dc.contributor.advisorTrillos, Carlos Enrique 
dc.creatorVarela Tabares, Diana 
dc.creatorRodriguez, konniev 
dc.date.accessioned2013-06-12T20:58:52Z
dc.date.available2013-06-12T20:58:52Z
dc.date.created2013-05-09
dc.date.issued2013-06-12
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/4446
dc.descriptionIntroducción: la insuficiencia renal crónica IRC ha aumentado su prevalencia en los últimos años pasando de 44.7 pacientes por millón en 1993 a 538.46 pacientes por millón en 2010, los pacientes quienes reciben terapia de remplazo renal hemodiálisis en Colombia cada vez tienen una mayor sobrevida. El incremento de los pacientes y el incremento de la sobrevida nos enfocan a mejorar la calidad de vida de los años de diálisis. Metodología: se comparó la calidad de vida por medio del SF-36 en 154 pacientes con IRC estadio terminal en manejo con hemodiálisis, 77 pacientes incidentes y 77 pacientes prevalentes, pertenecientes a una unidad renal en Bogotá, Colombia. Resultados: se encontró una disminución de la calidad de vida en los componentes físicos (PCS) y metales (MCS) de los pacientes de hemodiálisis en ambos grupos. En el modelo de regresión logística la incapacidad laboral (p=0.05), el uso de catéter (p= 0,000), el bajo índice de masa corporal (p=0.021), la hipoalbuminemia (p=0,033) y la anemia (p=0,001) fueron factores determinantes en un 78,9% de baja calidad de vida de PCS en los pacientes incidentes con respecto a los prevalentes. En el MCS de los pacientes incidentes vs. Prevalentes se encontró la hipoalbuminemia (p=0.007), la anemia (p=0.001) y el acceso por catéter (p=0.001) como factores determinantes en un 70.6% de bajo MCS Conclusiones: la calidad de vida de los pacientes de diálisis se encuentra afectada con mayor repercusión en el grupo de los pacientes incidentes, se debe mejorar los aspectos nutricionales, hematológicos y de acceso vascular en este grupo.
dc.description.abstractIntroduction: chronic renal failure CRF has increased its prevalence in recent years, from 44.7 patients per million in 1993 to 538.46 patients per million in 2010 patients, patients who receive renal replacement therapy hemodialysis in Colombia have increasingly improved survival. The increase in the number of patients and the increase in the survival encourage us to improve the quality of life for dialysis years. Methodology: The quality of life was compared by SF-36 in 154 patients with end-stage CRF on hemodialysis management, 77 incidents patients and 77 prevalent patients who are part of a renal unit in Bogota, Colombia. Results: It was found a decrease in the quality of life in the physical components (PCS) and mental (MCS) of hemodialysis patients in both groups. In the logistic regression model, the work disability (p = 0.05), catheter use (p = 0.000), low body mass index (p = 0.021), hypoalbuminemia (p = 0.033) and anemia (p = 0.001) were determinant factors in 78.9% poor quality of life in PCS in incident patients compared to prevalent ones. In MCS of incident patients vs. Prevalent patients was found hypoalbuminemia (p = 0.007), anemia (p = 0.001) and access by catheter (p = 0.001) as determinant factors in 70.6% of low MCS Conclusions: The quality of life of dialysis patients is affected with greater impact on the group of incident patients, the nutritional aspects should be enhanced, hematological and vascular access in this group.
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.sourcereponame:Repositorio Institucional EdocUR
dc.sourceinstname:Universidad del Rosario
dc.subjectEnfermedad renal crónica
dc.subjecthemodiálisis
dc.subjectcalidad de vida
dc.titleFactores asociados a calidad de vida en pacientes de hemodiálisis incidentes y prevalentes
dc.typebachelorThesis
dc.publisherUniversidad del Rosario
dc.creator.degreeEspecialista en Epidemiología (en Convenio con el CES)
dc.publisher.departmentFacultad de medicina
dc.subject.keywordchronic kidney disease
dc.subject.keywordhemodialysis
dc.subject.keywordquality of life
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.subject.decsCALIDAD DE VIDA
dc.subject.decsENFERMEDADES RENALES - TRATAMIENTO
dc.subject.decsHEMODIÁLISIS - UTILIZACIÓN
dc.type.spaTrabajo de grado
dc.rights.accesoAbierto (Texto completo)
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
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dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombia
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