title: Quality of life in hemodialysis patients and the relationship with mortality, hospitalizations and poor treatment adherence.
abstract: BACKGROUND
  Chronic kidney disease (CKD) causes sudden changes in the daily lives of patients, creates limitations to perform activities of daily life and creates a great impact on emotions and quality of life (QOL) of patients.
  
  
  OBJECTIVE
  To understand the relationship between QOL of patients on dialysis and mortality rates, hospitalization and absences.
  
  
  METHODS
  A prospective descriptive study with 286 patients on hemodialysis, by applying demographic questionnaire, KDQOL SF-36 and electronic medical record analysis Dialsist.
  
  
  RESULTS
  The mean age was 54.71 ± 14.12 years, with a mean score of QOL 60.53 having as higher factor encouraging the support team (85.03) and lowest in work status (21.11). The days of hospitalization is negatively correlated to the compounds of the instrument, particularly in physical functioning (p = 0.000), mean score (p = 0.001) and emotional well-being (p = 0.005). Women had lower QOL in physical role scores, symptoms/problems, physical functioning, emotional well-being, energy and fatigue mean score (p ≤ 0.05). The lowest score was found to be related to treatment of patients in 1 year and 7 months and 5 years (59.93) and higher in patients with more than five years and one month (61.39).
  
  
  CONCLUSIONS
  Hospitalizations decrease QV emotional and physical scores and absences are directly related to social support and age. The study looked through the data raise subsidies for the work of the aspects that need stimulation and adaptation in the lives of patients, providing a better balance in the individual's life.
authors.affiliation: Fundação Pró-Renal, Brazil.
authors.forename: Araiê Prado Berger
authors.initials: AP
authors.lastname: Oliveira
authors.affiliation: Fundação Pró-Renal, Brazil.
authors.forename: Debora Berger
authors.initials: DB
authors.lastname: Schmidt
authors.affiliation: Fundação Pró-Renal, Brazil.
authors.forename: Thaís Malucelli
authors.initials: TM
authors.lastname: Amatneeks
authors.affiliation: Fundação Pró-Renal, Brazil.
authors.forename: Jéssica Caroline Dos
authors.initials: JC
authors.lastname: Santos
authors.affiliation: Fundação Pró-Renal, Brazil.
authors.forename: Luiza Helena Raittz
authors.initials: LH
authors.lastname: Cavallet
authors.affiliation: Pontifícia Universidade Católica do Paraná, Brazil.
authors.forename: Renate Brigitte
authors.initials: RB
authors.lastname: Michel
mesh_terms: D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data*; D011446:Prospective Studies; D011788:Quality of Life; D006435:Renal Dialysis; D051436:Renal Insufficiency, Chronic / Q000401:mortality* / Q000628:therapy*