Article 1122

Title of the article

Analysis of the patients’ life quality with senile asthenia syndrome and chronic kidney disease during renal replacement therapy 

Authors

Mikhail V. Petrov, Postgraduate student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: mikh.petrov1@yandex.ru
Tat'yana N. Belugina, Candidate of medical sciences, associate professor of the sub-department of internal medicine, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: beluginatn@gmail.com
Larisa F. Burmistrova, Candidate of medical sciences, associate professor, associate professor of the sub-department of internal medicine, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: lamax-69@mail.ru 

Abstract

Background. The increase in patients with terminal renal insufficiency is becoming a global trend, in this regard, the question of the quality of life (QOL) of such a category of patients becomes extremely relevant. There is also currently a progressive aging of the population, thereby causing more and more attention to gerontological patients. Materials and methods. 27 patients with stage 5 chronic kidney disease (CKD) and senile asthenia syndrome (SA) were selected, the patients were divided into 2 groups: 1 group received renal replacement therapy (RRT) by hemodialysis, 2 – RRT by peritoneal dialysis, then two control groups were formed: 1 included practically healthy individuals, 2 – patients with CA syndrome without signs of CKD. The comorbid pathology leading to the development of CKD, the most pronounced signs of CA and the assessment of QL were determined. Results. When analyzing comorbid pathology leading to the formation of CKD, the following data were obtained: in group 1, diabetic nephropathy was the most common, in the second group, hypertensive nephroangiosclerosis, probably due to the method of selecting patients for various variants of RRT. In patients with CA in combination with stage 5d CKD, a decrease in labor status and role-playing physical activity is most pronounced, with a minimal decrease in cognitive functions, mental health and the quality of social interaction. Conclusions. The peritoneal dialysis group had the worst indicators of physical status. Cognitive functions and mental status in both groups were comparable, but significantly lower than in those examined with CA without signs of CKD. The data obtained indicate the need to assess the quality of life in patients with stage 5d CKD, since such information should be taken into account both by clinicians to correct patient management tactics and by social workers to help in rational employment. 

Key words

chronic kidney disease, quality of life, geriatrics 

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For citation:

Petrov M.V., Belugina T.N., Burmistrova L.F. Analysis of the patients’ life quality with senile asthenia syndrome and chronic kidney disease during renal replacement therapy. Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region. Meditsinskie nauki = University proceedings. Volga region. Medical sciences. 2022;(1):3–11. (In Russ.). doi:10.21685/2072-3032-2022-1-1

 

Дата создания: 06.04.2022 14:18
Дата обновления: 06.04.2022 14:25