Fragilidade física e social de pacientes com doença renal crônica em tratamento hemodialítico e transplante renal
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFSCAR |
Texto Completo: | https://repositorio.ufscar.br/handle/ufscar/16388 |
Resumo: | Frailty is strongly prevalent in patients with Chronic Kidney Disease (CKD), with those on dialysis being the most fragile. In addition, the literature points out that frailty is associated with a higher risk of hospitalization and mortality in patients with CKD. Although there is a very strong conception of frailty from a physical point of view, it is not an exclusively physical syndrome, encompassing biopsychosocial factors that depend on a holistic view of the frail individual. Social fragility consists of the decline of social relationships and social support that are directly linked to life course determinants. The CKD process from diagnosis to treatment leads to several biopsychosocial changes in the patient's life, directly impacting activities and social participation. In addition, it is known that the social support received by this population, in most cases, is fragmented and insufficient. n view of the above, this study aimed to compare the relationship between the physical and social frailty of patients undergoing hemodialysis (HD) and renal transplantation (TX). This research is a correlational, comparative, cross-sectional study with a quantitative approach. The sample size was 284 patients. For data collection, the following instruments were used: sociodemographic, economic and health status, Tilburg Frailty Indicator (TFI), HALFT Social Frailty Assessment Scale, Patient Health Questionnaire-9 (PHQ-9) and Support Scale Social of the Medical Outcomes Study (MOS). Among the results found, there was a higher prevalence of physical frailty (HD:93% and TX:54.9%; coef=-1.19; P<0.001) and social frailty (HD:51.2% and TX:24 .0%; coef.= -0.82; P<0.001) for the HD group. The HD group had a higher level of depression (Beta = -0.31 with 95%CI: - 0.56, -0.07) than the TX group. Depression had a moderate effect (Beta = 0.51 with 95%CI: 0.40, 0.61) on physical frailty, and social support had a small protective effect on social frailty (Beta = -0.40 with 95%CI: -0.50, -0.30). Furthermore, social frailty has a moderate effect on depression (Beta = 0.56 with 95%CI: 0.46, 0.66). It is concluded that HD patients were more physically and socially fragile and more depressed compared to TX patients. In addition, an association of physical frailty with depression and social frailty with social support and depression was confirmed. |
id |
SCAR_0482c2bbd51a6e4d9ed9f52a3e6b9af8 |
---|---|
oai_identifier_str |
oai:repositorio.ufscar.br:ufscar/16388 |
network_acronym_str |
SCAR |
network_name_str |
Repositório Institucional da UFSCAR |
repository_id_str |
4322 |
spelling |
Santos, Diana Gabriela Mendes dosOrlandi, Fabiana de Souzahttp://lattes.cnpq.br/7395879552721664http://lattes.cnpq.br/96003149601823394b04a0ff-63e0-43b0-b101-cbd9bf49fa852022-07-15T19:03:10Z2022-07-15T19:03:10Z2022-02-25SANTOS, Diana Gabriela Mendes dos. Fragilidade física e social de pacientes com doença renal crônica em tratamento hemodialítico e transplante renal. 2022. Dissertação (Mestrado em Enfermagem) – Universidade Federal de São Carlos, São Carlos, 2022. Disponível em: https://repositorio.ufscar.br/handle/ufscar/16388.https://repositorio.ufscar.br/handle/ufscar/16388Frailty is strongly prevalent in patients with Chronic Kidney Disease (CKD), with those on dialysis being the most fragile. In addition, the literature points out that frailty is associated with a higher risk of hospitalization and mortality in patients with CKD. Although there is a very strong conception of frailty from a physical point of view, it is not an exclusively physical syndrome, encompassing biopsychosocial factors that depend on a holistic view of the frail individual. Social fragility consists of the decline of social relationships and social support that are directly linked to life course determinants. The CKD process from diagnosis to treatment leads to several biopsychosocial changes in the patient's life, directly impacting activities and social participation. In addition, it is known that the social support received by this population, in most cases, is fragmented and insufficient. n view of the above, this study aimed to compare the relationship between the physical and social frailty of patients undergoing hemodialysis (HD) and renal transplantation (TX). This research is a correlational, comparative, cross-sectional study with a quantitative approach. The sample size was 284 patients. For data collection, the following instruments were used: sociodemographic, economic and health status, Tilburg Frailty Indicator (TFI), HALFT Social Frailty Assessment Scale, Patient Health Questionnaire-9 (PHQ-9) and Support Scale Social of the Medical Outcomes Study (MOS). Among the results found, there was a higher prevalence of physical frailty (HD:93% and TX:54.9%; coef=-1.19; P<0.001) and social frailty (HD:51.2% and TX:24 .0%; coef.