Graziella Allana Serra Alves de Oliveira Oller

Functional independence in patients with chronic kidney disease being treated with haemodialysis

PURPOSE This study has described and analysed the functional independence of the patients served in the haemodialysis services of a countryside town in the State of São Paulo, Brazil, using the Functional Independence Measure (FIM). METHOD The population considered was that of 214 patients being treated with haemodialysis, assessed in 2011, by means of a social, demographic and clinical report, a Mini-Mental State Examination (MMSE) and also the FIM. RESULTS The mean age of the population under study was 58.01 years, while the mean FIM point score was 118.38 points, showing a level of complete or modified independence within this population. Even though the level of dependence found has been low, this can be highlighted, within the locomotion domain, in the activity of going up and down stairs (10.28%). Age, complications arising from haemodialysis, and comorbidities show a negative correlation with FIM. CONCLUSION Awareness of the level of functional independence of the patients being subjected to treatment with haemodialysis is essential in order to back up intervention for the improvement of nursing assistance provided to this population.OBJETIVO: este estudo teve como objetivo descrever e analisar a independencia funcional dos pacientes atendidos nos servicos de hemodialise, de uma cidade do interior paulista, segundo a Medida de Independencia Funcional (MIF). METODO: a populacao foi de 214 pacientes em tratamento hemodialitico, avaliados em 2011, por meio de um questionario sociodemografico e clinico, Miniexame do Estado Mental e MIF. RESULTADOS: a idade media da populacao do estudo foi de 58,01 anos e a media da MIF foi de 118,38 pontos, evidenciando nivel de independencia completa ou modificada dessa populacao. Mesmo tendo sido baixo o nivel de dependencia encontrado, essa dependencia destacou-se no dominio locomocao, na atividade subir e descer escadas (10,28%). A idade, complicacoes relacionadas a hemodialise e comorbidades apresentaram correlacao negativa com a MIF. CONCLUSAO: conhecer o nivel de independencia funcional dos pacientes em tratamento hemodialitico e primordial para subsidiar intervencoes para a melhoria da assistencia de enfermagem prestada a essa populacao.

Independência funcional em pacientes com doença renal crônica em tratamento hemodialítico

PURPOSE This study has described and analysed the functional independence of the patients served in the haemodialysis services of a countryside town in the State of São Paulo, Brazil, using the Functional Independence Measure (FIM). METHOD The population considered was that of 214 patients being treated with haemodialysis, assessed in 2011, by means of a social, demographic and clinical report, a Mini-Mental State Examination (MMSE) and also the FIM. RESULTS The mean age of the population under study was 58.01 years, while the mean FIM point score was 118.38 points, showing a level of complete or modified independence within this population. Even though the level of dependence found has been low, this can be highlighted, within the locomotion domain, in the activity of going up and down stairs (10.28%). Age, complications arising from haemodialysis, and comorbidities show a negative correlation with FIM. CONCLUSION Awareness of the level of functional independence of the patients being subjected to treatment with haemodialysis is essential in order to back up intervention for the improvement of nursing assistance provided to this population.OBJETIVO: este estudo teve como objetivo descrever e analisar a independencia funcional dos pacientes atendidos nos servicos de hemodialise, de uma cidade do interior paulista, segundo a Medida de Independencia Funcional (MIF). METODO: a populacao foi de 214 pacientes em tratamento hemodialitico, avaliados em 2011, por meio de um questionario sociodemografico e clinico, Miniexame do Estado Mental e MIF. RESULTADOS: a idade media da populacao do estudo foi de 58,01 anos e a media da MIF foi de 118,38 pontos, evidenciando nivel de independencia completa ou modificada dessa populacao. Mesmo tendo sido baixo o nivel de dependencia encontrado, essa dependencia destacou-se no dominio locomocao, na atividade subir e descer escadas (10,28%). A idade, complicacoes relacionadas a hemodialise e comorbidades apresentaram correlacao negativa com a MIF. CONCLUSAO: conhecer o nivel de independencia funcional dos pacientes em tratamento hemodialitico e primordial para subsidiar intervencoes para a melhoria da assistencia de enfermagem prestada a essa populacao.

