O portador de doença renal crônica em tratamento dialítico: qualidade de vida e características da atividade laboral

Abstract

Chronic Kidney Failure (CRF) is the result of several pathological processes that cause microdamage to the kidney tissue, which leads to organ dysfunction that cannot maintain its various functions, including the excretory function and electrolyte balance. In the worsening of the condition, RRT (Renal Replacement Therapy) begins with hemodialysis as the main modality, in which blood ultrafiltration is performed using a machine, with sessions performed three times a week, lasting three to four hours, which directly affects the QoL (Quality of Life) of patients. These must be assisted by a multidisciplinary team, considering their clinical, physiological and psychosocial condition. Thus, this research seeks to assess the quality of life of people with Chronic Kidney Disease undergoing dialysis treatment and analyze the relationship of Chronic Kidney Patients with work. This is an exploratory descriptive research, with a quantitative approach, carried out in Uberlândia-MG, public, with 176 patients, whose modality of RRT is hemodialysis. Data collection took place through a structured interview in which quality of life was measured through the application of the Sociodemographic Questionnaire and the questionnaire on the quality of life of chronic renal patients. Quality of Life” (KDQOL-SF™ 1.3). Sociodemographic data were summarized using descriptive statistics, as mean ± deviation. For the operationalization of the analysis, the data from Kidney Disease and Quality-of-LifeShort-form 1.3 were inserted and analyzed in the Scoring Program (v 3.0). Percentages below the mean of the KDQOL-SFTM instrument were found in the following domains: Burden of kidney disease 48.79(±27.16), Work status 25.57(±32.51), Physical function 37.07(±37 .13) and Emotional function 44.89(±40.31). The domains with the best results were: Sexual function 87.98(±19.31) and Incentive of the dialysis team 82.17(±20.46). Our study found that QoL was reduced in this population when associated with the burden of kidney disease, work status, physical function and emotional function.