scholarly journals Estado nutricional e qualidade de vida de renais crônicos

2019 ◽  
Vol 14 ◽  
Author(s):  
Maria Olimpia Ribeiro do Vale Almada ◽  
Geilton Xavier de Matos ◽  
Vanessa Silvério de Siqueira ◽  
Joab Oliveira Salomão

Objetivo: identificar e correlacionar o estado nutricional, a qualidade de vida e o consumo alimentar em pacientes com DRC em hemodiálise. Método: trata-se de um estudo quantitativo, descritivo, observacional, do tipo transversal, com delineamento amostral não probabilístico. Compôs-se a amostra do estudo por 63 indivíduos, dos 21 aos 86 anos. Avaliou-se o EN por meio de parâmetros antropométricos e bioquímicos, IMC e Avaliação Subjetiva Global (ASG). Utilizaram-se um recordatório de 24 horas para o consumo alimentar e, para a QV, o questionário Kidney Disease Quality Of Life Short Form (KDQOL-SF). Resultados: verificou-se que, entre as comorbidades relacionadas à IRC, prevaleceu o diabetes (76%). Observou-se que, segundo o protocolo de PEW, 73% dos pacientes estavam eutróficos e, pelo IMC, 57% estavam eutróficos. Conclusão: concluiu-se que os coeficientes tiveram uma correlação não substancial ou baixa para EN e QV e consumo alimentar. Observou-se a inadequação no consumo alimentar e nos parâmetros bioquímicos. Descritores: Hemodiálise; Estado Nutricional; Qualidade de Vida; Índice de Massa Corporal; Avaliação Subjetiva Global; KDQOL-SF. AbstractObjective: to identify and correlate nutritional status, quality of life and food intake in patients with CKD on hemodialysis. Method: this is a quantitative, descriptive, observational, cross-sectional study with a non-probabilistic sample design. The study sample consisted of 63 individuals, from 21 to 86 years old. EN was assessed by anthropometric and biochemical parameters, BMI and Global Subjective Assessment (GSA). A 24-hour dietary recall was used for food consumption and, for QOL, the Kidney Disease Quality Of Life Short Form questionnaire (KDQOL-SF). Results: it was found that among the comorbidities related to CKF, diabetes prevailed (76%). According to the PEW protocol, 73% of the patients were eutrophic and, by BMI, 57% were eutrophic. Conclusion: it was concluded that the coefficients had a non-substantial or low correlation for EN and QL and food intake. Inadequate food intake and biochemical parameters were observed. Descriptors: Hemodialysis; Nutritional status; Quality of life; Body mass index; Global Subjective Evaluation; KDQOL-SF.ResumenObjetivo: identificar y correlacionar el estado nutricional, la calidad de vida y la ingesta de alimentos en pacientes con ERC en hemodiálisis. Método: este es un estudio cuantitativo, descriptivo, observacional, transversal con un diseño de muestra no probabilístico. La muestra del estudio consistió en 63 individuos, de 21 a 86 años. Se evaluó el EN mediante parámetros antropométricos y bioquímicos, IMC y Evaluación Subjetiva Global (ESG). Se utilizó un recordatorio de 24 horas para el consumo de alimentos y, para la calidad de vida, el cuestionario Kidney Disease Quality Of Life Short Form (KDQOL-SF). Resultados: se encontró que entre las comorbilidades relacionadas con la IRC prevaleció la diabetes (76%). Según el protocolo PEW, el 73% de los pacientes eran eutróficos y, según el IMC, el 57% eran eutróficos. Conclusión: se concluyó que los coeficientes tenían una correlación no sustancial o baja para EN y CV y la ingesta de alimentos. Se observó una ingesta inadecuada de alimentos y en los parámetros bioquímicos. Descriptores: hemodiálisis; Estado nutricional; Calidad de vida; Indice de Masa Corporal; Evaluación subjetiva global; KDQOL-SF.

