Quality of life and spirituality of patients with chronic kidney disease: pre- and post-transplant analysis.

OBJECTIVE: to compare the quality of life (QoL) of patients under dialysis and after kidney transplant; correlate the QoL of transplant patients to sociodemographic, morbid and spirituality/religiosity variables. METHOD: prospective study with a quantitative approach, with a sample of 27 patients who underwent peritoneal dialysis or dialysis undergoing kidney transplant. QoL and spirituality were assessed by the KDQOL-SF and WHOQOL-SRPB tools, being correlated with sociodemographic and economic variables. RESULTS: the dimensions of total mental component, kidney disease effects and kidney disease burden showed significant improvement in the post-transplant period, with p <0.0004. There was a significant correlation between four dimensions of spirituality and seven dimensions of QoL; p ranged from 0.04 to 0.006. CONCLUSION: there was a significant improvement in QoL in the post-transplant period. The dimensions of spirituality: wholeness and integration, spiritual connection, wonder and inner peace were positively correlated with seven dimensions of QoL.

Quality of life and spirituality of patients with chronic kidney disease: pre- and post-transplant analysis / Calidad de vida y espiritualidad de los pacientes con insuficiencia renal crónica: análisis pre y posterior al trasplant / Qualidade de vida e espiritualidade de pacientes com doença renal crônica: análise pré e pós-transplante

ABSTRACT Objective: to compare the quality of life (QoL) of patients under dialysis and after kidney transplant; correlate the QoL of transplant patients to sociodemographic, morbid and spirituality/religiosity variables. Method: prospective study with a quantitative approach, with a sample of 27 patients who underwent peritoneal dialysis or dialysis undergoing kidney transplant. QoL and spirituality were assessed by the KDQOL-SF and WHOQOL-SRPB tools, being correlated with sociodemographic and economic variables. Results: the dimensions of total mental component, kidney disease effects and kidney disease burden showed significant improvement in the post-transplant period, with p <0.0004. There was a significant correlation between four dimensions of spirituality and seven dimensions of QoL; p ranged from 0.04 to 0.006. Conclusion: there was a significant improvement in QoL in the post-transplant period. The dimensions of spirituality: wholeness and integration, spiritual connection, wonder and inner peace were positively correlated with seven dimensions of QoL.

RESUMEN Objetivo: comparar la calidad de vida (CV) de pacientes renales en diálisis y después de um trasplante de riñón; correlacionan la CV de los pacientes trasplantados con las variables sociodemográficas, mórbidas y de espiritualidad/religiosidad. Método: estudio prospectivo con enfoque cuantitativo, con una muestra de 27 pacientes sometidos a diálisis peritoneal o hemodiálises sometidos a trasplante renal. La CV y la espiritualidad fueron evaluadas por los instrumentos KDQOL-SF y WHOQOL-SRPB; ellos se correlacionaron con variables sociodemográficas y económicas. Resultados: las dimensiones totales del componente mental, los efectos de la enfermedad renal y la sobrecarga impuesta por la enfermedad renal mostraron una mejora significativa en el período posterior al trasplante, con p <0,0004. Hubo una correlación significativa entre cuatro dimensiones de espiritualidad y siete dimensiones de la CV; p varió de 0.04 a 0.006. Conclusión: hubo una mejora significativa en la CV en el período posterior al trasplante. Las dimensiones de la espiritualidad: integridad e integración, conexión espiritual, maravilla y paz interior se correlacionaron positivamente con siete dimensiones de la CV.

RESUMO Objetivo: comparar a qualidade de vida (QV) de pacientes renais em diálise e após transplante renal; correlacionar a QV dos pacientes transplantados às variáveis sociodemográficas, mórbidas e de espiritualidade/religiosidade. Método: estudo prospectivo, de abordagem quantitativa, com amostra de 27 pacientes que realizavam diálise peritoneal ou hemodiálise, submetidos ao transplante renal. A QV e a espiritualidade foram avaliadas pelos instrumentos KDQOL-SF e WHOQOL-SRPB; foram correlacionadas às variáveis sociodemográficas e econômicas. Resultados: as dimensões componente mental total, efeitos da doença renal e sobrecarga imposta pela doença renal apresentaram melhora significativa no período pós-transplante, com p<0,0004. Houve correlação significante entre quatro dimensões da espiritualidade e sete dimensões da QV; p variou de 0,04 a 0,006. Conclusão: houve melhora significativa da QV no período pós-transplante. As dimensões da espiritualidade: totalidade e integração, conexão espiritual, admiração e paz interior apresentaram correlação positiva com sete dimensões da QV.