Capacidade funcional e qualidade de vida na doença renal crônica / Functional capacity and quality of life in chronic kidney disease

A doença renal crônica (DRC) é caracterizada por alterações heterogêneas, que afetam tanto a estrutura quanto a função renal, poderá decorrer com redução da capacidade funcional e da qualidade de vida dessa população. OBJETIVO: avaliar a capacidade funcional e qualidade de vida de pacientes com DRC hospitalizados. MATERIAIS E MÉTODOS: Estudo de natureza observacional, quantitativo, descritivo, transversal. Utilizou três questionários: um clínico, o SF36 para a avaliação da qualidade de vida, e o Health Assessment Questionnaire (HAQ), para avaliação da capacidade funcional. Os dados foram analisados através de estatística descritiva, considerando média, desvio padrão e porcentagem. RESULTADOS: A amostra foi composta por 11 pacientes com DRC (63,63% homens). Os piores scores no SF36, em ambos os gêneros, foram relacionados aos aspectos físicos (0) e emocionais (0). O HAQ evidenciou maior déficit funcional no sexo feminino (1,80). Em relação à idade, em todas as faixas etárias o SF-36 apontou "aspectos físicos" (0) e "emocionais" (0) com piores índices. O HAQ encontrou pior escore na faixa de 30-59 anos e nos indivíduos com mais de três doenças associadas, Doença Renal Crônica, Hipertensão Arterial e Diabetes (deficiência moderada 1,09/1,70, respectivamente). Também foram encontrados nesses indivíduos piores scores no SF36 para os domínios de "capacidade funcional" (66,20), "estado geral" (56,50), "vitalidade" (55,00) e "aspectos sociais" (43,50). CONCLUSÃO: Os indivíduos analisados com DRC apresentaram baixos escores relacionados à qualidade de vida, e capacidade funcional moderada nas mulheres e leve nos homens.

Chronic kidney disease (CKD) is characterized by heterogeneous changes, which affect both the structure and the renal function, may result in a reduction in the functional capacity and quality of life of this population. OBJECTIVE: To evaluate the functional capacity and quality of life of patients with CKD hospitalized. MATERIALS AND METHODS: Observational, quantitative, descriptive, cross-sectional study. It used three questionnaires: a clinical one, the SF36 for assessing quality of life, and the Health Assessment Questionnaire (HAQ), for assessing functional capacity. Data were analyzed using descriptive statistics, considering mean, standard deviation and percentage. RESULTS: The sample consisted of 11 patients with CKD (63.63% men). The worst scores in SF36, in both genders, were related to the physical (0) and emotional (0) aspects. The HAQ showed a greater functional deficit in females (1.80). Regarding age, in all age groups, the SF-36 pointed to "physical aspects" (0) and "emotional" (0) with the worst indexes. The HAQ found the worst score in the 30-59 age group and in individuals with more than three associated diseases, Chronic Kidney Disease, Arterial Hypertension and Diabetes and (moderate deficiency 1.09 / 1.70 respectively). These individuals also found worse scores in the SF36 for the domains of "functional capacity" (66.20), "general state" (56.50), "vitality" (55.00) and "social aspects" (43.50). CONCLUSION: The individuals analyzed with CKD had low scores related to quality of life, and moderate functional capacity in women and mild in men.

Effect of follow-up frequency on the dialysis quality of peritoneal dialysis patients / 中国实用护理杂志

Objective To investigate the effect of follow-up frequency on the dialysis quality of patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Methods 298 CAPD pa-tients were selected for retrospective analysis from December 2005 to April 2007. All patients were di-vided into two groups according to different follow-up frequency: group A (shorter than 3 months),group B (longer than 3 months). The dialysis quality of the two groups was compared. Results The levels of hemoglobin, albumin and transferrin of group A were (112.19±20.62)mmol/L, (40.45±4.50) retool/L, (2.43±0.29) mmol/L,which were significantly higher than those of group B, (99.63±20.69) mmol/L, (38.01±5.02)mmol/L,(2.29±0.36) mmol/L (P＜0.05). In addition, edema level, life self-care,work capacity, median duration of dialysis, education level and address in group A were significantly different from those of group B (P ＜ 0.05). Conclusion Shortening follow-up frequency plays an im-portsnt role in improving the dialysis quality of CAPD patients.

Relationship Between Hemodialysis Dialysate Circuit Functions and Dialysis Quality / 医疗卫生装备

The structure and function of the dialysate circuit of the hemodialysis machine are analyzed with the discussion on the relationship between dialysis quality,safety and compliations with the dialysate circuit,including dialysate temperature control,ultrafiltration control and dialysis hypotension,dialysate mixing and electrolytes homeostasis,disinfections of the machine and chronic inflammation of the patients,in order to improve the understanding on the related problems for both technicians and medical personnel,thus enhancing the prevention,monitoring and appropriate intervention of the potential failures,aiming to ensure the dialysis safety and optimal dialysis quality.