Coping with fluid restriction and the quality of life in hemodialysis patients with very low or no daily urine output

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art_SILVA_Coping_with_fluid_restriction_and_the_quality_of_2014.PDF (173.11 KB)
Citações na Scopus
6
Tipo de produção
article
Data de publicação
2014
DOI
Scopus
Web of Science
Título da Revista
ISSN da Revista
Título do Volume
Editora
WICHTIG EDITORE
Autores
SILVA, Luciana F.
LOPES, Gildete B.
CUNHA, Taline O.
PISONI, Ronald L.
JAMES, Sherman A.
LOPES, Antonio A.
Citação
INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS, v.37, n.6, p.427-435, 2014
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Purpose: Fluid restriction is crucial to prevent circulatory overload in maintenance hemodialysis (MHD) patients with very low urine volume, but fluid restriction may result in psychological distress. We studied MHD patients with urine volume <= 200 ml/day to investigate if their acceptance of fluid restriction was associated with their health-related quality of life (HRQOL). Methods: Cross-sectional study of 271 Brazilian adult MHD patients enrolled in the Prospective Study of the Prognosis of Chronic Hemodialysis Patients (PROHEMO). To assess the acceptance of fluid restriction, patients were asked about the extent of feeling bothered by living on this restriction. The KDQOL was used to determine HRQOL scores. Higher scores indicate better HRQOL with differences of >3.0 points considered clinically significant. Results: 52.4% reported being ""moderately to extremely"" bothered by fluid restriction and had lower scores for all HRQOL scales than patients less bothered by fluid restriction. The largest covariate-adjusted differences in HRQOL were 19.5 for emotional role (p<0.001), 15.1 for emotional well-being (p<0.001), and 14.1 for vitality (p<0.001). Adjusted differences were larger for mental component (7.53 points, p<0.001) than for physical component (2.07, p = 0.075) summaries. Conclusions: These results indicate that MHD patients with a lower level of acceptance of fluid restriction have poorer HRQOL, particularly in mental domains of HRQOL. The high prevalence of poor acceptance of fluid restriction in the present study underscores the need for interventions to improve acceptance of fluid restriction and determine if such interventions improve HRQOL of MHD patients with very low urine volume.
Palavras-chave
Fluid restriction, End-stage renal disease, Quality of life, Chronic dialysis, Treatment acceptance
URI
https://observatorio.fm.usp.br/handle/OPI/8754
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Coleções
Artigos e Materiais de Revistas Científicas - HC/InRad