University Hospital of Federal University of Maranhão. Method: It is a cross-sectional study with patients over age 20 years were undergoing dialysis treatment for at least 6 months. We used a questionnaire designed by the authors to collect demographic, economic and clinical characteristics. For cognitive evaluation we used the Mini-Mental State Examination.The association between variables was assessed through univariate and multivariate analyzes. Results: Men predominated (52.4%), married (59%), from the interior of Maranhão (67.2%), aged between 40-60 years (37.7%) who attended school for up to four years (34.4%) and had occupation that required greater physical burden (49.1%).In cognitive assessment, 76.9% had some degree of cognitive decline, as hemodialysis patients are at increased risk for cognitive deficits. There was an association between cognitive impairment and schooling less than 4 years (p=<0.001), age group 40-60 (p=0.035) variables influential in scores of Mini Mental and association have 3-4 children (p=0.043). Conclusion: A significant number of patients with CKD showed evidences of cognitive deficit.Older age, low education, more children are associated with this decline.

Prurido no paciente em hemodiálise: associação com ingestão de fósforo e nível sérico de cálcio

“…The KT/v is an index that evaluates the dose of dialysis offered to a patient with chronic renal failure (CRF), indicating the adequacy of this, when you know the values of debugging the dialyzer (K), the volume of urea distributed in the patient to be removed (V) and the session time hemodialysis (T) (17) . In this study, there was no statistical association between the KT/v and the itching.…”

Influência Da Espiritualidade Na Qualidade De Vida De Idosos Hemodialíticos

“…Veem-se, na literatura, os relatos das prevalências dessas doenças associadas à Insuficiência Renal Crônica, apresentando a depressão como a mais presente na população em estudo 22 , seguida de alterações cognitivas 23 , distúrbios de humor como a ansiedade 24 e suicídios 17 . Acrescenta-se que todos eles são alvos de importante atuação multiprofissional em saúde, pois ainda persistem subdiagnosticados e subtratados.…”

Letramento em saúde: avaliação de pacientes em terapia renal substitutiva

“…Juntamente com a verificação do LS, é recomendada a avaliação dos aspectos cognitivos dos pacientes com DRC, devido a presença de múltiplas comorbidades e alterações metabólicas que impactam indiretamente no planejamento de ações e falhas na memória 12 . Além disso, outras pesquisas buscaram verificar a associação da adesão ao tratamento farmacológico e qualidade de vida com o nível de LS, demonstrando que tais variáveis são importantes de serem avaliadas quando considerado o contexto dos pacientes em TRS 10,13 .…”