Avaliação da capacidade funcional e qualidade de vida dos pacientes com insuficiência renal crônica em hemodiálise
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Data
2023-12
Tipo de documento
Estudo de Caso
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Modalidade de acesso
Acesso fechado
Editora
Autores
SOARES, Luana Adelino
MEDEIROS, Adrielly Araújo de
Orientador
SILVA, Ricardo Rodrigues da
Coorientador
Resumo
A Doença Renal Crônica (DRC) é conceituada como uma síndrome irreversível e progressiva das funções glomerular, tubular e endócrina dos rins. Seu tratamento se dá pela substituição da função renal através do transplante, diálise peritoneal ou o mais utilizado, a hemodiálise (HD). A HD afeta a capacidade funcional e qualidade de vida, acarretando diversos prejuízos psicológicos e sociais na vida dos doentes renais. Objetivo: Deste modo, a pesquisa objetivou avaliar a capacidade funcional e qualidade de vida dos pacientes com doença renal crônica em hemodiálise através do Índice de Barthel e o SF-36. Métodos: Trata-se de um estudo de análise descritiva de série de casos, realizado com 4 pacientes renais crônicos hemodialíticos assistidos pelo Centro Integrado de Saúde (CIS) da Universidade Potiguar, no mês de setembro a outubro do ano de 2023. Foram aplicados dois questionários padrões, utilizados para avaliar a capacidade funcional (Índice de Barthel) e a qualidade de vida (SF-36). Resultados: Do quantitativo total, 50% eram do sexo feminino e 50% do sexo masculino, com idade média de 36,3 anos ± 13,2. Todos os pacientes apresentaram a etiologia base a Hipertensão Arterial Sistêmica. O menor escore de qualidade de vida foi identificado na dimensão limitação por aspectos emocionais, enquanto que os maiores valores foram obtidos nas dimensões aspectos sociais e saúde mental. As medidas do Índice de Barthel mostraram que todos os indivíduos avaliados são totalmente independentes. Conclusão: Diante do exposto, os pacientes renais crônicos submetidos à hemodiálise apresentaram independência funcional e no que tange a qualidade de vida, apresentaram valores reduzidos os domínios de aspectos emocionais, físicos e vitalidade do SF-36. Já o de maior valor foi o de aspectos sociais.
Chronic kidney disease (CKD) is defined as an irreversible and progressive syndrome of the glomerular, tubular and endocrine functions of the kidneys. It is treated by replacing kidney function through transplantation, peritoneal dialysis or, most commonly, hemodialysis (HD). HD affects functional capacity and quality of life, causing various psychological and social problems in the lives of kidney patients. Objective:This is a descriptive study, carried out with 4 hemodialysis chronic kidney patients assisted by the Integrated Health Center (CIS) of Universidade Potiguar, from September to October 2023. Two standard questionnaires were used to assess functional capacity (Barthel Index) and quality of life (SF-36) Methods: This is a descriptive case series study, carried out with 4 hemodialysis chronic kidney patients assisted by the Integrated Health Center (CIS) of Universidade Potiguar, from September to October 2023. Two standard questionnaires were used to assess functional capacity (Barthel Index) and quality of life (SF-36). Results: Of the total number, 50% were female and 50% male, with an average age of 36.3 years ± 13.2. All the patients had systemic arterial hypertension as the underlying etiology. The lowest quality of life score was identified in the dimension of limitation by emotional aspects, while the highest values were obtained in the dimensions of social aspects and mental health. The Barthel Index measurements showed that all the individuals assessed were totally independent. Conclusion: In view of the above, chronic kidney patients undergoing hemodialysis showed functional independence and with regard to quality of life, demonstrated reduced values in the emotional, physical and vitality domains of the SF-36. The highest score was for social aspects.
Chronic kidney disease (CKD) is defined as an irreversible and progressive syndrome of the glomerular, tubular and endocrine functions of the kidneys. It is treated by replacing kidney function through transplantation, peritoneal dialysis or, most commonly, hemodialysis (HD). HD affects functional capacity and quality of life, causing various psychological and social problems in the lives of kidney patients. Objective:This is a descriptive study, carried out with 4 hemodialysis chronic kidney patients assisted by the Integrated Health Center (CIS) of Universidade Potiguar, from September to October 2023. Two standard questionnaires were used to assess functional capacity (Barthel Index) and quality of life (SF-36) Methods: This is a descriptive case series study, carried out with 4 hemodialysis chronic kidney patients assisted by the Integrated Health Center (CIS) of Universidade Potiguar, from September to October 2023. Two standard questionnaires were used to assess functional capacity (Barthel Index) and quality of life (SF-36). Results: Of the total number, 50% were female and 50% male, with an average age of 36.3 years ± 13.2. All the patients had systemic arterial hypertension as the underlying etiology. The lowest quality of life score was identified in the dimension of limitation by emotional aspects, while the highest values were obtained in the dimensions of social aspects and mental health. The Barthel Index measurements showed that all the individuals assessed were totally independent. Conclusion: In view of the above, chronic kidney patients undergoing hemodialysis showed functional independence and with regard to quality of life, demonstrated reduced values in the emotional, physical and vitality domains of the SF-36. The highest score was for social aspects.
Palavras-chave
hemodiálise, qualidade de vida, capacidade funcional, doença renal crônica