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Jarinna Lalleska da Costa Souza Costa BARBOSA ◽  
Ryanne Carolynne Marques Gomes Marques Mendes ◽  
Marta Nunes Lira Nunes Lira ◽  
Mariana Boulitreau Siqueira Campos Siqueira Barros ◽  
Solange Queiroga Serrano Queiroga Serrano

Objetivo: avaliar a qualidade de vida dos pacientes renais crônicos submetidos à hemodiálise e caracterizar os aspectos demográficos. Método: trata-se de um estudo quantitativo, descritivo, transversal, realizado com 137 pacientes renais crônicos em tratamento hemodialítico. Coletaram-se os dados por meio de um questionário semiestruturado e do instrumento de avaliação de qualidade de vida para pacientes renais crônicos Kidney Disease and Quality of Life Short Form (KDQOL SF-36). Analisaram-se os dados no software EpiInfo, versão 7.2, recorrendo-se à análise estatística descritiva para a caracterização dos sujeitos. Compararam-se o escore de qualidade de vida e a escolaridade dos pacientes por meio do teste Kruskall-Wallis. Resultados: mostrou-se a qualidade de vida comprometida nos domínios Situação Profissional, Função Física, Função Emocional, Sobrecarga da Doença Renal e Funcionamento Físico. Conclusão: observou-se que os pacientes renais crônicos em tratamento hemodialítico apresentaram a redução da qualidade de vida em alguns domínios. Torna-se relevante referenciar a necessidade de uma equipe multidisciplinar para se intervir nos fatores físicos e psicológicos desses pacientes para se melhorar a qualidade de vida deles.Descritores: Enfermagem; Insuficiência Renal Crônica; Nefrologia; Nefropatia; Qualidade de Vida; Diálise Renal.Descriptors: Nursing; Renal Insufficiency Chronic; Nephrology; Kidney Diseases; Quality of Life; Renal Dialysis.Descriptores: Enfermería; Insuficiencia Renal Crónica; Nefroligía; Enfermedades Renales; Calidad de Vida; Diálisis Renal.


2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Raquel De Sousa Sales Santos ◽  
Ana Hélia De Lima Sardinha

Objetivo: avaliar a Qualidade de Vida dos pacientes com Doença Renal Crônica Terminal em tratamento hemodialítico. Metodologia: estudo descritivo quantitativo, com questionários para os aspectos sociodemográficos e de saúde e o Kidney Disease and Quality of Life Short-Form. Resultados: pacientes na faixa etária 31-50 anos, sexo feminino, pardos, casados, 1-4 filhos, ensino fundamental incompleto, 06-10 anos de hemodiálise e comorbidades como hipertensão, cardiopatia e diabetes. Menores escores nas dimensões: papel profissional, função física, sobrecarga da doença renal e saúde geral. Discussão: A qualidade de vida dos pacientes sofreu alterações. Conclusão: Identificou-se aspectos que requerem atenção da equipe multiprofis-sional de saúde.Descritores: Qualidade de Vida, Insuficiência Renal Crônica, Diálise Renal.QUALITY OF LIFE OF PATIENTS WITH CHRONIC RENAL DISEASE ABSTRACTObjective: to evaluate the Quality of Life of patients with Terminal Chronic Kidney Disease under hemodialysis treatment. Methodology: quantitative descriptive study, with questionnaires for sociodemographic and health aspects and Kidney Disease and Quality of Life Short-Form. Results: patients aged 31-50 years, female, brown, married, 1-4 children, incomplete elementary school, 6-10 years of hemodialysis and comorbidities: hypertension, cardiopathy and diabetes. Lower scores on the dimensions: professional role, physical function, renal disease overload and general health. Discussion: Patients’ quality of life has changed. Conclusion: It was identified aspects that require greater attention from the multiprofessional health team.Descriptors: Quality of Life, Renal Insufficiency Chronic, Renal Dialysis.CALIDAD DE VIDA DE LOS PACIENTES CON ENFERMEDAD RENAL CRÓNICA RESUMENObjetivo: evaluar la calidad de vida de los pacientes con enfermedad renal crónica terminal en tratamiento de hemodiálisis. Metodología: estudio descriptivo cuantitativo con cuestionarios concernientes a los aspectos demográficos, de salud y el Kidney Disease and Quality of Life Short-Form. Deducciones: los pacientes de edad entre 31-50 años, género femenino, pardos, casados, tienen 1-4 hijos, la educación primaria incompleta, 06-10 años conviviendo de forma simultánea con la hemodiálisis y las enfermedades como hipertensión, problemas cardíacos y diabetes. Las valoraciones más bajas en las dimensiones: función profesional, la función física, la sobrecarga de la enfermedad renal y la salud general. Discusión: la calidad de vida de los pacientes ha cambiado. Conclusión: se ha identificado los aspectos que demandan la atención del equipo de salud multidisciplinario.Descriptores: Calidad de Vida, Insuficiencia Renal Crónica, Diálisis Renal.