= -0.82; P<0.001) for the HD group. The HD group had a higher level of depression (Beta = -0.31 with 95%CI: - 0.56, -0.07) than the TX group. Depression had a moderate effect (Beta = 0.51 with 95%CI: 0.40, 0.61) on physical frailty, and social support had a small protective effect on social frailty (Beta = -0.40 with 95%CI: -0.50, -0.30). Furthermore, social frailty has a moderate effect on depression (Beta = 0.56 with 95%CI: 0.46, 0.66). It is concluded that HD patients were more physically and socially fragile and more depressed compared to TX patients. In addition, an association of physical frailty with depression and social frailty with social support and depression was confirmed.A fragilidade é fortemente prevalente em pacientes com Doença Renal Crônica (DRC), sendo aqueles em diálise os mais frágeis. Além disso, a literatura aponta que a fragilidade está associada a um maior risco de hospitalização e mortalidade em pacientes com DRC. Apesar de existir uma concepção muito forte sobre a fragilidade do ponto de vista físico, ela não é uma síndrome exclusivamente física, englobando fatores biopsicossociais que dependem de uma visão holística sobre o indivíduo frágil. A fragilidade social consiste no declínio das relações sociais e do suporte social que estão diretamente ligados aos determinantes do curso de vida. O processo da DRC do diagnóstico até o tratamento acarreta em diversas alterações biopsicossociais na vida do paciente, impactando diretamente nas atividades e participação social. Além disso, sabe se que o suporte social recebido por essa população, na maior parte dos casos é fragmentado e insuficiente. Frente ao exposto esse estudo teve como objetivo comparar a relação entre a fragilidade física e social de pacientes submetidos à hemodiálise (HD) e a transplante renal (TX). Essa pesquisa trata-se de um estudo correlacional, comparativo, transversal, com abordagem quantitativa. O tamanho da amostra foi de 284 pacientes. Na coleta de dados foram utilizados os seguintes instrumentos: caracterização sociodemográfica, econômica e condição de saúde, Tilburg Frailty Indicator (TIF), Escala de Avaliação da Fragilidade Social HALFT, o Patient Health Questionnaire-9 (PHQ-9) e a Escala de Apoio Social do Medical Outcomes Study (MOS). Dentre os resultados encontrados, notou-se maior prevalência de fragilidade física (HD:93,8% e TX:54,9%; coef=-1,19; P<0,001) e social (HD:51,2% e TX:24,0%; coef.= -0,82; P<0.001) para o grupo HD. O grupo HD apresentou maior nível de depressão (Beta = -0.31 com IC95%: - 0.56, -0.07) que o grupo TX. A depressão teve efeito moderado (Beta = 0.51 com IC95%: 0.40, 0.61) sobre a fragilidade física e o apoio social teve pequeno efeito protetor sobre a fragilidade social (Beta = - 0.40 com IC95%: -0.50, -0.30). Além disso, a fragilidade social tem um efeito moderado sobre a depressão (Beta = 0.56 com IC95%: 0.46, 0.66). Conclui-se então que os pacientes em HD eram mais frágeis física e socialmente e mais deprimidos comparativamente aos pacientes TX. Além disso, confirmou-se associação da fragilidade física com a depressão e da fragilidade social com o apoio social e a depressão.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)88887.484551/2020-00porUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Enfermagem - PPGEnfUFSCarAttribution-NonCommercial-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nc-nd/3.0/br/info:eu-repo/semantics/openAccessInsuficiência renal crônicaTransplante renalFragilidadeChronic kidney failureKidney transplantFrailtyCIENCIAS DA SAUDEFragilidade física e social de pacientes com doença renal crônica em tratamento hemodialítico e transplante renalPhysical and social fragility of patients with chronic kidney disease in hemodialysis treatment and kidney transplantationFragilidad física y social de pacientes con enfermedad renal crónica en tratamiento de hemodiálisis y trasplante renalinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis600600538950e5-b3a5-4b19-8dd0-85d6b0bb5065reponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8811https://repositorio.ufscar.br/bitstream/ufscar/16388/5/license_rdfe39d27027a6cc9cb039ad269a5db8e34MD55ORIGINALDissertação Diana Santos.pdfDissertação Diana Santos.pdfArtigo