Calidad de vida y de la atención percibida del paciente en la consulta de enfermedad renal crónica avanzada: estudio descriptivo transversal

IF 1.1 Q4 NURSING

Enfermeria Clinica Pub Date : 2026-03-01 Epub Date: 2025-12-11 DOI:10.1016/j.enfcli.2025.502418

Verónica Gimeno-Hernán , María Isabel Duran-Muñoz , María Rosario del Pino-Jurado , Araceli Farlado-Cabana , Marta Oliva-Hernando , Ismael Ortuño-Soriano

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引用次数: 0

Abstract

Objetive

In the care of renal patients, prioritising their quality of life and nursing care is essential. Research links patients’ perceptions of care quality to improved outcomes such as safety, clinical efficacy, treatment adherence, and preventive practices. This study aimed to evaluate the quality of life and care perception in these patients and explore potential associations between these dimensions.

Material and methods

A cross-sectional descriptive study was conducted with 43 patients attending an advanced CKD clinic. Quality of life was assessed using the KDQOL-36 questionnaire, while the IECPAX questionnaire measured perceived care quality. Sociodemographic and clinical data were collected from patient records. Participants completed the questionnaires during routine visits, with scores analysed to identify associations between variables.

Results

The study included 60% men (n = 28) and 32% women (n = 15), with a mean age of 78 years (±16). Among participants, 45% were diabetic, 79% hypertensive, and 58% took more than five medications daily. Mean scores were 78.76 (±12.15) for KDQOL-36 and 5.54 (±2.64) for IECPAX. Significant differences were found in the physical role domain between men and women (P=.01) and for individuals over 65 years (P=.04). Higher IECPAX scores were associated with taking more than five medications (P=.05). However, no correlation was observed between KDQOL-36 and IECPAX scores.

Conclusions

The findings suggest that quality of life and perceived care quality are independent in advanced CKD patients. While this study provides insights, larger multicentre studies are needed to validate these results. These findings highlight the importance of addressing both aspects separately to improve outcomes in this population.

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晚期慢性肾病门诊患者的生活质量和护理：横断面描述研究

目的在肾病患者的护理中，重视患者的生活质量和护理是至关重要的。研究将患者对护理质量的看法与安全性、临床疗效、治疗依从性和预防措施等改善结果联系起来。本研究旨在评估这些患者的生活质量和护理感知，并探讨这些维度之间的潜在关联。材料和方法对43例晚期CKD门诊患者进行了横断面描述性研究。使用KDQOL-36问卷评估生活质量，而IECPAX问卷测量感知护理质量。从患者记录中收集社会人口学和临床数据。参与者在常规访问期间完成问卷调查，分析得分以确定变量之间的关联。结果男性占60% (n = 28)，女性占32% (n = 15)，平均年龄为78岁（±16）岁。在参与者中，45%的人患有糖尿病，79%的人患有高血压，58%的人每天服用五种以上的药物。KDQOL-36的平均评分为78.76（±12.15）分，IECPAX的平均评分为5.54（±2.64）分。男性和女性在生理角色领域的差异显著（P= 0.01）， 65岁以上的个体差异显著（P= 0.04）。较高的IECPAX评分与服用5种以上药物相关（P= 0.05）。然而，KDQOL-36与IECPAX评分之间没有相关性。结论晚期CKD患者的生活质量与感知护理质量之间存在独立关系。虽然这项研究提供了见解，但需要更大规模的多中心研究来验证这些结果。这些发现强调了分别处理这两个方面以改善该人群预后的重要性。

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

Enfermeria Clinica NURSING-

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.