scholarly journals Quality of life of patients on peritoneal dialysis and its impact on the social dimension

2019 ◽  
Vol 23 (1) ◽  
Author(s):  
Jeany Freire de Oliveira ◽  
Christielle Lidianne Alencar Marinho ◽  
Rudval Souza da Silva ◽  
Gerlene Grudka Lira

Abstract Objective: evaluate the quality of life of patients with Chronic Kidney Disease on peritoneal dialysis using the KDQOL-SF tool. Method: quantitative-qualitative approach, carried out in August 2017 with 10 patients undergoing peritoneal dialysis followed-up at a clinic specialized in Renal Replacement Therapy. Data were collected through semi-structured interviews; later transcribed and submitted to Content Analysis, as well as the application of the Kidney Disease and Quality of Life Short-Form (KDQOL-SF) questionnaire. Results: from the analysis emerged three thematic categories with impacts on the social dimension: Kidney disease as stigma impacting on social relations; Family support as support for overcoming social stigma; and Changes in Daily Living Activities and their repercussions on the social dimension. Conclusion and implications for practice: the participants demonstrated that their Quality of Life has been affected with greater intensity in the social dimension. Identifying such a condition may allow the planning of nursing care with a comprehensive view and meeting the social dimension.

2011 ◽  
Vol 31 (2) ◽  
pp. 138-147 ◽  
Author(s):  
Wieneke M. Michels ◽  
Sandra Van Dijk ◽  
Marion Verduijn ◽  
Saskia Le Cessie ◽  
Elisabeth W. Boeschoten ◽  
...  

ObjectiveDespite a lack of strong evidence, automated peritoneal dialysis (APD) is often prescribed on account of an expected better quality of life (QoL) than that expected with continuous ambulatory peritoneal dialysis (CAPD). Our aim was to analyze differences in QoL in patients starting dialysis on APD or on CAPD with a follow-up of 3 years.MethodsAdult patients in the prospective NECOSAD cohort who started dialysis on APD or CAPD were included 3 months after the start of dialysis. The Medical Outcomes Survey Short Form 36 [SF-36 (Medical Outcomes Trust and QualityMetric, Lincoln, RI, USA)] and Kidney Disease and Quality of Life Short Form [KDQOL-SF (KDQOL Working Group, Santa Monica, CA, USA)] questionnaires were used to measure QoL. Differences in QoL over time were calculated using linear mixed models. Patients were followed until transplantation, death, or a first switch to any other dialysis modality.ResultsThe clinical and social characteristics of the 64 APD and 486 CAPD patients were slightly different at baseline. In the crude analysis, the pattern of the mental summary score differed between the modalities ( p = 0.03, adjusted p = 0.06), because of a different pattern for role function emotional ( p = 0.03, adjusted p = 0.05). The pattern of the physical summary score was not different between the groups. Scores on dialysis staff encouragement had a different pattern over time ( p = 0.01), because of an in-equality in scores 3 months after the start of dialysis, which disappeared after 18 months on dialysis. Over time, patients on APD scored higher on sexual function. After adjustment for age, sex, glomerular filtration rate, comorbidity, and primary kidney disease, that difference disappeared. This study showed no major differences in QoL on the KDQOL-SF and the SF-36 between the two modalities.


2019 ◽  
Vol 2 (4) ◽  
pp. 215-220
Author(s):  
Yassine AL BORGI ◽  
Amina El Alaoui ◽  
Zineb Benlachhab ◽  
Wiam Toutti ◽  
Mohamed SaghirBahah ◽  
...  