Factors related to self-care activities of patients with type 2 diabetes mellitus

Objective: To verify self-care activities of patients with type 2 diabetes mellitus and to analyze the relationship with sociodemographic and clinical variables. Method: A cross-sectional study was performed of 149 people using the Diabetes SelfCare Activities Questionnaire. Results: Of the 15 self-care activities analyzed, appropriate behavior was observed for aspects related to medication use and inadequate for fruit/vegetable consumption, blood sugar testing and physical exercise. The correct use of medications was correlated to marital status. Regarding inadequate behaviors, there were associations of fruit/vegetable consumption with skin color and place of residence and blood sugar testing with marital status and inverse correlations of physical exercise with systolic blood pressure, pulse pressure, waist circumference and postprandial glycemia. Conclusion: The results of this research contribute by strengthening the line of care in chronic diseases and assist in divulging the importance of supported self-care. Implications for practice: The findings of this research provided information relevant to the planning of care.Objective: To verify self-care activities of patients with type 2 diabetes mellitus and to analyze the relationship with sociodemographic and clinical variables. Method: A cross-sectional study was performed of 149 people using the Diabetes Self-Care Activities Questionnaire. Results: Of the 15 self-care activities analyzed, appropriate behavior was observed for aspects related to medication use and inadequate for fruit/vegetable consumption, blood sugar testing and physical exercise. The correct use of medications was correlated to marital status. Regarding inadequate behaviors, there were associations of fruit/vegetable consumption with skin color and place of residence and blood sugar testing with marital status and inverse correlations of physical exercise with systolic blood pressure, pulse pressure, waist circumference and postprandial glycemia. Conclusion: The results of this research contribute by strengthening the line of care in chronic diseases and assist in divulging the importance of supported self-care. Implications for practice: The findings of this research provided information relevant to the planning of care.

Health-related quality of life as a predictor of mortality in patients onperitoneal dialysis

Objetivo: caracterizar las muertes ocurridas y verificar la asociacion entre las variables sociodemograficas, clinicas, de laboratorio, de calidad de vida relacionada a la salud con el resultado de muerte de pacientes en dialisis peritoneal, en un periodo de dos anos, despues de una primera evaluacion. Metodo: investigacion poblacional, observacional y prospectiva con 82 pacientes en dialisis peritoneal. Fueron utilizados, para la primera etapa de recoleccion de datos, los instrumentos: Miniexamen del Estado Mental, cuestionario de caracterizacion sociodemografica, economica, clinica y de laboratorio y el Kidney Disease and Quality of Life-Short Form. Dos anos despues fueron recolectados los datos de caracterizacion y ocurrencia de los muertes en el periodo. En el analisis estadistico, fue calculado el riesgo relativo del resultado de muerte, estimado el riesgo de muerte por las curvas de supervivencia de Kaplan-Meier y determinados los predictores de muerte, utilizando el modelo de riesgos proporcionales de Cox. Resultados: de los 82 participantes iniciales, 23 tuvieron como resultado la muerte en el periodo de dos anos. El riesgo aumentado para el resultado de muerte fue asociado con menor puntaje promedio de calidad de vida relacionada a la salud, en la dimension funcionamiento fisico. Conclusion: la peor calidad de vida relacionada a la salud, en la dimension funcionamiento fisico, puede ser considerada predictora de muerte.Objective: to characterize deaths that occurred, and the association between socio-demographic, clinical, laboratory variables and health-related quality of life and the outcome of death in patients on peritoneal dialysis, over a two year period after an initial assessment. Method: observational, prospective population study with 82 patients on peritoneal dialysis. The instruments used for the first stage of data collection were the mini-mental state examination, a sociodemographic, economic, clinical and laboratory questionnaire and the Kidney Disease and Quality of Life-Short Form. After two years, data for characterization and occurrence of death in the period were collected. The relative risk of death outcome was calculated through statistical analysis; the risk of death was estimated by the survival Kaplan-Meier curve, and determined predictors of death by the Cox Proportional Hazards Model. Results: of the 82 original participants, 23 had as an outcome death within two years. The increased risk for the outcome of death was associated with a lower mean score of health-related quality of life in the physical functioning domain. Conclusion: the worst health-related quality of life in the physical functioning domain, could be considered a predictor of death.

