Escola Anna Nery Revista de Enfermagem
https://app.periodikos.com.br/journal/ean/article/doi/10.1590/2177-9465-EAN-2020-0486
Escola Anna Nery Revista de Enfermagem
Pesquisa

Level of activation and quality of life related to the health of people in hemodialysis

Nivel de activación y la calidad de vida relacionada com la salud de personas en hemodiálisis

Nível de ativação e qualidade de vida relacionada à saúde de pessoas em hemodiálise

Denise Rocha Raimundo Leone; Gabriela Amorim Pereira; Arison Cristian de Paula Silva; Aline Silva de Aguiar

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Abstract

Objective: to associate the level of activation with the health-related quality of life of people undergoing hemodialysis.

Method: a quantitative, cross-sectional and correlational study with 162 people on hemodialysis treatment. Data was collected by applying questionnaires for sociodemographic, socioeconomic and clinical characterization of the Kidney Disease Quality of Life Short Form and the Patient Activation Measure scale. Secondary data were collected from medical records. For data analysis, descriptive statistics and logistic regression were used.

Results: hemodialysis patient activation was positively associated with the domains symptoms, physical functioning, general health, emotional well-being, energy/fatigue and the mental component of health-related quality of life.

Conclusion and implication for the practice: since activation is related to health-related quality of life, in care practice, this metric should be considered when implementing measures to increase the health-related quality of life of people on hemodialysis.

Keywords

 Self-management; Self-care; Patient Participation; Hemodialysis; Quality of Life

Resumen

Objetivo: asociar el nivel de activación con la calidad de vida relacionada con la salud de las personas en hemodiálisis.

Método: estudio cuantitativo, transversal y correlacional con 162 personas en hemodiálisis. Los datos se recolectaron mediante la aplicación de cuestionarios para la caracterización sociodemográfica, socioeconómica y clínica del Kidney Disease Quality of Life Short Form y la escala Patient Activation Measure. Los datos secundarios se recopilaron a través de historias clínicas. Para el análisis de los datos se utilizó la estadística descriptiva y la regresión logística.

Resultados: la activación del paciente en hemodiálisis se asoció positivamente con los dominios síntomas, funcionamiento físico, salud general, bienestar emocional, energía / fatiga y el componente mental de la calidad de vida relacionada con la salud.

Conclusión e implicación para la práctica: dado que la activación presenta una relación con la calidad de vida relacionada con la salud, en la práctica asistencial esta métrica debe ser considerada a la hora de implementar medidas dirigidas a incrementar la calidad de vida relacionada con la salud de las personas en hemodiálisis.

Palabras clave

Autogestión; Autocuidado; Participación del paciente; Hemodiálisis; Calidad de vida

Resumo

Objetivo: associar o nível de ativação com a qualidade de vida relacionada à saúde de pessoas que realizam o tratamento hemodialítico.

Método: estudo quantitativo, transversal e correlacional com 162 pessoas em tratamento hemodialítico. Os dados foram coletados por meio da aplicação de questionários para a caracterização sociodemográfica, socioeconômica e clínica do Kidney Disease Quality of Life Short Form e da escala Patient Activation Measure. Os dados secundários foram coletados por meio do prontuário médico. Para a análise dos dados, utilizaram-se a estatística descritiva e a regressão logística.

Resultados: a ativação do paciente em hemodiálise associou-se positivamente com os domínios sintomas, funcionamento físico, saúde geral, bem-estar emocional, energia/fadiga e o componente mental da qualidade de vida relacionada à saúde.

Conclusão e implicação para a prática: como a ativação apresenta relação com a qualidade de vida relacionada à saúde, na prática assistencial, essa métrica deve ser considerada ao implementar medidas que visem a aumentar a qualidade de vida relacionada à saúde das pessoas em hemodiálise.

Palavras-chave

Autogestão; Autocuidado; Participação do Paciente; Hemodiálise; Qualidade de Vida

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Submetido em:
10/12/2020

Aceito em:
09/02/2021

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