ObjectiveThe interest of our work is to identify the objective parameters that can improve the subjective parameters of the well-being of the patients and to share the experience of the care in our center. Kt / V urea and KDQOL SF 36 scale (Kidney Disease Quality of Life short form 36)were used. Material and methodsThis is a single-center cross-sectional study conducted in October 2018 among patients treated with peritoneal dialysis, followed for at least six months in the Nephrology Department of Fez University Hospital (Morocco). The quality of life was assessed using the SF-36 (short form) version of the Kidney Disease Quality of Life (KDQOL) scale in its validated Arabic dialect version (1). We used the KDQOL-SF36 results as quantitative variables related to obtaining a Kt / V> 1.7. ResultsThis study included 17 adult patients on peritoneal dialysis of which 35.3% are on automated peritoneal dialysis (APD) and 64.7% are on continuous ambulatory peritoneal dialysis (CAPD). The mean age is 40.8 ± 5 years and the sex ratio is 9H / 8F. In bivariate analysis, we found a significant relationship between dialysis dose and social support. This result could be explained by better adherence in patients with better social support. ConclusionEfforts must be made to achieve the adequacy goals, without losing sight of patients’ quality of life. There is also a need for further studies that include more patients and study other parameters such as clinical evaluation, residual renal function and ultrafiltration.    .


2019 ◽  
Vol 7 (3) ◽  
pp. 232-237
Author(s):  
Hana Larasati ◽  
Theresia Titin Marlina

Background: stroke is a disorder of nervous system function that occurs suddenly and is caused by brain bleeding disorders that can affect the quality of life physical dimensions, social dimensions, psychological dimensions, environmental dimensions. Based on the result of Lumbu study (2015) the number of samples were 71 people collected data using the (WHOQOL-BREF). There were 56 people (78,9%) had the poor quality of life of post stroke. The mean of post-stroke quality of life domain was physical domain (45,27%), psychological domain (49,87%), social relations domain (48,15%) and environmental domain (50.01%). Objective: the purpose of the study was know the quality of life of the stroke patients in Outpatient Polyclinic of Private Hospital in Yogyakarta. Methods: used descriptive quantitative by using questionnaire test of purposive sampling system based on patients who have been affected of ischemic or hemorrhagic stroke before, number 30 respondents. Result: quality of life of stroke patient of medium physical dimension (67%), psychological dimension (71%), social dimension (67%), dimension good environment (63%). Conclusion: the quality of life of stroke patients of physical dimension, psychological dimension, and moderate social dimension, while the quality of life of stroke patients were good environmental dimension.   Keywords: Hemorrhagic stroke, ischemic stroke, quality of life


Author(s):  
Alicja Szerląg ◽  
Arkadiusz Urbanek ◽  
Kamila Gandecka

Background: The analysis has involved social interactions in a multicultural environment. The social context has been defined by the Vilnius region (Lithuania), where national, religious, and cultural differences exist across generations (multicultural community). The space of “social relationships”, as one of the modules of the WHO quality of life assessment, has been studied. An innovation of the research has been related to the analysis of the phenomenon of community of nationalities and cultures as a predictor of quality of life (QoL). The social motive of the research has been the historical continuity (for centuries) of the construction of the Vilnius cultural borderland. Here, the local community evolves from a group of many cultures to an intercultural community. Interpreting the data, therefore, requires a long perspective (a few generations) to understand the quality of relationships. We see social interactions and strategies for building them as a potential for social QoL in multicultural environments. Methods: The research has been conducted on a sample of 374 respondents, including Poles (172), Lithuanians (133), and Russians (69). A diagnostic poll has been used. The respondents were adolescents (15–16 years). The research answers the question: What variables form the interaction strategies of adolescents in a multicultural environment? The findings relate to interpreting the social interactions of adolescents within the boundaries of their living environment. The description of the social relations of adolescents provides an opportunity to implement the findings for further research on QoL. Results: An innovative outcome of the research is the analysis of 3 interaction strategies (attachment to national identification, intercultural dialogue, and multicultural community building) as a background for interpreting QoL in a multicultural environment. Their understanding is a useful knowledge for QoL researchers. The data analysis has taken into account cultural and generational (historical) sensitivities. Therefore, the team studying the data has consisted of researchers and residents of the Vilnius region. We used the interaction strategies of adolescents to describe the category of “social relationships” in nationally and culturally diverse settings.