Calidad de vida relacionada a la salud como predictora de muerte de pacientes en diálisis peritoneal

Objetivo: caracterizar las muertes ocurridas y verificar la asociacion entre las variables sociodemograficas, clinicas, de laboratorio, de calidad de vida relacionada a la salud con el resultado de muerte de pacientes en dialisis peritoneal, en un periodo de dos anos, despues de una primera evaluacion. Metodo: investigacion poblacional, observacional y prospectiva con 82 pacientes en dialisis peritoneal. Fueron utilizados, para la primera etapa de recoleccion de datos, los instrumentos: Miniexamen del Estado Mental, cuestionario de caracterizacion sociodemografica, economica, clinica y de laboratorio y el Kidney Disease and Quality of Life-Short Form. Dos anos despues fueron recolectados los datos de caracterizacion y ocurrencia de los muertes en el periodo. En el analisis estadistico, fue calculado el riesgo relativo del resultado de muerte, estimado el riesgo de muerte por las curvas de supervivencia de Kaplan-Meier y determinados los predictores de muerte, utilizando el modelo de riesgos proporcionales de Cox. Resultados: de los 82 participantes iniciales, 23 tuvieron como resultado la muerte en el periodo de dos anos. El riesgo aumentado para el resultado de muerte fue asociado con menor puntaje promedio de calidad de vida relacionada a la salud, en la dimension funcionamiento fisico. Conclusion: la peor calidad de vida relacionada a la salud, en la dimension funcionamiento fisico, puede ser considerada predictora de muerte.Objective: to characterize deaths that occurred, and the association between socio-demographic, clinical, laboratory variables and health-related quality of life and the outcome of death in patients on peritoneal dialysis, over a two year period after an initial assessment. Method: observational, prospective population study with 82 patients on peritoneal dialysis. The instruments used for the first stage of data collection were the mini-mental state examination, a sociodemographic, economic, clinical and laboratory questionnaire and the Kidney Disease and Quality of Life-Short Form. After two years, data for characterization and occurrence of death in the period were collected. The relative risk of death outcome was calculated through statistical analysis; the risk of death was estimated by the survival Kaplan-Meier curve, and determined predictors of death by the Cox Proportional Hazards Model. Results: of the 82 original participants, 23 had as an outcome death within two years. The increased risk for the outcome of death was associated with a lower mean score of health-related quality of life in the physical functioning domain. Conclusion: the worst health-related quality of life in the physical functioning domain, could be considered a predictor of death.

Health-related quality of life as a predictor of mortality in patients on peritoneal dialysis

Objetivo: caracterizar las muertes ocurridas y verificar la asociacion entre las variables sociodemograficas, clinicas, de laboratorio, de calidad de vida relacionada a la salud con el resultado de muerte de pacientes en dialisis peritoneal, en un periodo de dos anos, despues de una primera evaluacion. Metodo: investigacion poblacional, observacional y prospectiva con 82 pacientes en dialisis peritoneal. Fueron utilizados, para la primera etapa de recoleccion de datos, los instrumentos: Miniexamen del Estado Mental, cuestionario de caracterizacion sociodemografica, economica, clinica y de laboratorio y el Kidney Disease and Quality of Life-Short Form. Dos anos despues fueron recolectados los datos de caracterizacion y ocurrencia de los muertes en el periodo. En el analisis estadistico, fue calculado el riesgo relativo del resultado de muerte, estimado el riesgo de muerte por las curvas de supervivencia de Kaplan-Meier y determinados los predictores de muerte, utilizando el modelo de riesgos proporcionales de Cox. Resultados: de los 82 participantes iniciales, 23 tuvieron como resultado la muerte en el periodo de dos anos. El riesgo aumentado para el resultado de muerte fue asociado con menor puntaje promedio de calidad de vida relacionada a la salud, en la dimension funcionamiento fisico. Conclusion: la peor calidad de vida relacionada a la salud, en la dimension funcionamiento fisico, puede ser considerada predictora de muerte.Objective: to characterize deaths that occurred, and the association between socio-demographic, clinical, laboratory variables and health-related quality of life and the outcome of death in patients on peritoneal dialysis, over a two year period after an initial assessment. Method: observational, prospective population study with 82 patients on peritoneal dialysis. The instruments used for the first stage of data collection were the mini-mental state examination, a sociodemographic, economic, clinical and laboratory questionnaire and the Kidney Disease and Quality of Life-Short Form. After two years, data for characterization and occurrence of death in the period were collected. The relative risk of death outcome was calculated through statistical analysis; the risk of death was estimated by the survival Kaplan-Meier curve, and determined predictors of death by the Cox Proportional Hazards Model. Results: of the 82 original participants, 23 had as an outcome death within two years. The increased risk for the outcome of death was associated with a lower mean score of health-related quality of life in the physical functioning domain. Conclusion: the worst health-related quality of life in the physical functioning domain, could be considered a predictor of death.

