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Clinical Experience |
Faculdade de Enfermagem, Nutrição e Fisioterapia PUCRS, Porto Alegre, Rio Grande do Sul, Brazil
Objective: The aim of this study is to evaluate and describe the
quality of life (QoL) in patients (pts) undergoing peritoneal dialysis (PD) in
a tertiary hospital. Methods: Transversal study with PD pts on
therapy for more than 3 months. QoL was evaluated using the Medical Outcomes
Study 36-item Short Form Health Survey questionnaire. The study was approved
by the University Ethics Committee and all pts signed the informed consent.
Results: 29 pts were studied, 51.7% (15) were male, mean age
51±15 years, and median time on PD 22 months. The major cause of
end-stage renal disease was hypertension 30% (6), followed by polycystic
kidney disease and urinary tract infection 20% (4) each, and diabetic
nephropathy with 15% (3). Most pts had chosen PD (82.7%, n=24). Only
14% (4) pts were on automated PD. PD was the only renal replacement therapy in
41.4% (14). Table 1 shows the SF-36 results. The worst score was for physical
aspect dimension, and the best score was for mental health. No statistical
difference between genders was disclosed. A statistically significant inverse
correlation between age and emotional aspect dimension was detected
(r=-0.450, p<0.05).
Table 1: Descriptive Analysis of Dimensions of SF-36 Dimensions Mean
Standard deviation Minimum Maximum Functional capacity 60 32 0 95 Physical
aspect 40 44 0 100 Pain 63 29 0 100 Vitality 64 27 15 100 Social aspect 68 29
13 100 Emotional aspect 61 44 0 100 Mental health 70 21 20 100 General health
status 64 25 20 97
Conclusions: A low QoL score and depression are associated with
higher comorbidity, poorer nutritional status, and increased hospitalization.
Therefore, serial and simple QoL evaluation should be obtained routinely in
all PD pts.
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