Work Activity Challenges among Hemodialysis Patients and Their Impact on Quality of Life

Authors

DOI:

https://doi.org/10.15343/0104-7809.202347e14092022P

Keywords:

Hemodialysis, Chronic Renal Failure, Job, Quality of Life

Abstract

Most patients undergoing hemodialysis are of working age, and this poses a challenge in maintaining their jobs. A crosssectional study was carried out in hemodialysis centers in the north of Santa Catarina, between December 2020 and February 2021. Patients aged between 18 and 55 years old on hemodialysis for more than 3 months were included. Aspects related to work, remaining at their job after starting hemodialysis, and quality of life were evaluated using the SF-36 instrument. Their working situation was evaluated in relation to quality of life through logistic regression. Of the 108 patients, the mean age was 43.34 ± 8.88 years old, with a median time on dialysis of 19 months. Of the participants, 78.9% were working six months before starting hemodialysis and 39.8% were working 6 months after. There was no difference in terms of sex, age, and marital status with regards to work before or after 6 months of starting hemodialysis. Working was associated with a better quality of life, even after adjusting for other variables (OR=5.30; 95% CI 1.43-19.61, p=0.013). It is concluded that there is a significant drop in employment after starting hemodialysis. The stimulus to keep working can favor a better quality of life in these patients.

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References

Collaboration GBDCKD. Global, regional, and national burden of chronic kidney disease, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2020;395(10225):709-33. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7049905/

Himmelfarb J, Vanholder R, Mehrotra R, Tonelli M. The current and future landscape of dialysis. Nat Rev Nephrol. 2020;16(10):573-85. https://www.nature.com/articles/s41581-020-0315-4

Pereira E, Chemin J, Menegatti CL, Riella MC. Escolha do método dialítico – variáveis clínicas e psicossociais relacionadas ao tratamento. Braz J Nephrol. 2016;38(2):215-24. https://www.scielo.br/j/jbn/a/X4cZryfh6qHP5BVFznJG53f/?lang=pt&format=pdf

Lara EAd, Sarquis LMM. O paciente renal crônico e sua relação com o trabalho. Cogitare Enferm. 2004;9(2):99-106. https://revistas.ufpr.br/cogitare/article/view/1721

Martins MRI, Cesarino CB. Qualidade de vida de pessoas com doença renal crônica em tratamento hemodialítico. Rev Lat Am Enfermagem. 2005;13(5):670-6. https://bvsms.saude.gov.br/bvs/is_digital/is_0106/pdfs/IS26%281%29017.pdf

Sesso R, Lugon JR. Global dialysis perspective: Brazil. Kidney360. 2020;1:216-9. https://kidney360.asnjournals.org/content/1/3/216

Marinho CLA, Oliveira JFd, Borges JEdS, Silva RSd, Fernandes FECV. Qualidade de vida de pessoas com doença renal crônica em hemodiálise. Rev Rene. 2017;18(3):396-403. http://www.periodicos.ufc.br/rene/article/view/20071

Nerbass FB, Lima HDN, Thome FS, Vieira Neto OM, Lugon JR, Sesso R. Brazilian Dialysis Survey 2020. J Bras Nefrol. 2022. https://

pubmed.ncbi.nlm.nih.gov/35212702/

Lemos PdL, Barsaglini R, Paz KMRd. Impactos materiais e imateriais na experiência de adoecimento renal crônico. Physis. 2016;26(3):879-99. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-829328?src=similardocs

Kickhöfel MA, Schwartz E, Spagnolo LMdL, Sampaio AD, Cunha TN, Lise F. Avaliação de fadiga e fatores associados em pessoas submetidas à hemodiálise. Rev Cuid. 2021;12(3):1-11. https://revistas.udes.edu.co/cuidarte/article/view/2120

Miranda DEd, Miranda MAdSQ, Junior PReSE, Almeida AMR. Prevalência de anemia nos pacientes com doença renal crônica em tratamento de hemodiálise. Braz J Health Rev. 2018;1(2):282-96. https://brazilianjournals.com/ojs/index.php/BJHR/article/view/692/587

Cristóvão AFAdJ. Eficácia das restrições hídrica e dietética em pacientes renais crônicos em hemodiálise. Rev Bras Enferm. 2015;68(6):1154-62. https://www.scielo.br/j/reben/a/VSrpHPyhqRTpLzYc9BttKDn/?lang=pt

