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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Qualidade de vida medida pelo "WHOQOL-bref": estudo comparativo de pacientes em hemodi?lise e p?s-transplante renal / Quality of life measured by "WHOQOL-bref : comparative study on hemodialisys and post-renal transplant patients

Mendon?a, Ana Elza Oliveira de 05 October 2006 (has links)
Made available in DSpace on 2014-12-17T14:46:56Z (GMT). No. of bitstreams: 1 AnaEOM.pdf: 604292 bytes, checksum: 3065fdef9063126e0fc42becc6d45626 (MD5) Previous issue date: 2006-10-05 / Exploratory descriptive study, prospective with quantitative approach, performed in the nefrology outpatient service from the Onofre Lopes University Hospital (HUOL), Natal/RN, aiming to identify aspects that concern Quality of Life (QOL) on transplanted and hemodialysis patients, as measured by WHOQOL-bref and describe the aspects that differentiate QL between the two groups as measured by the same instrument. The population was of 62 renal patients in hemodialysis and 58 transplantd, with data collected from february to march 2006. The instrument used was WHOQOL-bref, translated to and validated for Portuguese by the multicentric group of the World Health Organization (WHO) in Brazil. The results show predominance of the masculine gender both in the post-transplant group (55,17%), as well as in the hemodialysis group (51,61%); the age strip of 28 to 43 prevailed, among which were 53,45% transplanted and 48,99% hemodialysis patients; 79,93% of the hemodialysis patients and 62,07% of the transplanted were provenient from ouside the capital of the state; from the hemodialysis population, 59,68% were married, while among the transplanted 48,28% were single; 58,06% of the hemodialisys patients had 1 to 3 children, while the majority of the transplanted, 44,83%, had no children; regarding scholarity level on both groups, there was a predominance of incomplete fundamental school, representing 62,9% of the hemodialysis patients and 46,6% of the transplanted; regarding work status, 98,39% of those in hemodialysis informed not to be working, and the same applied to the transplanted, with 75,86%; regarding treatment time, most patients of both populations were in the 1- to 4-year interval, of which were 62,9% of the hemodialisys patients and 53,45% of the transplanted. The analysis of WHOQOL-bref reliability through Crobach s Alpha coefficient had a value of 0,8816, demonstrating good internal consistency for the instrument. Regarding description of QOL tests, the average scores of the post-transplant were (Q-1) 18,14 e (Q-2) 18,69, and 12,3 (Q-1) and 11,29 (Q-2) for the group in hemodialisys. Regarding the aspects that differentiate QOL on the two groups observed through average scores from the Domains: Physical, 15,91 for the post-transplant group and 12,71 for the hemodialisys group; Psychological, 16,75 for the post-transplant group and 14,84 for the hemodialisys group; Social Relations, 17,79 on the post-transplant group and 16,58 on the hemodialisys group; Environment, 14,16 on the post-transplant group and 12,38 on the hemodialisys group. On every evaluated item, the post-transplant group achieved higher scores when compared to the hemodialisys group. The diference in QOL for both populations was significant on all items evaluated with a p<0,005 / Estudo explorat?rio descritivo, prospectivo com abordagem quantitativa, realizado no ambulat?rio de nefrologia do Hospital Universit?rio Onofre Lopes (HUOL) Natal/RN, com vistas a identificar, entre pacientes transplantados e em hemodi?lise, aspectos que digam respeito a sua Qualidade de Vida (QV) medida pelo WHOQOL-bref e descrever os aspectos que diferenciam a QV entre os dois grupos, medida pelo mesmo instrumento. A popula??o foi de 62 pacientes renais em hemodi?lise e 58 transplantados, com dados coletados de fevereiro a mar?o de 2006. Utilizamos o instrumento WHOQOL-bref, traduzido e validado para o portugu?s pelo grupo multic?ntrico da Organiza??o Mundial de Sa?de (OMS) no Brasil. Os resultados mostram que houve predomin?ncia do sexo masculino tanto no grupo p?s-transplante (55,17%) quanto no grupo em hemodi?lise (51,61%); prevaleceu a faixa et?ria de 28 a 43 anos, sendo 53,45% de transplantados e 48,99% de indiv?duos em hemodi?lise; 79,03% dos pacientes em hemodi?lise e 62,07% dos transplantados eram procedentes do interior do Estado; na popula??o em hemodi?lise 59,68% eram casados, enquanto que entre os transplantados 48,28% eram solteiros; 58,06% dos pacientes em hemodi?lise possu?am de 01 a 03 filhos, enquanto a maioria dos transplantados, 44,83%, n?o possu?a filhos; quanto ao n?vel de escolaridade nos dois grupos, houve predomin?ncia do ensino fundamental incompleto, representando 62,9% dos pacientes em hemodi?lise e 46,6% dos transplantados; quanto ao status de trabalho, 98,39% daqueles em hemodi?lise informaram n?o estar trabalhando e o mesmo ocorreu com os transplantados, com 75,86%; quanto ao tempo de tratamento, a maioria dos pacientes das duas popula??es ficou no intervalo entre 01 a 04 anos, sendo 62,90% dos pacientes em hemodi?lise e 53,45% dos transplantados. A an?lise da confiabilidade do WHOQOL-bref pelo coeficiente Alfa de Cronbach teve valor de 0,8816, demonstrando uma boa consist?ncia interna do instrumento. Quanto ? descri??o dos dados de QV, os escores m?dios do grupo p?s-transplante foram (Q-1) 18,14 e (Q-2) 18,69, e 12,39 (Q-1) e 11,29 (Q-2) para o grupo em hemodi?lise. Quanto aos aspectos que diferenciam a QV dos dois grupos observadas por meio dos escores m?dios dos Dom?nios: F?sico, 15,91 para o grupo p?s-transplante e 12,71 para o grupo em hemodi?lise; Psicol?gico, 16,75 para o grupo p?s-transplante e 14,84 para o grupo em hemodi?lise; Rela??es Sociais, 17,79 no grupo p?s-transplante e 16,58 no grupo em hemodi?lise; Meio Ambiente, 14,16 no grupo p?s-transplante e 12,38 no grupo em hemodi?lise. Em todos os itens avaliados, o grupo p?s-transplante obteve escores maiores quando comparado ao grupo em hemodi?lise. A diferen?a na QV das duas popula??es estudadas foi significativa em todos os itens avaliados com um p< 0,005

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