2000 ◽  
Vol 35 (2) ◽  
pp. 293-300 ◽  
Author(s):  
Jose A. Diaz-Buxo ◽  
Edmund G. Lowrie ◽  
Nancy L. Lew ◽  
Hongyuan Zhang ◽  
J.Michael Lazarus

2008 ◽  
Vol 126 (5) ◽  
pp. 252-256 ◽  
Author(s):  
Maristela Bohlke ◽  
Diego Leite Nunes ◽  
Stela Scaglioni Marini ◽  
Cleison Kitamura ◽  
Marcia Andrade ◽  
...  

CONTEXT AND OBJECTIVE: Quality of life (QoL) is considered important as an outcome measurement, especially for long-term diseases such as chronic renal failure. The present study searched for predictors of QoL in a sample of patients undergoing dialysis in southern Brazil. DESIGN AND SETTING: This was a cross-sectional study developed in three southern Brazilian dialysis facilities. METHODS: Health-related QoL of patients on hemodialysis or peritoneal dialysis was measured using the generic Short Form-36 (SF-36) health survey questionnaire. The results were correlated with sociodemographic, clinical and laboratory variables. The analysis was adjusted through multiple linear regression. RESULTS: A total of 140 patients were assessed: 94 on hemodialysis and 46 on peritoneal dialysis. The mean age was 54.2 ± 15.4 years, 48% were men and 76% were white. The predictors of higher (better) physical component summary in SF-36 were: younger age (β-0.16; 95% confidence interval, CI: -0.27 to -0.05), shorter time on dialysis (β-0.06; 95% CI: -0.09 to -0.02) and lower Khan comorbidity-age index (β 5.16; 95% CI: 1.7-8.6). The predictors of higher mental component summary were: being employed (β 8.4; 95% CI: 1.7-15.1), being married or having a marriage-like relationship (β 4.56; 95% CI: 0.9-8.2), being on peritoneal dialysis (β 4.9; 95% CI: 0.9-8.8) and not having high blood pressure (β 3.9; 95% CI: 0.3-7.6). CONCLUSIONS: Age, comorbidity and length of time on dialysis were the main predictors of physical QoL, whereas socioeconomic issues especially determined mental QoL.


2011 ◽  
Vol 15 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Iraci dos Santos ◽  
Renata de Paula Faria Rocha ◽  
Lina Márcia Miguéis Berardinelli

Este trabalho relaciona necessidades de orientação de enfermagem com a qualidade de vida de clientes com doença renal crônica, em hemodiálise, considerando conceitos de Autocuidado de Orem. Método descritivo, mediante entrevista com 43 clientes de um Hospital Universitário do Rio de Janeiro, de 2008 a 2009. Os sujeitos de pesquisa têm hipertensão arterial, encontrando-se 83,72% em hemodiálise há menos de um ano. Aplicando o Kidney Disease Quality of Life Short Form, obtiveram-se os menores escores nas dimensões: física; emocional; condição de trabalho; capacidade funcional. Esses resultados foram relacionados aos obtidos com as necessidades de orientação de enfermagem para nutrição, ingestão de líquidos, complicações da hemodiálise, anticoagulação, atividade física, de lazer e associação a grupos, concluindo-se que esses clientes encontram-se no Sistema de Autocuidado totalmente compensatório. Sugere-se o desenvolvimento da orientação de enfermagem para o autocuidado, em consulta de enfermagem, visando promover a qualidade de vida dos clientes.


2019 ◽  
Vol 39 (1) ◽  
pp. 66-73 ◽  
Author(s):  
Kiyotaka Uchiyama ◽  
Naoki Washida ◽  
Kaori Muraoka ◽  
Kohkichi Morimoto ◽  
Takahiro Kasai ◽  
...  

