Functional Capacity and Quality of Life in Patients with Chronic Kidney Disease In Pre-Dialytic Treatment and on Hemodialysis - A Cross sectional study

Fassbinder, Tânia Regina Cavinatto; Winkelmann, Eliane Roseli; Schneider, Juliana; Wendland, Juliana; Oliveira, Olvânia Basso de

doi:10.5935/0101-2800.20150008

Cited by 43 publications

(38 citation statements)

References 23 publications

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“…In agreement with this study's results, among the pre-dialysis patients evaluated in other studies, the "social relationships" domain obtained a higher mean score (29)(30) . A study that divided individuals into three groups in the pre-dialysis phase (according to the stage of CKD) and compared the QOL scores between them (G1 = stages 1 and 2, G2 = stage 3, G3 = stages 4 and 5).…”

Section: Discussionsupporting

confidence: 82%

“…In our study, the lowest mean score of WHOQOL-BREF was found in the "Psychological" domain and the "physical" domain had the second lowest score. Results found in other studies indicate a lowest score in the "physical/physical dimension" domain (26)(27)(28)(29) and "general health" (30) . The results of the study that separated pre-dialysis patients in 3 groups (25) point to G2 and G3 as the components of the "physical" review as the lowest mean score.…”

Section: Discussionmentioning

confidence: 54%

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Quality of life of elderly people with chronic kidney disease in conservative treatment

Pereira

Batista²,

Meira

et al. 2017

Rev. Bras. Enferm.

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Objective:To describe the quality of life (QOL) of elderly people with Chronic Kidney Disease (CKD) in conservative treatment, correlating it with sociodemographic and health-related aspects. Method: This is a quantitative, cross-sectional, and descriptive study that used: a previously validated instrument for data collection; the WHOQOL-BREF and WHOQOL-OLD QOL scales; and the MiniMental State Examination. Results: Thirty-fi ve elderly people (54.30% females), with mean age of 68.26 years, took part in the study. They reported, on average, 3.70 comorbidities and 5.60 complications related to CKD. Regarding QOL, the "psychological" domain (54.40±16.29) and the "death and dying" facet (37.32±23.79) were considered the most damaged ones; the most strengthened were "social relationships" (70.36±18.32) and "intimacy" (66.61±16.80). A positive correlation was verifi ed between comorbidities and complications (p = 0.015), and an inverse correlation between the number of complications and QOL (p = 0.004). Conclusion: These results, if considered during the care planning, may help improving the quality of the care provided for elderly people with CKD. Descriptors: Renal Insuffi ciency, Chronic; Elderly People; Quality of Life; Chronic Disease; Demographic Aging. RESUMO Objetivo: Descrever a qualidade de vida (QV) de idosos com Doença Renal Crônica (DRC) em tratamento conservador, correlacionando-a com aspectos sociodemográfi cos e de saúde. Método: Pesquisa quantitativa, transversal e descritiva que utilizou: um instrumento pré-validado para coleta dos dados de caracterização; as escalas de QV WHOQOL-BREF e WHOQOL-OLD; e o Mini Exame do Estado Mental. Resultados: Participaram 35 idosos (54,30% mulheres) com média de 68,26 anos. Referiram em média 3,70 comorbidades e 5,60 complicações relacionadas à DRC. Na QV, demonstraram-se mais prejudicados o domínio "psicológico" (54,40±16,29) e a faceta "morte e morrer" (37,32±23,79); e mais fortalecidos o domínio "relações sociais" (70,36±18,32) e a faceta "intimidade" (66,61±16,80). Verifi cou-se correlação positiva entre número de comorbidades e de complicações (p = 0,015), e correlação inversa entre número de complicações e a QV (p = 0,004). Conclusão: Se levados em consideração durante o planejamento de cuidados, tais resultados podem auxiliar na melhoria da qualidade da assistência ao idoso com DRC. Descritores: Insufi ciência Renal Crônica; Idoso; Qualidade de Vida; Doença Crônica; Envelhecimento da População. RESUMEN Objetivo: Describir la calidad de vida (CV) de ancianos con Enfermedad Renal Crónica (ERC) en tratamiento conservador, correlacionando con aspectos sociodemográfi cos y de salud. Método: Investigación cuantitativa, transversal y descriptiva que ha utilizado: un instrumento pre-validado para la recolección de los datos de caracterización; las escalas de QV WHOQOL-BREF y WHOQOL-OLD; y el Mini Examen del Estado Mental. Resultados: Participaron 35 ancianos (54,30% mujeres) con edad media de 68,26 años. En promedio se midieron 3,70 comorbilidades y 5,60 comp...

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 54%

Quality of life of elderly people with chronic kidney disease in conservative treatment

Pereira

Batista²,

Meira

et al. 2017

Rev. Bras. Enferm.

