Calitatea vieţii pacienţilor cu boală cronică renală aflaţi la tratament prin hemodializă

Abstract

Background: In this study were evaluated quality parameters of life, depression, mental status, cognitive sphere and scope of psychosocial features of patients with chronic kidney disease VK/DOQI, undergoing hemodialysis treatment subsequently examined for inclusion in the renal transplant waiting list in Center of Hemodialysis and Kidney Transplantation of the Republican Teaching Hospital. Material and methods: For the research we used the questionnaire: Examination of cognitive functions, Kidney Disease Quality of Life Short Form (KDQOL-SFTM ) version 1.3; Mini Mental State Examination, Beck Depression Inventory, Psychosocial assessment in hemodialysis patients noncompliant with liquid regime. Results: In the performed study, we determined that: the average values of quality of life indices pointing out the roles of physical and emotional status, physical functioning are lower due to tutorials BCR symptoms, BCR impact in st. V dialytic on work status, sexual function, self-assessment of general health, muscle pain, cramps, itchy skin, dry skin, shortness of breath, lack of appetite, chronic fatigue, numbness, stomach problems are nearly always present, symptoms of stress factors are present more often than it would be desirable by these patients, sexual function is preserved below the possible average level and drowsiness present in 70% of patients. Conclusions: It is necessary for the medical personal of dialysis section to pay a special attention to such patients, demonstrate emotional support and encouragement to increase their satisfaction by the received medical care. They must use alternative methods of treatment to decrease the symptoms which worry and constantly present with such patients.