Fragilidade física e social de pacientes com doença renal crônica em tratamento hemodialítico e transplante renal
Fecha
2022-02-25Autor
Santos, Diana Gabriela Mendes dos
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Frailty is strongly prevalent in patients with Chronic Kidney Disease (CKD),
with those on dialysis being the most fragile. In addition, the literature points out that
frailty is associated with a higher risk of hospitalization and mortality in patients with
CKD. Although there is a very strong conception of frailty from a physical point of
view, it is not an exclusively physical syndrome, encompassing biopsychosocial factors
that depend on a holistic view of the frail individual. Social fragility consists of the
decline of social relationships and social support that are directly linked to life course
determinants. The CKD process from diagnosis to treatment leads to several
biopsychosocial changes in the patient's life, directly impacting activities and social
participation. In addition, it is known that the social support received by this population,
in most cases, is fragmented and insufficient. n view of the above, this study aimed to
compare the relationship between the physical and social frailty of patients undergoing
hemodialysis (HD) and renal transplantation (TX). This research is a correlational,
comparative, cross-sectional study with a quantitative approach. The sample size was
284 patients. For data collection, the following instruments were used:
sociodemographic, economic and health status, Tilburg Frailty Indicator (TFI), HALFT
Social Frailty Assessment Scale, Patient Health Questionnaire-9 (PHQ-9) and Support
Scale Social of the Medical Outcomes Study (MOS). Among the results found, there
was a higher prevalence of physical frailty (HD:93% and TX:54.9%; coef=-1.19;
P<0.001) and social frailty (HD:51.2% and TX:24 .0%; coef.= -0.82; P<0.001) for the
HD group. The HD group had a higher level of depression (Beta = -0.31 with 95%CI: -
0.56, -0.07) than the TX group. Depression had a moderate effect (Beta = 0.51 with
95%CI: 0.40, 0.61) on physical frailty, and social support had a small protective effect
on social frailty (Beta = -0.40 with 95%CI: -0.50, -0.30). Furthermore, social frailty has
a moderate effect on depression (Beta = 0.56 with 95%CI: 0.46, 0.66). It is concluded
that HD patients were more physically and socially fragile and more depressed
compared to TX patients. In addition, an association of physical frailty with depression
and social frailty with social support and depression was confirmed.
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