RESUMO
The aim of this study was to investigate anxiety, depression, quality of life (QOL), and activities of daily living (ADL) among our hemodialysis and renal transplant subjects. Psychological disorders were prevalent among patients with end-stage renal disease (ESRD), adversely affecting QOL and ADL. All patients > or =18 years under renal replacement therapy were asked to participate in the study. Patients completed 4 questionnaires including the Symptom Checklist-90 subscales of depression and anxiety, the Nottingham Extended ADL scale, and the Duke Health Profile questionnaire. We examined a total of 100 transplant and 63 hemodialysis patients. Transplant patients were significantly younger, better educated, and with lower morbidity than the hemodialysis patients. Transplant patients also showed less depression and anxiety as well as better ADL and physical health. Of the variance in anxiety scores, 12.2% was explained by gender and the presence of cardiac disease (P = .022). For depression, replacement therapy and gender explained 16.4% of the variance (P = .004). Replacement therapy accounted for 35.3% of the variance of the ADL score (P < .001), while together with the additional factors of age, gender, and education these 52.8% (P = .007) was accounted for. For the general health score, gender, and cardiac disease explained 11.6% of the variance (P < .001). This study demonstrated that depression and anxiety are more prevalent among hemodialysis patients compared with kidney transplant subjects; the method of treatment was a major contributor to the variance in ADL and depression scores among ESRD patients.
Assuntos
Atividades Cotidianas , Ansiedade/epidemiologia , Depressão/epidemiologia , Falência Renal Crônica/psicologia , Transplante de Rim/psicologia , Qualidade de Vida , Diálise Renal/psicologia , Adulto , Idoso , Estudos Transversais , Feminino , Humanos , Falência Renal Crônica/cirurgia , Falência Renal Crônica/terapia , Atividades de Lazer , Masculino , Estado Civil , Pessoa de Meia-Idade , Análise de Regressão , Inquéritos e QuestionáriosRESUMO
The aim of this study was to design a culturally adapted questionnaire for studying quality of life (QOL) among type 1 and 2 adult diabetes patients in the Islamic Republic of Iran. The 41 items on the questionnaire were based on qualitative research and covered general and health-related QOL. In a descriptive survey, 104 patients completed the questionnaire; 68 (65.4%) were female. Mean age was 50.5 years (standard deviation 12.8). Most patients (86.5%) had type 2 diabetes. Cronbach's alpha coefficient for the questionnaire was 0.98. The questionnaire successfully distinguished the lower QOL of patients suffering from pain in the limbs, loss of appetite, fatigue, constipation and itching. The questionnaire could determine both general and health-related QOL.
Assuntos
Atitude Frente a Saúde/etnologia , Diabetes Mellitus Tipo 1/etnologia , Diabetes Mellitus Tipo 2/etnologia , Qualidade de Vida/psicologia , Inquéritos e Questionários/normas , Adulto , Idoso , Anorexia/etiologia , Constipação Intestinal/etiologia , Estudos Transversais , Características Culturais , Diabetes Mellitus Tipo 1/complicações , Diabetes Mellitus Tipo 2/complicações , Fadiga/etiologia , Estudos de Viabilidade , Feminino , Humanos , Irã (Geográfico) , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Projetos Piloto , Prurido/etiologia , Pesquisa Qualitativa , Índice de Gravidade de Doença , Estatísticas não ParamétricasRESUMO
The aim of this study was to design a culturally adapted questionnaire for studying quality of life [QOL] among type 1 and 2 adult diabetes patients in the Islamic Republic of Iran. The 41 items on the questionnaire were based on qualitative research and covered general and health-related QOL. In a descriptive survey, 104 patients completed the questionnaire; 68 [65.4%] were female. Mean age was 50.5 years [standard deviation 12.8]. Most patients [86.5%] had type 2 diabetes. Cronbach's alpha coefficient for the questionnaire was 0.98. The questionnaire successfully distinguished the lower QOL of patients suffering from pain in the limbs, loss of appetite, fatigue, constipation and itching. The questionnaire could determine both general and health-related QOL
