Quality of life of chronic kidney patients on hemodialysis and related factors

Abstract

Objective: to verify the association between the health-related quality of life of chronic renal patients on hemodialysis with sociodemographic, clinical, depression and medication adherence characteristics. Method: a cross-sectional study with 183 chronic renal patients undergoing hemodialysis in the state of Rio Grande do Sul, Brazil. A sociodemographic and clinical questionnaire, Kidney Disease and Quality of Life Short-Form, Beck Depression Inventory and Morisky Medication Adherence Scale - eight items were used. Among the variables, comorbidities, complications of kidney disease and intercurrences during and after hemodialysis were evaluated. The analysis was performed with descriptive and analytical statistics. Results: 55.2% of the patients were 60 years old or older, 35.0% were hypertensive, with regular quality of life, average of 62.61. Scores below average in the dimensions of quality of life were mainly associated with repetitive infections and edema as complications of the disease, pain during hemodialysis and weakness afterwards. Low drug adherence resulted in a worse quality of life, impacting ten of the 20 dimensions evaluated and depression in all, except for patient satisfaction. Conclusion: reduced quality of life in this population is associated with depressive symptoms, complications such as repetitive infections, pain and anemia, weakness after the dialysis session and low medication adherence. Actions aimed at changing these factors can promote well-being.

Validation of Nursing Diagnoses for people with chronic kidney conditions on conservative treatment

“…Therefore, the nurse shall recognize, in the individuality of the person with chronic kidney conditions, the understanding about their illness and its personal and social impact, since this condition brings changes to life habits. Nurses also have to realize that preventive measures are required and shall be implemented to reverberate throughout life (24)(25) .…”

Differences in the Quality of Life of Chronic Kidney Disease Patients Undergoing Hemodialysis and Continuous Ambulatory Peritoneal Dialysis

“…Emotional support is needed from friends and families so they can deal with the problems effectively. [12][13][14] Both hemodialysis and CAPD patients undergo dialysis which is meant to improve their quality of life. Although these diseases come with their comorbidities, it does not pose a problem as the patients are able to adapt to situations and have the support of family members.…”

Força de preensão palmar de indivíduos submetidos a hemodiálise

“…A DRC é um importante problema de saúde pública e segundo o censo da Sociedade Brasileira de Nefrologia (SBN), no Brasil, em 2017, a estimativa foi de 126.583 pacientes sob tratamento dialítico. Neste mesmo ano, no mundo, o número de óbitos em decorrência desta patologia foi de 1.230.200 e no Brasil, superou 25 mil (SBN, 2017;Pretto et al, 2020).…”