QUALITY OF LIFE IN PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING RENAL REPLACEMENT THERAPY

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https://storage.unitedwebnetwork.com/files/1099/a2cdf7a0b5507a9e400a47a497782e61.pdf

Abstract Title

First Name *

IVAN

Last Name *

ROSERO

Co-author 1

DIEGO FERNANDO ARGUDO SANCHEZ diegoargu@yahoo.es HOSPITAL MONTE SINAI NEPHROLOGY CUENCA

Co-author 2

PAULA CAMPOVERDE PACURUCU ivan.rosvit89@gmail.com UNIVERSIDAD CATÓLICA MEDICINA GENERAL CUENCA

Co-author 3

MARLON CEDILLO BAUTISTA tramitesiar@gmail.com UNIVERSIDAD CATÓLICA MEDICINA GENERAL CUENCA

Co-author 4

Co-author 5

Co-author 6

Co-author 7

Co-author 8

Co-author 9

Co-author 10

Co-author 11

Co-author 12

Co-author 13

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Co-author 15

Introduction

Approximately 6909 million people worldwide require renal replacement therapy, patients who are on Renal Replacement Therapy have a negative perception of their own quality of life. The social, psychological and physical aspects have unfavorable alterations due to behavioral and lifestyle changes such as adaptation to treatment, water restriction, diet, taking medications, depression among others, which generate limitations in carrying out activities in the personal, work and social spheres

Methods

The descriptive, cross-sectional, and correlational study. Patients’ quality of life was related to hemodialysis versus peritoneal dialysis. A sample of 244 participants. A sociodemographic survey and the validated KDQOL-36 questionnaire were used. SPSSv.15 and Excel 2016 (KDQOL-36 v.20) were used for data interpretation. Sociodemographic variables were interpreted with descriptive statistics, and the relationship was interpreted with association statistics OR, 95% CI with statistical significance p<0.05

Results

More than half corresponded to older adults (53.3%), with a slight predominance of the female sex (54.1%). Hemodialysis predominated at 82%(200) versus peritoneal dialysis at 18%(44). Regarding residence, most of the participants come from the urban area. 51% of the patients are married. According to the socioeconomic level, three quarters of the sample studied are in a low socioeconomic stratum. All the group present a bad quality of life infour of the five aspects of the survey, excepting the symptoms domain, which have more than 50 points. Comparing both groups hemodialysis patients are more at risk of presenting a poor quality of life in all domains: symptoms (OR:2.35 CI:95% 2.35-1.12 p 0.014), burden (OR:2.31 CI:95% 1.18-4.52 p 0.012), physical component (OR:2. 20 CI:95% 1.07-4.51 p 0.026) and mental component (OR:5.54 CI:95% 2.75-11.15 p 0.000) except for the effect component, where it proved to be a protective factor (OR:0.45 CI:95% 0.21-0.96 p 0.025)

Conclusions

Quality of life is affected in those patients undergoing hemodialysis, and the burden, physical and mental components are related to poor quality of life. Only the effect subscale proved to be a protective factor in hemodialysis patients

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