Qualidade de vida, estado nutricional e fatores associados em pacientes com doença renal crônica em tratamento hemodialítico

Abstract

Quality of life (QOL) and nutritional status of patients with chronic kidney disease are affected by hemodialysis treatment. The aim of this study was to analyze QOL, EN and associated factors in hemodialysis patients. A cross-sectional study with 110 individuals aged ≥ 20 years. The interview investigated socioeconomic, demographic, clinical and health-related behaviors. Anthropometric measures were checked and laboratory tests were consulted. The QOL was evaluated by the SF-36 instrument. The majority of respondents were men (61.8%), brown (54.5%), adults (68.2%), and low schooling (47.2%). Hypertension and diabetes were the main causes and comorbidities of CKD. The majority were not smokers (93.6%) and alcoholics (80.7%), and were sedentary (62.7%). The mean body mass index was 25.50 ± 4.57 kg / m2, waist circumference (WC) of 93.13 ± 13.21 cm and thickness of the adductor muscle of the thumb (EMAP) of 11.30 ± 2 , 75 mm. Higher SF-36 mean score was observed in the mental health aspect (78.33 ± 17.77) and lower in pain (7.94 ± 3.01). In the bivariate analysis, we observed significant differences between means of functional capacity and age (p = 0.04), marital status and general health (p = 0.03), diabetes and functional capacity (p = 0.01) and vitality (0.02), physical exercise and functional capacity (p = <0.01) and vitality (p = 0.01). There was a negative correlation between BMI (p = 0.03) and WC (p = <0.01) with functional capacity, and positive with EMAP and physical aspects (p = 0.02), dialysis time and emotional aspects ( p = 0.05) and hemoglobin with functional capacity (p = 0.03) and general health status (p = 0.04). It was concluded that the aspects of QoL that most influenced the independent variables were functional capacity and vitality.