[Knowledge and quality of life in chronic kidney disease and peritoneal dialysis].

Arturo García-Galicia, Esmeralda Gracián-Castro, Alía Hinostrosa-Méndez, Amanda Ivonne Benítez-Contreras, Karina Delfina Pérez-Ayala, Álvaro José Montiel-Jarquín, Nancy Rosalía Bertado-Ramírez, Jorge Loría-Castellanos
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Abstract

Background: Knowledge of one's own chronic kidney disease (CKD) can improve long-term quality of life (QoL). Peritoneal dialysis presents with residual symptoms that reduce the QoL.

Objective: To correlate knowledge of the disease and QoL in patients with CKD and on continuous ambulatory peritoneal dialysis (CAPD).

Material and methods: A descriptive, cross-sectional, and prospective study was carried out in patients with CKD treated at a second-level hospital of the Mexican Institute for Social Security (Instituto Mexicano del Seguro Social) in Puebla. SF-36 and KiKS questionnaires were applied. Age, sex, education, marital status, perception of QoL, and level of knowledge were recorded. Descriptive statistics and Spearman's coefficient were used.

Results: 199 patients with CKD in CAPD were included, 62.8% women, minimum age range was 18 to 20 years with 4% and maximum of 61 years or more with 49.2%, 35.6% of patients completed primary school, and 65.3% were married. The most frequent comorbidity was diabetes (57.2%). The least affected QoL domain was pain. KiKS recorded a mean of 0.54 (regular knowledge about the disease). It was recorded a weak and significant correlation in the QoL domains: physical health, physical role, pain, general health, mental health (p ≤ 0.05).

Conclusions: There is a significant but weak correlation between the perception of QoL and the level of knowledge of the disease in CKD patients with CAPD.

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[慢性肾病和腹膜透析的知识与生活质量]。
背景:对自身慢性肾脏病(CKD)的了解可以改善长期生活质量(QoL)。腹膜透析会出现残留症状,从而降低生活质量:材料与方法:对在普埃布拉墨西哥社会保障局(Instituto Mexicano del Seguro Social)下属二级医院接受治疗的慢性肾脏病患者进行了一项描述性、横断面和前瞻性研究。研究采用了 SF-36 和 KiKS 问卷。对年龄、性别、教育程度、婚姻状况、QoL 感知和知识水平进行了记录。研究使用了描述性统计和斯皮尔曼系数:共纳入了 199 名 CAPD 中的慢性肾脏病患者,其中女性占 62.8%,最小年龄为 18 至 20 岁,占 4%,最大年龄为 61 岁或以上,占 49.2%,35.6% 的患者完成了小学教育,65.3% 的患者已婚。最常见的合并症是糖尿病(57.2%)。受影响最小的 QoL 领域是疼痛。KiKS 平均值为 0.54(对疾病的定期了解)。在身体健康、身体角色、疼痛、一般健康和心理健康等 QoL 领域中,KiKS 记录了微弱而显著的相关性(P ≤ 0.05):结论:患有 CAPD 的慢性肾脏病患者的 QoL 感知与疾病知识水平之间存在明显但微弱的相关性。
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