Principalapplication/pdf932874https://repositorio.ufscar.br/bitstream/ufscar/16388/4/Disserta%c3%a7%c3%a3o%20Diana%20Santos.pdf892cbf734d5542e650fd41efcf5c8ef6MD54carta comprovante - 2020 Diana.pdfcarta comprovante - 2020 Diana.pdfCarta Comprovanteapplication/pdf134467https://repositorio.ufscar.br/bitstream/ufscar/16388/3/carta%20comprovante%20-%202020%20Diana.pdf9c40c0b27a135111437ae226448cf881MD53TEXTDissertação Diana Santos.pdf.txtDissertação Diana Santos.pdf.txtExtracted texttext/plain127940https://repositorio.ufscar.br/bitstream/ufscar/16388/6/Disserta%c3%a7%c3%a3o%20Diana%20Santos.pdf.txt9acb4159944d15f6178878dc7c285d71MD56carta comprovante - 2020 Diana.pdf.txtcarta comprovante - 2020 Diana.pdf.txtExtracted texttext/plain1217https://repositorio.ufscar.br/bitstream/ufscar/16388/8/carta%20comprovante%20-%202020%20Diana.pdf.txte71e2599bd07bcf779f97d70d08c71cbMD58THUMBNAILDissertação Diana Santos.pdf.jpgDissertação Diana Santos.pdf.jpgIM Thumbnailimage/jpeg6039https://repositorio.ufscar.br/bitstream/ufscar/16388/7/Disserta%c3%a7%c3%a3o%20Diana%20Santos.pdf.jpgb91c05b371be12b7cb6b3a12e5563a87MD57carta comprovante - 2020 Diana.pdf.jpgcarta comprovante - 2020 Diana.pdf.jpgIM Thumbnailimage/jpeg6501https://repositorio.ufscar.br/bitstream/ufscar/16388/9/carta%20comprovante%20-%202020%20Diana.pdf.jpg60aaf224ec1c44339d88a2868fa522c3MD59ufscar/163882023-09-18 18:32:18.924oai:repositorio.ufscar.br:ufscar/16388Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-09-18T18:32:18Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false |
dc.title.por.fl_str_mv |
Fragilidade física e social de pacientes com doença renal crônica em tratamento hemodialítico e transplante renal |
dc.title.alternative.eng.fl_str_mv |
Physical and social fragility of patients with chronic kidney disease in hemodialysis treatment and kidney transplantation |
dc.title.alternative.spa.fl_str_mv |
Fragilidad física y social de pacientes con enfermedad renal crónica en tratamiento de hemodiálisis y trasplante renal |
title |
Fragilidade física e social de pacientes com doença renal crônica em tratamento hemodialítico e transplante renal |
spellingShingle |
Fragilidade física e social de pacientes com doença renal crônica em tratamento hemodialítico e transplante renal Santos, Diana Gabriela Mendes dos Insuficiência renal crônica Transplante renal Fragilidade Chronic kidney failure Kidney transplant Frailty CIENCIAS DA SAUDE |
title_short |
Fragilidade física e social de pacientes com doença renal crônica em tratamento hemodialítico e transplante renal |
title_full |
Fragilidade física e social de pacientes com doença renal crônica em tratamento hemodialítico e transplante renal |
title_fullStr |
Fragilidade física e social de pacientes com doença renal crônica em tratamento hemodialítico e transplante renal |
title_full_unstemmed |
Fragilidade física e social de pacientes com doença renal crônica em tratamento hemodialítico e transplante renal |
title_sort |
Fragilidade física e social de pacientes com doença renal crônica em tratamento hemodialítico e transplante renal |
author |
Santos, Diana Gabriela Mendes dos |
author_facet |
Santos, Diana Gabriela Mendes dos |
author_role |
author |
dc.contributor.authorlattes.por.fl_str_mv |
http://lattes.cnpq.br/9600314960182339 |
dc.contributor.author.fl_str_mv |
Santos, Diana Gabriela Mendes dos |
dc.contributor.advisor1.fl_str_mv |
Orlandi, Fabiana de Souza |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/7395879552721664 |
dc.contributor.authorID.fl_str_mv |
4b04a0ff-63e0-43b0-b101-cbd9bf49fa85 |
contributor_str_mv |
Orlandi, Fabiana de Souza |
dc.subject.por.fl_str_mv |
Insuficiência renal crônica Transplante renal Fragilidade |
topic |
Insuficiência renal crônica Transplante renal Fragilidade Chronic kidney failure Kidney transplant Frailty CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Chronic kidney failure Kidney transplant Frailty |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Frailty is strongly prevalent in patients with Chronic Kidney Disease (CKD), with those on dialysis being the most fragile. In addition, the literature points out that frailty is associated with a higher risk of hospitalization and mortality in patients with CKD. Although there is a very strong conception of frailty from a physical point of view, it is not an exclusively physical syndrome, encompassing biopsychosocial factors that depend on a holistic view of the frail individual. Social fragility consists of the decline of social relationships and social support that are directly linked to life course determinants. The CKD process from diagnosis to treatment leads to several biopsychosocial