Self-perception of health and quality of life in patients on renal replacement therapy undergoing hemodialysis: a case-control study.

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Sao Paulo Medical Journal Pub Date : 2025-07-14 eCollection Date: 2025-01-01 DOI:10.1590/1516-3180.2024.0144.R1.14042025

Diego José Gambin, Felipe Gomes Dallepiane, Leonardo Saraiva, Marciele Cristiane Spanenberg Führ, Fabiana Piovesan, Caroline Mirek, João Paulo De Carli, Micheline Sandini Trentin

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引用次数: 0

Abstract

Background: Chronic kidney disease (CKD) presents challenges to human health and quality of life, with care primarily focusing on renal function and comorbidity management. Several studies confirm the relationship between oral and systemic conditions of patients. Therefore, CKD and periodontal disease can be related because they are both inflammatory conditions that further increase the risk of other pathologies. The impact of CKD on oral health and overall quality of life is an area of interest.

Objectives: To evaluate patients with CKD undergoing renal replacement therapy regarding the levels of self-perception of oral health and quality of life.

Design setting: This case-control study was conducted jointly at the Universidade de Passo Fundo and Hospital São Vicente de Paulo, Brazil.

Methods: This study included two patient groups: 1) Case group with CKD (CGA) comprising 116 patients; 2) Control group without CKD (CGO) composed of 124 patients. We used a structured questionnaire and the Oral Health Impact Profile (OHIP-14). We used the Chi-square and Wilcoxon-Mann-Whitney tests as well as an analysis of variance measure (P < 0.05).

Results: The systemic diseases most prevalent among our patient cohort included hypertension (16.9% CGO and 75.9% CGA) and diabetes mellitus (8.9% CGO and 38.8% CGA). The systemic health perception was good in 66.9% of the CGO group and average in 42.2% of CGA group members. Oral health perception was good in 46% of CGO and 50% of CGA group members. Results of the self-assessment for quality of life showed a statistically significant difference between the groups for physical domain, physical disability, and social disadvantage. A comparison between the control and case (CKD) groups, based on the OHIP-14 score, showed statistically significant differences in the functionality (P < 0.006), physical disability (P < 0.042), and social disadvantage (P < 0.031) domains for the CKD group.

Conclusion: Patients with CKD have lower rates of self-perception of oral health and quality of life than individuals without CKD.

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接受肾脏替代治疗的血液透析患者的健康和生活质量自我感知：一项病例对照研究

背景：慢性肾脏疾病（CKD）对人类健康和生活质量提出了挑战，其护理主要集中在肾功能和合并症的管理上。几项研究证实了患者口腔和全身状况之间的关系。因此，CKD和牙周病可能是相关的，因为它们都是炎症性疾病，会进一步增加其他疾病的风险。慢性肾病对口腔健康和整体生活质量的影响是一个令人感兴趣的领域。目的：评价接受肾脏替代治疗的慢性肾病患者对口腔健康和生活质量的自我认知水平。设计环境：本病例对照研究在巴西帕索丰多大学和比森特圣保罗医院联合进行。方法：本研究分为两组：1)CKD （CGA）病例组116例；2)无CKD （CGO）对照组124例。我们使用了结构化问卷和口腔健康影响概况（OHIP-14）。我们采用卡方检验和Wilcoxon-Mann-Whitney检验以及方差分析（P < 0.05）。结果：本组患者中最常见的全身性疾病包括高血压（16.9% CGO和75.9% CGA）和糖尿病（8.9% CGO和38.8% CGA）。66.9%的CGO组患者整体健康感知良好，42.2%的CGA组患者整体健康感知一般。46%的CGO和50%的CGA组成员的口腔健康认知良好。生活质量自我评估结果显示，两组在身体领域、身体残疾和社会劣势方面差异有统计学意义。对照和病例（CKD）组之间基于OHIP-14评分的比较显示，CKD组在功能（P < 0.006）、身体残疾（P < 0.042）和社会劣势（P < 0.031）领域存在统计学差异。结论：慢性肾病患者对口腔健康和生活质量的自我感知率低于非慢性肾病患者。

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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来源期刊

Sao Paulo Medical Journal 医学-医学：内科

CiteScore

2.20

自引率

7.10%

发文量

210

审稿时长

6-12 weeks

期刊介绍： Published bimonthly by the Associação Paulista de Medicina, the journal accepts articles in the fields of clinical health science (internal medicine, gynecology and obstetrics, mental health, surgery, pediatrics and public health). Articles will be accepted in the form of original articles (clinical trials, cohort, case-control, prevalence, incidence, accuracy and cost-effectiveness studies and systematic reviews with or without meta-analysis), narrative reviews of the literature, case reports, short communications and letters to the editor. Papers with a commercial objective will not be accepted.