Quality of life of chronic renal patients submitted to physiotherapy during hemodialysis
DOI:
https://doi.org/10.15448/1983-652X.2013.3.13628Keywords:
quality of life, chronic renal insufficiency, renal dialysis, physical therapy specialtyAbstract
Objective: To evaluate the quality of life in a group of patients with Chronic Renal Disease before and after a physiotherapy program during hemodialysis.
Materials and Methods: This is a non controlled, before and after, clinical trial where the quality of life was measured using the questionary Medical Outcomes Study 36 – Item Short-Form Health Survey (SF-36), before and after a program of physical activities directed to patients submitted to hemodialysis. Twenty four sessions of physiotherapy were performed during eight weeks. The paired t-test was used for comparison of the results. For analyses of the relevant clinical differences, an increase of five or more points was considered for the domains of SF-36, and of 2.5 or more points for the components of Physical Components Summary (PCS) and Mental Components Summary (MCS).
Results: For the 17 participants of this study, only the domain Functional Capacity (p=0.04) and the components Physical Components Summary (p=0.01) and Mental Components Summary (p=0.04) presented statistical relevance. In relation to the clinically relevant difference, the domains Functional Capacity, Physical Aspects, Vitality, Social Aspects and Emotional Aspects were considered (higher than 5 points), even as the components of Physical Components Summary and Mental Components Summary (higher than 2.5 points).
Conclusions: This study suggests that physiotherapeutic assistance, performed during hemodyalisis, provided improvements in some dimensions of quality of life of the studied group, mainly functional capacity, where we found statistically significant and clinically relevant improvement.
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