Qualidade de vida relacionada à saúde como preditor de óbito de pacientes em diálise peritoneal

Objetivo: caracterizar las muertes ocurridas y verificar la asociacion entre las variables sociodemograficas, clinicas, de laboratorio, de calidad de vida relacionada a la salud con el resultado de muerte de pacientes en dialisis peritoneal, en un periodo de dos anos, despues de una primera evaluacion. Metodo: investigacion poblacional, observacional y prospectiva con 82 pacientes en dialisis peritoneal. Fueron utilizados, para la primera etapa de recoleccion de datos, los instrumentos: Miniexamen del Estado Mental, cuestionario de caracterizacion sociodemografica, economica, clinica y de laboratorio y el Kidney Disease and Quality of Life-Short Form. Dos anos despues fueron recolectados los datos de caracterizacion y ocurrencia de los muertes en el periodo. En el analisis estadistico, fue calculado el riesgo relativo del resultado de muerte, estimado el riesgo de muerte por las curvas de supervivencia de Kaplan-Meier y determinados los predictores de muerte, utilizando el modelo de riesgos proporcionales de Cox. Resultados: de los 82 participantes iniciales, 23 tuvieron como resultado la muerte en el periodo de dos anos. El riesgo aumentado para el resultado de muerte fue asociado con menor puntaje promedio de calidad de vida relacionada a la salud, en la dimension funcionamiento fisico. Conclusion: la peor calidad de vida relacionada a la salud, en la dimension funcionamiento fisico, puede ser considerada predictora de muerte.Objective: to characterize deaths that occurred, and the association between socio-demographic, clinical, laboratory variables and health-related quality of life and the outcome of death in patients on peritoneal dialysis, over a two year period after an initial assessment. Method: observational, prospective population study with 82 patients on peritoneal dialysis. The instruments used for the first stage of data collection were the mini-mental state examination, a sociodemographic, economic, clinical and laboratory questionnaire and the Kidney Disease and Quality of Life-Short Form. After two years, data for characterization and occurrence of death in the period were collected. The relative risk of death outcome was calculated through statistical analysis; the risk of death was estimated by the survival Kaplan-Meier curve, and determined predictors of death by the Cox Proportional Hazards Model. Results: of the 82 original participants, 23 had as an outcome death within two years. The increased risk for the outcome of death was associated with a lower mean score of health-related quality of life in the physical functioning domain. Conclusion: the worst health-related quality of life in the physical functioning domain, could be considered a predictor of death.

Independencia funcional en pacientes con enfermedad renal crónica en tratamiento de hemodiálisis

PURPOSE This study has described and analysed the functional independence of the patients served in the haemodialysis services of a countryside town in the State of São Paulo, Brazil, using the Functional Independence Measure (FIM). METHOD The population considered was that of 214 patients being treated with haemodialysis, assessed in 2011, by means of a social, demographic and clinical report, a Mini-Mental State Examination (MMSE) and also the FIM. RESULTS The mean age of the population under study was 58.01 years, while the mean FIM point score was 118.38 points, showing a level of complete or modified independence within this population. Even though the level of dependence found has been low, this can be highlighted, within the locomotion domain, in the activity of going up and down stairs (10.28%). Age, complications arising from haemodialysis, and comorbidities show a negative correlation with FIM. CONCLUSION Awareness of the level of functional independence of the patients being subjected to treatment with haemodialysis is essential in order to back up intervention for the improvement of nursing assistance provided to this population.OBJETIVO: este estudo teve como objetivo descrever e analisar a independencia funcional dos pacientes atendidos nos servicos de hemodialise, de uma cidade do interior paulista, segundo a Medida de Independencia Funcional (MIF). METODO: a populacao foi de 214 pacientes em tratamento hemodialitico, avaliados em 2011, por meio de um questionario sociodemografico e clinico, Miniexame do Estado Mental e MIF. RESULTADOS: a idade media da populacao do estudo foi de 58,01 anos e a media da MIF foi de 118,38 pontos, evidenciando nivel de independencia completa ou modificada dessa populacao. Mesmo tendo sido baixo o nivel de dependencia encontrado, essa dependencia destacou-se no dominio locomocao, na atividade subir e descer escadas (10,28%). A idade, complicacoes relacionadas a hemodialise e comorbidades apresentaram correlacao negativa com a MIF. CONCLUSAO: conhecer o nivel de independencia funcional dos pacientes em tratamento hemodialitico e primordial para subsidiar intervencoes para a melhoria da assistencia de enfermagem prestada a essa populacao.