Health-Related Quality of Life in Elderly Chronic Kidney Disease Patients Undergoing Hemodialysis
DOI:
https://doi.org/10.3823/2012Keywords:
Renal Insufficiency. Aging. Hemodialysis. Quality of Life.Abstract
Objective: evaluating the quality of life of elderly chronic kidney disease patients undergoing hemodialysis treatment. Methods: It was a descriptive and transversal study performed with 58 patients in a hemodialysis center. The World Health Organization Quality of Life - bref (Whoqol-bref) questionnaire was used to measure the quality of life of the participants of the study. Data were analyzed descriptively, using SPSS version 21. Results: the majority of the participants were male (62%); aged between 60 and 75 years (84%); married (58%); retired or receiving illness aid (80%); Catholic (86%). Most patients had at least four years of formal education (80%); received between one and two Brazilian minimum wage (77%); classified their health as “fragile†or “very fragile†(58%); had been on hemodialysis for more than a year (80%), and its prevalence was 60% between one and six years. The arteriovenous fistula was present in 88% of the patients. High blood pressure was the main primary cause of the chronic kidney disease in 48.64% of the patients. Regarding the quality of life of the elderly patients measured by the Whoqol-bref questionnaire, the Physical was the most affected domain with an average of 43.94. It was found a significant statistical difference between quality of life of the elderly chronic kidney disease patients and years of formal education in the following domains: Social Relationships (p=0.001), Environment (p=0.029) and General Quality of Life (p=0.013). A significant statistical difference was also reported between quality of life of elderly chronic kidney disease patients and family income in the Environment (p=0.006) and General Quality of Life domains (p=0.031). Conclusions: studies on quality of life offer strategies to health workers that allow them to measure physical, psychological, social and environmental necessities in a way to meet the real needs of elderly patients undergoing renal therapy.
References
Franco MGR, Fernandes NMS. Dialysis in the elderly patient: a challenge of the XXI century-narrative review. J Bras Nefrol. 2013;35(2):132-41.
Mello AC, Engstrom EM, Alves LC. Fatores sociodemográficos e de saúde associados à fragilidade em idosos: uma revisão sistemática de literatura. Cad. Saúde Pública. 2014;30(6)1143-68.
Sociedade Brasileira de Nefrologia. Censo de diálise. São Paulo: SBN;2014.
Lopes JM, Fukushima RL, Inouye K, Pavarini SC, Orlandi FS. Quality of life related to the health of chronic renal failure patients on dialysis. Acta Paul. Enferm. 2014;27(3):230-6.
Braga SFM, Peixoto SV, Gomes IC, Acúrcio FA, Andrade EIG, Cherchiglia ML. Factors associated with health-related quality of life in elderly patients on hemodialysis. Rev Saúde Pública 2011;45(6):1127-36.
The Whoqol Group. The World Health Organization Quality of Life assessment (Whoqol): position paper from the World Health Organization. Social Sci Med. 1995;41(10):1403-9.
Fleck MPA, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L, et al. Application of the Portuguese version of theabbreviated instrument of quality life WHOQOL-bref. Rev. Saúde Pública. 2000;34(2):178-83.
Coitinho D, Benetti ERR, Ubessi LD, Barbosa DA, Kirchner RM, Guido LA et al. Complications in hemodialysis and health assessment of chronic renal patients. Av Enferm. 2015;33(3):362-71.
Theofilou P. Medication adherence in Greek hemodialysis patients: The contribution of depression and health cognitions. International journal of behavioral medicine. 2013 Jun 1;20(2):311-8.
Theofilou P. Depression and anxiety in patients with chronic renal failure: the effect of sociodemographic characteristics. Int. J. Nephrol. 2011; 1-6.
Adisa R, Fakeye TO, Fasanmade A. Medication adherence among ambulatory patients with type 2 diabetes in a tertiary healthcare setting in southwestern Nigeria. Pharmacy Practice. 2011;9:72–81.
Silva OM, Oliveira F, Ascari RA, Trindade LL. The quality of life of the patient suffering from chronic renal insufficiency undergoing hemodialisys. Rev enferm UFPE on line. 2012;6(10):2777-84.
Santos ACB, Machado MC, Pereira LR, Abreu JLP, Lyra MB. Association between the level of quality of life and nutritional status in patients undergoing chronic renal hemodialysis. J Bras Nefrol 2013;35(4):279-288.
DeSalvo KB, Muntner P. Discordance between physician and patient self-rated health and all-cause mortality. Ochsner J. 2011;11(3): 232-40.
Moreira TR, Giatti L, Cesar CC, Andrade EC, Acurcio FA, Cherchiglia ML. Autoavaliação de saúde por pacientes em hemodiálise no Sistema Único de Saúde. Rev Saúde Pública. 2016;50:10.
Teixeira RS, Souza MMT, Costa PS, Silva HP. Family participation in the treatment of chronic the renal patient. Revista Pró-UniverSUS. 2013;4(1):21-4.
Frazão CMFQ, Delgado MF, Araújo MGA, Silva FBBL, Sá JD, Lira ALBC. Nursing care for chronic renal patients on hemodialysis. Rev Rene. 2014; 15(4):701-9.
Pessoa NRC, Linhares FMP. Pacientes em hemodiálise com fÃstula arteriovenosa: conhecimento, atitude e prática. Esc Anna Nery 2015;19(1):73-9.
Negretti CD, Mesquita PG, Baracho NC. Perfil Epidemiológico de Pacientes Renais Crônicos em Tratamento Conservador em um Hospital Escola do Sul de Minas. Revista Ciências em Saúde. 2015 Jan 13;4(4):49-60.
James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). Jama. 2014 Feb 5;311(5):507-20.
Inrig JK, Molina C, D’Silva K, Kim C, Van Buren P, Allen JD, et al. Effect of low versus high dialysate sodium concentration on blood pressure and endothelial-derived vasoregulators during hemodialysis: a randomized crossover study. American Journal of Kidney Diseases. 2015 Mar 31;65(3):464-73.
Malluche HH, Porter DS, Pienkowski D. Evaluating bone quality in patients with chronic kidney disease. Nature Reviews Nephrology. 2013 Nov 1;9(11):671-80.
Lemos CF, Rodrigues MP, Veiga JRP. Family income is associated with quality of life in patients with chronic kidney disease in the pre-dialysis phase: a cross sectional study. Health and Quality of Life Outcomes (2015) 13:202.
Downloads
Additional Files
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access and Benefits of Publishing Open Access).
Â
Â