2021 ◽  
pp. 1-7
Author(s):  
Ya-Chen Lee ◽  
En-Chi Chiu

BACKGROUND: Nutritional status could affect functional capacity and reduce quality of life in patients with stroke. Although the associations between nutritional status, basic activities of daily living (BADL)/Instrumental ADL, and quality of life (QOL) in older people have been identified, the relationships have not yet been examined in patients with stroke, using the full Mini Nutritional Assessment (MNA) or MNA-short form (MNA-SF). OBJECTIVE: This study aimed to examine the relationship between nutritional status (using full MNA and MNA-SF), comprehensive ADL function, and QOL in patients with stroke. METHODS: Eighty-two patients with ischemic stroke participated in this cross-sectional design study. Each participant was assessed with the full MNA, MNA-SF, comprehensive ADL function (including Barthel Index and Frenchay Activities Index), and WHO Quality of Life-BREF (WHOQOL-BREF) once. RESULTS: The MNA-SF was only significantly correlated with the comprehensive ADL function (rho = 0.27, p = 0.013), whereas, the full MNA was found to be significantly correlated with the comprehensive ADL function and WHOQOL (rho = 0.24, p = 0.029 and rho = 0.30, p = 0.005). The MNA-SF was a significant predictor of comprehensive ADL function, accounting for 44% of the variance. The full MNA was the only significant predictor of the WHOQOL-BREF, explaining 17% of the variance. CONCLUSIONS: This study has revealed a relationship between nutritional status, comprehensive ADL function, and QOL among patients with stroke. Patients with stroke with better nutritional status had higher ADL function as well as better QOL. The MNA-SF was useful in predicting comprehensive ADL, whereas, the full MNA could be used to predict QOL. Knowledge and evidence of the association and predictive power of the MNA-SF and full MNA could guide clinicians to choose tools for assessing the nutritional status of patients with stroke more effectively.


2019 ◽  
Vol 22 (4) ◽  
pp. 398-398
Author(s):  
Ana Miriam Cabrera Delgado ◽  
Mª Cristina Rodríguez Zamora ◽  
María de Jesús Ventura García ◽  
Carolina Santillán-Torres Torija ◽  
Dante Amato

