Functional dependence and the mental dimension of quality of life in Hemodialysis patients: the PROHEMO study
| Autor: | Gildete Barreto Lopes, Marcelo Barreto Lopes, Antonio Alberto Lopes, Márcia Tereza Silva Martins, Fernanda Albuquerque da Silva, Gabriel Brayan Gutiérrez-Peredo |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Quality of life medicine.medical_specialty Activities of daily living Cross-sectional study medicine.medical_treatment 030232 urology & nephrology lcsh:Computer applications to medicine. Medical informatics 03 medical and health sciences 0302 clinical medicine Renal Dialysis Surveys and Questionnaires Internal medicine Humans Medicine Prospective Studies 030212 general & internal medicine Prospective cohort study Dialysis Aged business.industry Depression Research Confounding Public Health Environmental and Occupational Health Functional status General Medicine Middle Aged Physical Functional Performance Cross-Sectional Studies lcsh:R858-859.7 Female Mental health Hemodialysis business Body mass index Brazil |
| Zdroj: | Health and Quality of Life Outcomes, Vol 18, Iss 1, Pp 1-10 (2020) Health and Quality of Life Outcomes |
| ISSN: | 1477-7525 |
| Popis: | Background Functional dependence is highly prevalent in maintenance hemodialysis (MHD) settings. Also, poor health-related quality of life (HRQoL) and high levels of depressive symptoms have been reported by MHD patients. We investigated associations between functional status and mental aspects of quality of life in Brazilian MHD patients. Methods Cross sectional study of 235 patients enrolled in two of the four participating MHD clinics of the Prospective Study of the Prognosis of Chronic Hemodialysis Patients (PROHEMO) in Salvador, BA, Brazil. Data were collected from September 2016 to August 2017. The Katz’s questionnaire was used for basic activities of daily living (ADL) and the Lawton-Brody’s questionnaire for instrumental activities of daily living (IADL). ADL and IADL scores were combined to create 3 functional status groups: highly dependent (n = 47), moderately dependent (n = 109) and independent (n = 82). The validated Brazilian version of the Kidney Disease Quality of Life Short Form (KDQOL-SF) was used for scores of two distinct HRQoL measures, i.e., the mental component summary (MCS) and the 5-item mental health inventory (MHI-5). We used linear regression to estimate differences in scores with adjustment for possible confounders: months of dialysis, age, gender, other sociodemographic variables, body mass index, type of vascular access, dialysis dose by Kt/V, laboratory variables (albumin, blood hemoglobin, calcium, phosphorus, urea, creatinine and parathyroid hormone) and nine comorbid conditions. Results Mean age was 51.2 ± 12.4 yr (median age = 51.0 yr), 59.1% were male, 93.2% were non-White. The prevalence of self-reported functional status differed by age: 54.4% for age Conclusions Our results call attention to a high prevalence of functional dependence in younger and older MHD patients. The results suggest that the lower self-reported mental quality of life in functionally dependent MHD patients cannot be explained by differences in age and comorbidities. |
| Databáze: | OpenAIRE |
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