Quality of life and duration of hemodialysis in patients with chronic kidney disease (CKD): a cross-sectional study

Abstract

Introduction: Quality of life (QoL) of hemodialysis patients is a major evaluative marker currently measured, while treatment time is a clinical determinant associated with impaired QOL. Objective: To evaluate QOL in individuals undergoing hemodialysis (HD) considering treatment time and the presence of comorbidities. Methods: A cross-sectional study conducted in the hemodialysis unit of the Hospital das Clínicas da Universidade Federal de Pernambuco (HC-UFPE). We studied patients with Chronic Kidney Disease (CKD) of both genders over the age of 18 years, at any level of education and undergoing HD for at least 6 months. We evaluated the demographic/socioeconomic and clinical data, followed by application of the quality of life questionnaire (KDQOL-SF). Results: Participants were 47 patients with a mean age of 50.94 ± 13.33 years, 55.3% were male and average treatment time of 57.35 ± 61.46 months. Hypertension (59.6%) was the most frequent underlying disease. According to the responses obtained through the KDQOL-SF, the situation at work and physical limitation scored worse. Sexual function (85.83) and encouragement by the team had the best performance. There were no differences in dimensions of questionnaire and treatment time. Conclusion: The presence of comorbidities and HD duration were not found to be possible factors for changing QoL in this study. However, we suggest that future studies evaluate other factors such as laboratory, emotional and functional data to check for changes in QoL in these patients related to HD duration.

The Effect of Regular Hemodialysis on the Nutritional Status of Children with End-stage Renal Disease

“…About HD duration, and PTH and S. creatinine, Study was done by Barbosa et al which does not coincide with the results. There were no differences observed between those who were below or above 36 months of treatment and PTH, S. creatinine [20]. Some other studies also found no changes of laboratorial factors (urea, creatinine, PTH (ParaThyroid Hormone) over the duration of disease which makes us think of the possibility of other factors occurring besides those investigated [21,22].…”

Percepções de pacientes submetidos a tratamento dialítico substitutivo sobre a sexualidade

“…It should be noted that the dialysis treatment routine is continuous and prolonged leading the individual to depend on a machine for survival and bringing about psychological and physical wear and tear, and it is generally observed that fatigue and / or lack of after the hemodialysis sessions. 14 It is inferred that fatigue can be one of the determining factors for problems related to sexuality. It is evident, in the speech of I 19, that reports the income.…”

“…Nothing has changed. (Interviewee,5,14,20,22,23,24,25,27,32,38) It has been noted in the reports that the issue of sexuality is intimately linked to healthy sexual intercourse, both biologically and emotionally, showing its importance to man. Wondering when they were happy with their sex life, most reported the following: Yes I am happy.…”

“…Wondering when they were happy with their sex life, most reported the following: Yes I am happy. ( Interviewee 1,4,5,7,8,14,20,22,23,24,25,27,32,38,) It is said that when asked about what he used to minimize or try to solve his problems about sexuality, most reported that he does nothing; others reported the use of drugs.…”

“…Anything. ( Interviewees 1,3,5,7,8,14,20,21,22,23,24,25,27,32,38,39) The little blue. ( Interviewees 26,33) The following accounts were alleged by other subjects.…”