%0 Journal Article
%T Evaluaci¨®n de la calidad de vida en pacientes en hemodi¨¢lisis cr¨®nica mediante el cuestionario "Kidney Disease Quality of Life (KDQOL-36)" Health related quality of life among patients on chronic hemodialysis
%A Carlos Z¨²£¿iga SM
%A Juan Dapueto P
%A Hans M¨¹ller O
%A Lilian Kirsten L
%J Revista m¨¦dica de Chile
%D 2009
%I Sociedad M¨¦dica de Santiago
%X Background: Health-related quality of life (HRQOL) among patients on chronic hemodialysis (CHD), is associated with mortality, complications and compliance to treatment. Aim: To assess HRQOL in a group of patients on CHD. Patients and methods: A cross-sectional multicenter study was carried out, involving 224 patients from five CHD units (3 pr¨ªvate and 2 public) in Bio Bio Regi¨®n, using the Kidney Disease Quality of Life -36 items (KDQOL-36) questionnaire and Karnofsky scale. Scores range from 0 to 100, with higher values representing a better HRQOL. Results: Physical and Mental scales and subscales of symptoms, effect and the burden of kidney disease subscales rendered scores below 50 (the referential valu¨¦), in 80%, 61%, 8%, 43% and 80% of evaluations, respectively. The lower scores were observed in patients with diabetes, coronary artery disease, hypoalbuminemia, serum creatinine below 9.4 mg/dL, age >55years and in those with a low economic and educational level (p <0.05). Conclusions: HRQOL in patients on hemodialysis had val¨²es below the referential score in subjects with diabetes and coronary artery disease, poor nutritional status and a low educational and socioeconomic level. The incorporation of support professionals, such as social workers, psychologists, dieticians, covering psychosocial factors, could improve the patients quality of life.
%K Kidney failure
%K chronic
%K Psychology
%K social
%K Quality of life
%U http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000200003