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Comparison of occupational performance between dialytic treatment modalities

Abstract

Introduction

Chronic Kidney Disease is a progressive and irreversible pathology, which can affect performance skills in occupational activities.

Objective

In this study, the occupational performance of patients undergoing hemodialysis and peritoneal dialysis at a Renal Replacement Therapy Service was compared.

Method

The research was observational, cross-sectional, descriptive, and analytical, with a sample of (n = 53) 13 in peritoneal dialysis and 40 in hemodialysis. Data on patients on peritoneal dialysis were collected, using a sociodemographic questionnaire and the Canadian Occupational Performance Measurement protocol. Only data on the occupational performance of patients on hemodialysis were collected for comparison purposes with those on peritoneal dialysis. The data were analyzed with statistical tests, with a p-value <0.05 being considered. Most patients are male, widowed/divorced, and with an income of up to one salary.

Results

With the Canadian Occupational Performance Measure, it was possible to associate the occupational performance of patients on peritoneal dialysis and hemodialysis, in which individuals who perform peritoneal dialysis have better occupational performance than those on hemodialysis. Spearman's correlation test showed that there is a strong positive (rs = 0.9861) and highly significant (p <0.0001 *) correlation between satisfaction and performance of patients on peritoneal dialysis.

Conclusion

Thus, the study demonstrates that there is a relationship between occupational performance and the type of dialysis treatment.

Keywords:
Chronic Kidney Diseases; Peritoneal Dialysis; Occupational Therapy

Universidade Federal de São Carlos, Departamento de Terapia Ocupacional Rodovia Washington Luis, Km 235, Caixa Postal 676, CEP: , 13565-905, São Carlos, SP - Brasil, Tel.: 55-16-3361-8749 - São Carlos - SP - Brazil
E-mail: cadto@ufscar.br