changes in the patient's life, directly impacting activities and social participation. In addition, it is known that the social support received by this population, in most cases, is fragmented and insufficient. n view of the above, this study aimed to compare the relationship between the physical and social frailty of patients undergoing hemodialysis (HD) and renal transplantation (TX). This research is a correlational, comparative, cross-sectional study with a quantitative approach. The sample size was 284 patients. For data collection, the following instruments were used: sociodemographic, economic and health status, Tilburg Frailty Indicator (TFI), HALFT Social Frailty Assessment Scale, Patient Health Questionnaire-9 (PHQ-9) and Support Scale Social of the Medical Outcomes Study (MOS). Among the results found, there was a higher prevalence of physical frailty (HD:93% and TX:54.9%; coef=-1.19; P<0.001) and social frailty (HD:51.2% and TX:24 .0%; coef.= -0.82; P<0.001) for the HD group. The HD group had a higher level of depression (Beta = -0.31 with 95%CI: - 0.56, -0.07) than the TX group. Depression had a moderate effect (Beta = 0.51 with 95%CI: 0.40, 0.61) on physical frailty, and social support had a small protective effect on social frailty (Beta = -0.40 with 95%CI: -0.50, -0.30). Furthermore, social frailty has a moderate effect on depression (Beta = 0.56 with 95%CI: 0.46, 0.66). It is concluded that HD patients were more physically and socially fragile and more depressed compared to TX patients. In addition, an association of physical frailty with depression and social frailty with social support and depression was confirmed. |
publishDate |
2022 |
dc.date.accessioned.fl_str_mv |
2022-07-15T19:03:10Z |
dc.date.available.fl_str_mv |
2022-07-15T19:03:10Z |
dc.date.issued.fl_str_mv |
2022-02-25 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
SANTOS, Diana Gabriela Mendes dos. Fragilidade física e social de pacientes com doença renal crônica em tratamento hemodialítico e transplante renal. 2022. Dissertação (Mestrado em Enfermagem) – Universidade Federal de São Carlos, São Carlos, 2022. Disponível em: https://repositorio.ufscar.br/handle/ufscar/16388. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufscar.br/handle/ufscar/16388 |
identifier_str_mv |
SANTOS, Diana Gabriela Mendes dos. Fragilidade física e social de pacientes com doença renal crônica em tratamento hemodialítico e transplante renal. 2022. Dissertação (Mestrado em Enfermagem) – Universidade Federal de São Carlos, São Carlos, 2022. Disponível em: https://repositorio.ufscar.br/handle/ufscar/16388. |
url |
https://repositorio.ufscar.br/handle/ufscar/16388 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.confidence.fl_str_mv |
600 600 |
dc.relation.authority.fl_str_mv |
538950e5-b3a5-4b19-8dd0-85d6b0bb5065 |
dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nc-nd/3.0/br/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nc-nd/3.0/br/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de São Carlos Câmpus São Carlos |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Enfermagem - PPGEnf |
dc.publisher.initials.fl_str_mv |
UFSCar |
publisher.none.fl_str_mv |
Universidade Federal de São Carlos Câmpus São Carlos |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFSCAR instname:Universidade Federal de São Carlos (UFSCAR) instacron:UFSCAR |
instname_str |
Universidade Federal de São Carlos (UFSCAR) |
instacron_str |
UFSCAR |
institution |
UFSCAR |
reponame_str |
Repositório Institucional da UFSCAR |
collection |
Repositório Institucional da UFSCAR |
bitstream.url.fl_str_mv |
https://repositorio.ufscar.br/bitstream/ufscar/16388/5/license_rdf https://repositorio.ufscar.br/bitstream/ufscar/16388/4/Disserta%c3%a7%c3%a3o%20Diana%20Santos.pdf https://repositorio.ufscar.br/bitstream/ufscar/16388/3/carta%20comprovante%20-%202020%20Diana.pdf https://repositorio.ufscar.br/bitstream/ufscar/16388/6/Disserta%c3%a7%c3%a3o%20Diana%20Santos.pdf.txt https://repositorio.ufscar.br/bitstream/ufscar/16388/8/carta%20comprovante%20-%202020%20Diana.pdf.txt https://repositorio.ufscar.br/bitstream/ufscar/16388/7/Disserta%c3%a7%c3%a3o%20Diana%20Santos.pdf.jpg https://repositorio.ufscar.br/bitstream/ufscar/16388/9/carta%20comprovante%20-%202020%20Diana.pdf.jpg |
bitstream.checksum.fl_str_mv |
e39d27027a6cc9cb039ad269a5db8e34 892cbf734d5542e650fd41efcf5c8ef6 9c40c0b27a135111437ae226448cf881 9acb4159944d15f6178878dc7c285d71 e71e2599bd07bcf779f97d70d08c71cb b91c05b371be12b7cb6b3a12e5563a87 60aaf224ec1c44339d88a2868fa522c3 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR) |
repository.mail.fl_str_mv |
|
_version_ |
1802136404833075200 |