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Evaluation of quality of life and functionality of patients chronic renal in hemodialysis treatment


Urology & Nephrology Open Access Journal
Vitória Suyane Ferreira da Cruz,1 Glaucimária Santana Santos,2 Yago Alves Lima,3 Lucas Aragão da Hora Almeida,4 Carlos José Oliveira de Matos5

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Abstract

Introduction: Chronic  Renal  Disease  (CKD)  is  an  insidious,  asymptomatic,  progressive  and irreversible renal damage. Added to hemodialysis treatment triggers negative effects on the cardiorespiratory, musculoskeletal system and quality of life (QOL). Therefore, we sought  to  evaluate  functionality,  quality  of  life  and  respiratory  muscle  strength  and  peak  expiratory flow in patients with chronic renal failure on hemodialysis.

Materials  and  methods:  A  cross-sectional  and  descriptive  study,  with  a  convenience  sample  of  30  individuals.  An  individual  identification  form,  the  Kidney  Disease  and Quality-of-Life Short-Form (KDQOL- SF) quality of life assessment instrument and the Functional Independence Measure (FIM) instrument were used. Also, specific tests for evaluation of respiratory muscle strength (RMS) and peak expiratory flow (PEF).

Results:  A  homogeneous  sample  characterized  as  old  adults  with  low  schooling,  and  mostly  hypertensive  and  diabetic.  Individuals  with  complete  functional  independence  (FIM: 118.13±17.1). There was a great decline in respiratory muscle strength and peak expiratory flow, about 40-50% of predicted values. With significant impact on the situation of work and sexual function, 25±42.9 and 45.5±44.3, respectively. Positive values were obtained on social interaction and stimulation by the dialysis team.

Conclusion: It was concluded that there are no impacts on its functionality. However, there is a significant decline in respiratory functional parameters, such as respiratory muscle strength and peak expiratory flow, as well as in the health-related quality of life of chronic renal patients undergoing hemodialysis treatment.

Keywords

renal failure, renal dialysis, chronic disease, maximum respiratory pressures, quality of life

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