Prospective analysis of the impact of Chronic Kidney Disease on patients and caregivers

Beatriz dos Santos Pereira, Filomena Maria Kirchmaier, Neimar da Silva Fernandes, Lucas Fernandes Suassuna, Natalia Maria da Silva Fernandes
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Abstract

Introduction. Chronic kidney disease (CKD) has a high incidence, prevalence and morbidity and mortality among the world population, negatively impacting the biopsychosocial aspects of patients and family caregivers. Objective. To evaluate the association between the mental health of caregivers and CKD patients on dialysis. Method. A prospective cohort study, the sample included patients with CKD on dialysis at the University Hospital of the Federal University of Juiz de Fora (UFJF) and their family caregivers from 2015 to 2019. The instruments used for data collection were a sociodemographic questionnaire, the Perceived Social Support Scale (EPSS), the Hospital Anxiety and Depression Scale (HADS), the Lipp Stress Symptom Inventory (LISS), the SF-36 Quality of Life Questionnaire (SF-36), the Fatigue Pictogram. Results. Most patients were on haemodialysis for more than 4 years and were female, middle-aged, and black. Most caregivers were female, middle-aged and white. The participants in both groups predominantly married people with low levels of education. The general levels of mental health and quality of life (QoL) between patients and caregivers were similar. Conclusion. The mental health of patients and their family caregivers was similarly and negatively affected by CKD; therefore, treatment and interdisciplinary mental health care measures are urgent for this population.
慢性肾脏疾病对患者和护理人员影响的前瞻性分析
介绍。慢性肾脏疾病(CKD)在世界人口中具有很高的发病率、患病率、发病率和死亡率,对患者和家庭照顾者的生物心理社会方面产生了负面影响。目标。目的:评价护理人员心理健康状况与CKD透析患者的关系。方法。一项前瞻性队列研究,样本包括2015年至2019年在Juiz de Fora联邦大学医院(UFJF)接受透析的CKD患者及其家庭护理人员。数据收集工具为社会人口调查问卷、感知社会支持量表(EPSS)、医院焦虑和抑郁量表(HADS)、Lipp压力症状量表(LISS)、SF-36生活质量问卷(SF-36)、疲劳象形图。结果。患者以女性、中年、黑人为主,接受血液透析4年以上。大多数照顾者是女性、中年和白人。两组的参与者主要是受教育程度较低的已婚人士。患者和护理人员的总体心理健康水平和生活质量(QoL)相似。结论。CKD对患者及其家庭照顾者的心理健康有相似的负面影响;因此,治疗和跨学科的精神卫生保健措施对这一人群来说是迫切的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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