Quality of life, nutritional status and associated factors: a study among users of hemodialysis services in the MRGV/ES
Name: MARINA ABELHA BARRETO
Publication date: 05/03/2021
Advisor:
Name |
Role |
|---|---|
| LUCIANE BRESCIANI SALAROLI | Advisor * |
Examining board:
| Name |
Role |
|---|---|
| FABÍOLA LACERDA PIRES SOARES | External Alternate * |
| LUCIANE BRESCIANI SALAROLI | Advisor * |
| ROGERIO GRACA PEDROSA | Internal Alternate * |
| VALDETE REGINA GUANDALINI | Internal Examiner * |
Summary: The advance of Chronic Kidney Disease (CKD) is
an important public health problem, with an increase of 58% in the last 10
years. The high prevalence is accompanied by an increase in the number of
users of hemodialysis (HD) services, performed by 92% of individuals. In
addition to the low socioeconomic level of the population on HD that
contributes to worse health outcomes, individuals on HD are subject to
several hemodynamic and metabolic changes, of the disease and treatment,
resulting in changes in nutritional status and clinical complications, which
directly affect the quality of life. life (QOL). Since HD prolongs the lives
of its users, QOL has become an important measure of health outcome, directed
at the perception of physical, psychological and social limitations,
influenced by the disease, by treatment. Therefore, the aim of this study was
to assess the association between QoL and sociodemographic, clinical,
lifestyle and nutritional status factors. QOL was assessed using the SF-36
questionnaire (Short-Form SF-36), structured in 36 items, subdividing QOL
into 8 domains and summarized into 2 components (physical and mental), with
scores from 0 to 100. Previous To collect data, a pilot study was conducted,
with the participation of 57 users of the HD service, in order to assess the
internal consistency and reproducibility of the questionnaire. Subsequently,
this study was carried out, being a cross-sectional, observational study, in
all HD clinics in the Metropolitan Region of Grande Vitória / ES, totaling
11 clinics and composed of 1,024 users of HD services. The worst QOL was
portrayed by the physical aspect domain (26.78) and the QOL by the mental
health domain (72.16). Of the sociodemographic characteristics, lifestyle,
clinical and nutritional status measures studied, the male gender, age group,
physical activity, number of intradialitic complications and serum albumin,
associated with QOL, stand out after adjusting for the study variables,
configuring themselves as the predictors of QL, both physical and mental, of
this population. It is concluded, therefore, that several factors impact the
QOL of individuals on HD and, therefore, assessing QOL becomes essential,
since low QOL is one of the main problems of this population. In addition,
monitoring nutritional status, encouraging physical activity and preventing
the reduction of intradialitic complications, are associated with better
physical and mental QoL, contributing to better health outcomes.
