https://repositorio.ufba.br/handle/ri/15597
Tipo: | Artigo de Periódico |
Título: | Assessment of the psychological burden associated with pruritus in hemodialysis patients using the kidney disease quality of life short form |
Título(s) alternativo(s): | Quality of Life Research |
Autor(es): | Lopes, Gildete Barreto Nogueira, Fernanda Conceição Pereira Souza, Milena Reis de Penalva, Maria Auxiliadora Amorim, Josete Leão de Pisoni, Ronald L. Robinson, Bruce M. Lopes, Antonio Alberto da Silva |
Autor(es): | Lopes, Gildete Barreto Nogueira, Fernanda Conceição Pereira Souza, Milena Reis de Penalva, Maria Auxiliadora Amorim, Josete Leão de Pisoni, Ronald L. Robinson, Bruce M. Lopes, Antonio Alberto da Silva |
Abstract: | Purpose To assess whether depression symptoms, poor sleep and dry skin bother explain association between pruritus and the burden of kidney disease in maintenance hemodialysis (MHD) patients. Methods Cross-sectional study of 980 patients from a prospective study in dialysis units of Salvador, Brazil (PROHEMO). The Kidney Disease Quality of Life Short Form was used to determine scores of kidney disease burden (KDB) and sleep with higher scores indicating lower perceived burden and better sleep quality, respectively. The Center for Epidemiological Studies Depression Scale was used for depression symptoms. Results Prevalence of severe pruritus (very much or extreme) was 19.4%. Significantly (P < 0.001) lower mean KDB score by 11.44 points was observed for patients with severe pruritus (34.18 ± 27.51) than for those with no pruritus (45.62 ± 30.73). Severe pruritus was associated with poorer sleep quality, higher odds of dry skin bother and higher depression symptoms score. Association of pruritus with KDB score was virtually eliminated after adjustment for sleep, dry skin bother and depression symptoms. Conclusions This study shows strong associations of severe pruritus with higher depression symptoms, poorer sleep and dry skin bother among MHD patients. The results support special attention to MHD patients with pruritus who often face high psychological burden. |
Palavras-chave: | Hemodialysis Quality of life Depression Sleep Dry skin Xerosis Pruritus Itch |
Tipo de Acesso: | Acesso Aberto |
URI: | http://repositorio.ufba.br/ri/handle/ri/15597 |
Data do documento: | 2012 |
Aparece nas coleções: | Artigo Publicado em Periódico (Faculdade de Medicina) |
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Gildete Barreto Lopes.pdf | 318,44 kB | Adobe PDF | Visualizar/Abrir |
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