Quality of life of patients with chronic kidney disease and replacement treatment for dialysis and hemodialysis
Keywords:
Dialysis, Hemodialysis, Quality of LifeAbstract
Abstract
Introduction: Chronic kidney disease (CKD) is a disease that has an irreversible impact on physical, psychological, and social health, on health economics, as well as on lifestyle.
Objective: To measure quality of life from the perspective of patients with CKD receiving replacement treatment through peritoneal dialysis and hemodialysis in a Mexican Institute for Social Security’s (IMSS) regional general hospital.
Methodology: Cross-sectional descriptive study with 42 patients from the Dialysis and Hemodialysis Service. A version in Spanish of the Kidney Disease Quality of Life (KDQoL-SF) questionnaire was administered; it includes 43 specific items for patients with kidney disease and dialysis, plus 36 items from the SF-36 questionnaire, which also includes an item on general health. The SPSS program, version 23, was used.
Results: 88% of patients received hemodialysis treatment, and 12% peritoneal dialysis treatment. 50% of patients reported feeling a little bit limited in carrying out activities on a typical day, and 36% felt very limited, especially when performing intense efforts, such as running or lifting heavy objects.
Conclusions: A comprehensive care approach is recommended with emphasis on its psychological and emotional dimensions, especially in patients in stages 3 and 4 of CKD, with the incorporation of a collaborative interprofessional care program.
Keywords: Dialysis; Hemodialysis; Quality of Life
References
Méndez-Durán A, Méndez-Bueno JF, Tapia-Yáñez T et al. Diálisis y Trasplante. 2010;31(1):7-11. Disponible en: https://dsp.facmed.unam.mx/wp-content/uploads/2013/12/Anexo-4A-.-Mendez-M.-Epidemiologia-de-la-Insuficiencia-Renal-cronica-en-Mexico.pdf
Barros-Higgins L, Herazo-Beltrán Y, Aroca-Martínez G. Health-related quality of life in patients with chronic kidney disease. Rev Fac Med. 2015;63(4):641-7. Disponible en: http://www.scielo.org.co/pdf/rfmun/v63n4/v63n4a09.pdf
Espinosa-Cuevas MA. Enfermedad renal. Gac Med Mex. 2016;152 Supl 1:90-6. Disponible en: http://www.anmm.org.mx/GMM/2016/s1/GMM_152_2016_S1_090-096.pdf
Rodríguez OB. Enfermedad renal crónica: Prevenirla, mejor que tratarla. Rev Cuba Med Gen Integr. 2015;31(3):353-62. Disponible en: http://scielo.sld.cu/pdf/mgi/v31n3/mgi10315.pdf
Cunha Franco L, Teles Zatta L, Vasconcelos P, et al. Evaluación de la calidad de vida de pacientes de insuficiencia renal crónica en diálisis renal. Enfermería Global. 2011;10(23):158-64. Disponible en: https://scielo.isciii.es/pdf/eg/v10n23/administracion2.pdf
Ramos-Alcocer JR, Salas-Nolasco OI, Villegas-Domínguez JE, et al. Calidad de vida y factores asociados en enfermedad renal crónica con terapia de sustitución. Arch Med Fam. 2020;23(2):75-83. Disponible en: https://www.medigraphic.com/pdfs/medfam/amf-2021/amf212d.pdf
Carrillo-Algarra AJ, Torres-Rodríguez GA, Leal-Moreno CS, et al. Escalas para evaluar la calidad de vida en personas con enfermedad renal crónica avanzada: Revisión integrativa. Enfermería Nefrológica. 2018;21(4):334-47. Disponible en: https://scielo.isciii.es/pdf/enefro/v21n4/2255-3517-enefro-21-04-334.pdf
Yepes Delgado CE, Montoya Jaramillo M, Orrego Orozco BE, et al. Calidad de vida en pacientes con enfermedad renal crónica sin diálisis ni trasplante de una muestra aleatoria de dos aseguradoras en salud. Medellín, Colombia, 2008. Nefrología. 2009;29(6):548-56. Disponible en: https://www.revistanefrologia.com/es-pdf-X0211699509033571
Capote Leyva E, Ortiz González M, Argudín Selier R, et al. Calidad de vida relacionada con la salud en la morbilidad del paciente en hemodiálisis periódica. Medisur. 2019;17(1):62-73. Disponible en: http://scielo.sld.cu/pdf/ms/v17n1/1727-897X-ms-17-01-62.pdf
Pretto CR, Winkelmann ER, Hildebrandt LM, et al. Quality of life of chronic kidney patients on hemodialysis and related factors. Rev Lat Am Enfermagem. 2020;28:1-11. Disponible en: https://www.scielo.br/j/rlae/a/9JDNyTBwTMqt4br7svXJT4v/?lang=es
Martínez HL, Restrepo CA, Arango F. Quality of life and functional status of elderly with chronic kidney disease stage 5 in dialysis therapy. Acta Medica Colomb. 2015;40(1):13-9. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-24482015000100004