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“…Considering the values of waist circumference above the upper limit of 102 cm for men and 88 cm for women, a percentage of 26.0% of abdominal obesity patients was obtained, and the overall mean was 87 ± 12, 9cm. It is important to note that the average waist circumference obtained is lower when compared to the current literature, being a positive indicator (12) .…”

Section: Discussioncontrasting

confidence: 70%

Cardiovascular risk and lifestyle in patients with chronic kidney disease

et al. 2018

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Objective: to correlate cardiovascular risk factors of patients with kidney disease with elevated blood pressure levels. Methods: this is a cross-sectional study with 150 patients on hemodialysis. Two forms were used, one referring to socioeconomic factors and the other to lifestyle. Results: the sample consisted predominantly of male patients, aged over 52 years old, married and not working. Blood pressure levels were the most affected of the cardiovascular risk factors, where 78.0% had systolic blood pressure above ideal values. A statistically significant association was found between blood pressure and age (p=0.024) and between blood pressure and ability to deal with stress (p=0.015). Conclusion: through this study, it was verified that the statistical significance between the variables indicates that high systolic blood pressure, age and ability to deal with stress favor cardiovascular risk factors in patients with chronic kidney disease. Descriptors: Risk Factors; Life Style; Cardiovascular Diseases.Objetivo: correlacionar fatores de risco cardiovascular de pacientes com doença renal com níveis pressóricos elevados. Métodos: estudo transversal realizado com 150 pacientes em hemodiálise. Foram utilizados dois formulários, um referente aos fatores socioeconômicos e outro ao estilo de vida. Resultados: a amostra foi composta predominantemente por pacientes do sexo masculino, idade acima de 52 anos, casados e não exercendo atividade laboral. Dos fatores de risco cardiovascular, os níveis pressóricos foram os mais alterados, onde 78,0% estavam com pressão arterial sistólica acima dos valores ideais. Foi encontrada associação estatisticamente significativa entre pressão arterial e idade (p=0,024) e entre pressão arterial e capacidade de lidar com o estresse (p=0,015). Conclusão: por meio deste estudo, pôde-se verificar que a significância estatística entre as variáveis indica que a pressão arterial sistólica elevada, a idade e a capacidade em lidar com o estresse favorecem os fatores de risco cardiovascular em pacientes com doença renal crônica.

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“…In patients with End-Stage Renal Disease (ESRD), both kidney disease and hemodialysis treatment may severely affect the cardiorespiratory and musculoskeletal systems, contributing to a reduction in functional capacity (FC) [2, 3]. Functional impairment adversely impacts patients’ physical and mental capabilities and, consequently, their ability to perform daily activities and maintain independence and social interactions [4–7]. Furthermore, decreased FC is one of the major risk factors for cardiac death in this population [8–10], which is 10 to 20 times higher than in the general population [11].…”

Section: Introductionmentioning

confidence: 99%

The role of the inspiratory muscle weakness in functional capacity in hemodialysis patients

et al. 2017

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IntroductionInspiratory muscle function may be affected in patients with End-Stage Renal Disease (ESRD), further worsening the functional loss in these individuals. However, the impact of inspiratory muscle weakness (IMW) on the functional capacity (FC) of hemodialysis patients remains unknown. Thus, the present study aimed to evaluate the impact of IMW on FC in ESRD patients undergoing hemodialysis.Materials and methodsESRD patients on hemodialysis treatment for more than six months were evaluated for inspiratory muscle strength and FC. Inspiratory muscle strength was evaluated based on maximal inspiratory pressure (MIP). IMW was defined as MIP values less than 70% of the predicted value. FC was evaluated using the Incremental Shuttle Walk test (ISWT). Patients whose predicted peak oxygen uptake (VO2peak) over the distance walked during the ISWT was less than 16mL/kg/min were considered to have FC impairment. Associations between variables were assessed by linear and logistic regression, with adjustment for age, sex, body mass index (BMI), presence of diabetes and hemoglobin level. Receiver-operating characteristic (ROC) analysis was used to determine different cutoff values of the MIP for normal inspiratory muscle strength and FC.ResultsSixty-five ERSD patients (67.7% male), aged 48.2 (44.5–51.9) years were evaluated. MIP was an independent predictor of the distance walked during the ISWT (R2 = 0.44). IMW was an independent predictor of VO2peak < 16mL/kg/min. (OR = 5.7; p = 0.048) in adjusted logistic regression models. ROC curves showed that the MIP cutoff value of 82cmH2O had a sensitivity of 73.5% and specificity of 93.7% in predicting normal inspiratory strength and a sensitivity and specificity of 76.3% and 70.4%, respectively, in predicting VO2peak ≥ 16mL/kg/min.ConclusionsIMW is associated with reduced FC in hemodialysis patients. Evaluation of the MIP may be important to functional monitoring in clinical practice and can help in the stratification of patients eligible to perform exercise testing.

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Functional Capacity and Quality of Life in Patients with Chronic Kidney Disease In Pre-Dialytic Treatment and on Hemodialysis - A Cross sectional study

Abstract: Patients with CKD had reduced functional capacity and QOL, and hemodialysis, statistically, didn't have showed negative repercussions when compared with pre-dialysis patients.

Cited by 43 publications

References 23 publications

Quality of life of elderly people with chronic kidney disease in conservative treatment

Quality of life of elderly people with chronic kidney disease in conservative treatment

Cardiovascular risk and lifestyle in patients with chronic kidney disease

The role of the inspiratory muscle weakness in functional capacity in hemodialysis patients

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