Objetivo: Evaluar la relación entre estrategias de afrontamiento y calidad de vida relacionada con la salud en pacientes incidentes en diálisis peritoneal. Métodos: Estudio transversal en 106 pacientes incidentes en diálisis peritoneal, en cuatro centros de Ciudad de México. Se usaron los instrumentos Kidney Disease Quality of Life Short Form (KDQOL-SF36) y Coping Strategies Inventory para evaluar la calidad de vida relacionada con la salud y las estrategias de afrontamiento, respectivamente. Se evaluó la correlación de puntuaciones de estrategias de afrontamiento y calidad de vida. Se comparó la calidad de vida relacionada con la salud entre los pacientes con estrategia de afrontamiento activa y pasiva. Resultados: La estrategia de afrontamiento activa mostró correlación positiva con componentes físico y mental, efectos de la enfermedad renal y carga de la enfermedad renal del KDQOL-SF36, en tanto que el puntaje de estrategia pasiva correlacionó negativamente con componente mental y carga de la enfermedad renal en el KDQOL-SF36. Los puntajes de componentes físico y mental, efectos de enfermedad renal, carga de enfermedad renal y problemas por síntomas del KDQOL-SF36 fueron significativamente más altos en pacientes con estrategia de afrontamiento activa que en los que presentaron estrategia pasiva. Conclusiones: A partir de los resultados encontrados podemos concluir que los pacientes con estrategia de afrontamiento activa presentan mejor calidad de vida relacionada con la salud, tanto en las dimensiones del cuestionario específico de las alteraciones renales como en el genérico de calidad de vida, en comparación con los pacientes con estrategia de afrontamiento pasiva.


Author(s):  
Carolina Renz Pretto ◽  
Eliane Roseli Winkelmann ◽  
Leila Mariza Hildebrandt ◽  
Dulce Aparecida Barbosa ◽  
Christiane de Fátima Colet ◽  
...  

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.


Author(s):  
Thenmozhi P

 Objective: The objective of the study was to assess the quality of life (QOL) of patients undergoing hemodialysis (HD). The QOL of HD patients was found to be considerably impaired when compared to that of healthy individuals of the general population. The careful assessment of QOL helps to guide and achieve medical management to optimize their health experience.Methods: Cross-sectional research design was adopted with 130 samples who met the inclusion criteria to conduct the study in the dialysis unit, India. The instrument used for the study was to collect the data are demographic variable and kidney disease QOL - short form version 1.3 scale.Results: The mean total score of QOL was 48.73±22.65, the highest score was for dialysis staff encouragement scale (84.04±14.89) followed by social support scale (80.38±20.38) and quality of social interaction (71.52±18.74). However, role limitation caused by physical health problems, role limitation caused by emotional health, and burden of kidney disease scales yielded the lowest scores (22.12±18.05, 26.92±24.15, and 38.03±12.81, respectively).Conclusion: The present study findings concluded that patients on HD were not having adequate QOL in all domains except patient satisfaction due to changes in the physiological, chemical changes occur in the kidney. 


2019 ◽  
pp. 21-30
Author(s):  
Atikah Nur Shabrina ◽  
Woro Supadmi

  Penyakit ginjal terminal adalah kerusakan ginjal yang irreversible sehingga mengakibatkan penurunan fungsi ginjal yang dapat mempengaruhi kualitas hidup pasien. Pada pengukuran kualitas hidup diperlukan instrumen, salah satunya kuesioner Kidney Disease Quality of Life Short Form KDQOL-SFtm ) versi Indonesia. Tujuan penelitian ini untuk mengetahui validitas dan reliabilitas kuesioner KDQOL-SFtm versi Indonesia sebagai instrumen alat ukur kualitas hidup pasien penyakit ginjal terminal.Rancangan penelitian ini yaitu observasional diskriptif dengan pendekatan secara cross sectional. Responden pada penelitian adalah pasien penyakit ginjal terminal yang menjalani hemodialisa. Proses validitas meliputi validitas konvergen, validitas diskriminan, known group validity dan uji floor and ceiling effect. Kuesioner memenuhi validitas jika nilai person correlation > 0,40, dan reliabilitas jika nilai cronbach alpha > 0,70. Hasil validitas kuesioner KDQOL-SFtm versi Indonesia terdapat 5 item pertanyaan tidak valid secara konvergen dan diskriminan, 3 item pertanyaan tidak valid secara konvergen dan 5 item tidak valid secara diskriminan. Hasil reliabilitas diperoleh 8 domain dengan nilai cronbach alpha ≤ 0,70. Hasil uji Known Group Validityantara responden laki-laki dengan perempuan pada domain fungsi fisik diperoleh nilai ρ value < 0,05 dan responden usia 41-50 tahun dengan usia 51-60 tahun menunjukkan nilai ρ value ≥ 0,05. Hasil uji floor and ceiling effect pada 8 domain diperoleh selisih persentasenya < 20%. Kesimpulannya adalah kuesioner KDQOL-SFtm versi Indonesia secara keseluruhan dinyatakan valid dan reliabel. Meskipun ada beberapa nomor yang tidak valid dan reliabel, sehingga perludilakukan modifikasi terhadap pertanyaan pada kuesioner KDQOL-SFtm versi Indonesia tersebut.