Braga HF, Borges PdRR, Silva TCd, Vitor RV, Gomes JAC, Paula MFd. Percepções e mudanças na qualidade de vida de pacientes submetidos à hemodiálise. Rev Terra & Cult. 2021;37:157-74. http://periodicos.unifil.br/index.php/Revistateste/article/view/2361

Tsutsui H, Nomura K, Ishiguro A, Tsuruta Y, Kato S, Yasuda Y, et al. Factors associated with employment in patients undergoing hemodialysis: a mixed methods study. Ren Replace Ther. 2017;3(23):1-11. https://rrtjournal.biomedcentral.com/articles/10.1186/s41100-017-0105-z

Santos TMBd, Frazão IdS. Qualidade de vida dos trabalhadores que realizam hemodiálise. Rev Ciências Med. 2013;21(1/6):5-14. https://periodicos.puc-campinas.edu.br/cienciasmedicas/article/view/1867

Kutner N, Bowles T, Zhang R, Huang Y, Pastan S. Dialysis facility characteristics and variation in employment rates: a national study. Clin J Am Soc Nephrol. 2008;3(1):111-6. https://pubmed.ncbi.nlm.nih.gov/18178781/

Muehrer RJ, Schatell D, Witten B, Gangnon R, Becker BN, Hofmann RM. Factors affecting employment at initiation of dialysis. Clin J Am Soc Nephrol. 2011;6(3):489-96. https://pubmed.ncbi.nlm.nih.gov/21393489/

Erickson KF, Zhao B, Ho V, Winkelmayer WC. Employment among Patients Starting Dialysis in the United States. Clin J Am Soc Nephrol. 2018;13(2):265-73. https://pubmed.ncbi.nlm.nih.gov/29348264/

Employment rate Organization for Economic Co-operation and Development: Organization for Economic Co-operation and Development; 2021 [Available from: https://data.oecd.org/emp/employment-rate.htm.

Pereira LdP, Guedes MVC. Hemodiálise: a percepção do portador renal crônico. Cogitare Enferm. 2009;14(4):689-95. https://www.redalyc.org/pdf/4836/483648977015.pdf

Marinho CLA, Borges JEdS, Fernandes FECV, Oliveira JF. Relação entre qualidade de vida e comorbidades em pacientes renais crônicos em hemodiálise. Rev SaudeCom. 2019;15(3):1563-70. https://periodicos2.uesb.br/index.php/rsc/article/view/4242

Estatísticas Mensais do Emprego Formal - Novo CAGED: Ministério do Trabalho do Brasil; 2022 [Available from: http://pdet.mte.gov.br/images/Novo_CAGED/Abr2022/1-sumarioexecutivo.pdf.

Monteiro RAdP. A importância do trabalho na transição para a vida adulta. Desidades. 2014;4:20-9. https://revistas.ufrj.br/index.php/desidades/article/view/2586

Faria RMOd, Leite ICG, Silva GAd. O sentido da relação trabalho e saúde para os assistentes em administração de uma universidade pública federal no Estado de Minas Gerais. Physis. 2017;27(3):541-59. https://www.scielo.br/j/physis/a/5NrBsZPLDnGYpVRKYxQXsxG/?lang=pt

Cidades e Estados - Santa Catarina: Instituto Brasileiro de Geografia e Estatística; 2021 [Available from: https://www.ibge.gov.br/cidades-e-estados/sc/joinville.html.

Mattei L, Rodolfo F, Teixeira FW. Economia Catarinense: Crescimento com Desigualdades e Concentração Regional e Setorial. Ver NECAT. 2012;1(1):1-17. https://necat.paginas.ufsc.br/files/2011/10/Lauro-2011.pdf

Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR. Tradução para a Língua Portuguesa e Validação do Questionário Genérico de Avaliação da Qualidade de Vida SF-36 (Brasil SF-36). Rev Bras Reumatol. 1999;39(3):143-50. https://pesquisa.bvsalud.org/portal/resource/pt/lil-296502

Published

2023-05-31

How to Cite

Menegazzo, N. C. S., Kitzberger, I., Gauza, M. de M., Fronza, C. S., Soares, A. V., & Lima, H. do N. (2023). Work Activity Challenges among Hemodialysis Patients and Their Impact on Quality of Life. O Mundo Da Saúde, 47. https://doi.org/10.15343/0104-7809.202347e14092022P