Background Muscle wasting, common and progressive in uremic patients, is associated with a high probability for morbidity, lower health-related quality of life (HRQOL), and mortality. However, exercise tolerance in peritoneal dialysis (PD) patients has not been fully elucidated. The aim of this study was to evaluate exercise capacity, its determinants, and its association with HRQOL in PD patients. Methods Outpatients treated with PD at Keio University Hospital from December 2016 to March 2018 were included in this single-center cross-sectional observational study. Exercise capacity was assessed by incremental shuttle walking test (ISWT) and handgrip and quadriceps strength. In addition to evaluation of PD-related parameters, HRQOL was assessed by the Kidney Disease Quality of Life-Short Form questionnaire. Results Among the 50 recruited PD outpatients, age and PD vintage were 63.8 ± 9.6 and 3.8 ± 2.8 years, respectively. Physical examination revealed ISWT of 312.0 ± 138.2 m, handgrip strength of 27.5 ± 6.9 kg, and quadriceps strength of 23.3 ± 10.0 kg. Multivariate analysis showed that younger age and male sex were significantly associated with higher ISWT and handgrip and quadriceps strength. Skeletal mass index (SMI) remained a significant predictor of handgrip and quadriceps strength. Moreover, only ISWT was strongly correlated with higher HRQOL scores, including physical, mental, and kidney-specific domains, even after adjustment for age and sex. Conclusions Exercise tolerance in PD patients was partially determined by age, sex, and SMI. Moreover, this is the first study to demonstrate the strong relationship between aerobic capacity and HRQOL in PD patients.


2008 ◽  
Vol 21 (spe) ◽  
pp. 152-159 ◽  
Author(s):  
Luciana Kusumoto ◽  
Sueli Marques ◽  
Vanderlei José Haas ◽  
Rosalina Aparecida Paterzani Rodrigues

OBJETIVOS: Caracterizar os adultos e idosos em hemodiálise residentes em Ribeirão Preto-SP. Avaliar e descrever as diferenças na Qualidade de Vida Relacionada à Saúde (QVRS) desses pacientes. MÉTODOS: Estudo seccional e populacional com 194 pacientes em hemodiálise em quatro serviços de diálise do município. Os instrumentos utilizados foram: para caracterização da população, Mini Exame do Estado Mental e Kidney Disease and Quality of Life-Short Form (KDQOL-SF TM). RESULTADOS: Dos pacientes, 132 eram adultos e 62 idosos. Foram encontradas diferenças entre os escores médios dos dois grupos, com significância estatística nas dimensões do KDQOL-SF TM: Funcionamento físico, Função física, emocional, Sobrecarga da doença renal e Estímulo da equipe de diálise. CONCLUSÃO: A insuficiência renal crônica terminal e a hemodiálise se relacionaram com a QVRS dos adultos e idosos. Os resultados podem subsidiar a atuação dos profissionais da saúde para atender as necessidades iminentes, prevenir complicações, enfim almejar uma melhor QVRS.


2012 ◽  
Vol 25 (3) ◽  
pp. 352-357 ◽  
Author(s):  
Marília Pilotto de Oliveira ◽  
Luciana Kusumota ◽  
Sueli Marques ◽  
Rita de Cássia Helú Mendonça Ribeiro ◽  
Rosalina Aparecida Partezani Rodrigues ◽  
...  

OBJETIVO: Descrever e comparar a Qualidade de Vida Relacionada à Saúde (QVRS) de pacientes em Diálise Peritoneal (DP) que tinham ou não trabalho remunerado. MÉTODOS: Estudo seccional e populacional com 82 pacientes dos dois serviços de DP de Ribeirão Preto, (SP). A coleta de dados foi realizada por entrevistas entre dezembro/2009 e março/2010. Os questionário para caracterização dos pacientes, o Miniexame do Estado Mental e o Kidney Disease and Quality of Life-Short Form foram usados. Foram feitas as análises estatística exploratória uni e bivariada e a confirmatória bivariada entre variáveis independentes e as dimensões de QVRS. RESULTADOS: os pacientes com trabalho remunerado apresentavam maiores escores médios refletindo melhor QVRS para a maioria das dimensões do instrumento utilizado. CONCLUSÃO: o trabalho é uma faceta importante da vida desses pacientes e merece a atenção dos profissionais da saúde na busca de estratégias que favoreçam e incentivem sua manutenção e reinserção no mercado de trabalho.


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