2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Ana Carolina Ottaviani ◽  
Loren Carolina Betoni ◽  
Sofia Cristina Iost Pavarini ◽  
Karina Gramani Say ◽  
Marisa Silvana Zazzetta ◽  
...  

ABSTRACT To analyze the relationship between anxiety and depression and quality of life in chronic renal failure patients on hemodialysis. This is a correlational study with a cross-sectional, quantitative approach, conducted with 100 kidney patients under treatment at a Renal Replacement Therapy Unit in the state of São Paulo. Data were collected using a sociodemographic questionnaire, Hospital Anxiety and Depression Scale and Kidney Disease and Quality of Life Short-Form. A negative correlation was found between anxiety and depression and the quality of life domains. In addition, the average scores on the Kidney Disease and Quality of Life Short-Form were significantly lower in patients with anxiety and depressive symptoms. In conclusion, there is a negative correlation between depression and anxiety and the health-related quality of life of chronic renal failure patients on hemodialysis.


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Cindy R. Senduk ◽  
Stella Palar ◽  
Linda W. A. Rotty

Abstract: The objective of this study is to determine the correlation between anemia and quality of life in chronic kidney disease patients undergoing regular hemodialysis. This was an observational analytical study with a cross-sectional design. Samples were obtained by using consecutive sampling. Patients’ quality of life was assessed with short-form 36 questionnaires (SF-36) while their Hb levels data were taken from the medical records. There were 60 samples, with a majority age range of 50-59 years old (33.33%) adn the dominant gender was males (68,3%). There were 13 non-anemia patients (22%), 27 mild anemia patients (45.0%), 15 moderate anemia patients (25.0%) and 5 severe anemia patients (8%). The highest quality of life score obtained was 90.70 with an average score 61.99. The Spearman correlation test showed a correlation between anemia and life quality (p=0.000). Conclusion: There was a significant correlation between anemia and quality of life in chronic kidney disease patients undergoing regular hemodialysis.Keywords: chronic kidney disease, hemodialysis, anemia, quality of life Abstrak: Tujuan dari penelitian ini untuk mengetahui hubungan anemia dengan kualitas hidup pasien PGK yang sedang menjalani hemodialisis reguler. Desain penelitian yang digunakan adalah analitik observasional dengan rancangan studi potong silang (cross sectional study). Teknik pengambilan sampel yang digunakan yaitu consecutive sampling. Data kualitas hidup pasien diukur dengan pertanyaan dalam kuesioner Short Form (SF-36) sedangkan kadar Hb diambil dari rekam medik. Hasil dari penelitian ini didapatkan sampel 60 orang, usia terbanyak 50-59 tahun (33,3%), jenis kelamin terbanyak adalah laki-laki (68,3%), tidak anemia 13 orang (22%), anemia ringan 27 orang (45,0%), 15 orang (25,0%) anemia sedang dan sisanya 5 orang (8%) anemia berat. Skor kualitas hidup tertinggi 90,70 dengan rata-rata 61,99. Uji korelasi spearman didapatkan hubungan antara anemia dengan kualitas hidup (p=0,000). Simpulan: Terdapat hubungan yang signifikan antara anemia dengan kualitas hidup pasien PGK yang sedang menjalani hemodialisis reguler.Kata kunci: penyakit ginjal kronik, hemodialisis, anemia, kualitas hidup


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