Perfil epidemiológico dos pacientes atendidos em uma unidade de hemodiálise: Epidemiological profile of patients attended in a hemodialysis unit

Elias Silva Alves de Faria; Andréia Aparecida Henriques Carvalho; Paulo Sergio Pinto; Fernanda Ismaela Rolim Teixeira; Roberta Ferreira Schaefer; Elisa Oliveira Marsicano de Souza

doi:10.17765/2176-9206.2025v18e12868

Authors

Elias Silva Alves de Faria Universidade Federal de Juiz de Fora https://orcid.org/0000-0002-8121-3539
Andréia Aparecida Henriques Carvalho Universidade Federal de Juiz de Fora https://orcid.org/0000-0001-7276-0138
Paulo Sergio Pinto Universidade Federal de Juiz de Fora https://orcid.org/0000-0003-2151-4011
Fernanda Ismaela Rolim Teixeira Universidade Federal do Maranhão https://orcid.org/0000-0001-7219-5052
Roberta Ferreira Schaefer Universidade Federal de Juiz de Fora https://orcid.org/0000-0001-5624-8839
Elisa Oliveira Marsicano de Souza Universidade Federal de Juiz de Fora https://orcid.org/0000-0001-9960-3968

DOI:

https://doi.org/10.17765/2176-9206.2025v18e12868

Keywords:

Chronic kidney disease, Epidemiological profile, Hemodialysis

Abstract

Objectives: To describe the epidemiological profile of patients treated at the hemodialysis unit at the Federal University of Juiz de Fora University Hospital. Methodology: This is a descriptive, retrospective study with a quantitative approach, encompassing 129 patients undergoing hemodialysis in November 2022. We collected data from physical medical records using a form containing questions related to the patients’ epidemiological profile. Results: Among the 129 patients analyzed, 50.4% were female, with a mean age of 61±14 years. Regarding clinical profile, 25.6% had diabetic nephropathy as the underlying cause of chronic kidney disease, and 93.8% presented hypertension as a comorbidity. The mean duration of treatment was 59±64 months. Conclusion: The data presented highlight the diversity of the patients' characteristics, contributing to improving the care provided. The findings underscore the importance of continuous and integrated multidisciplinary care to address the various factors influencing the experience of living with chronic kidney disease.

Downloads

Download data is not yet available.

Author Biographies

Elias Silva Alves de Faria , Universidade Federal de Juiz de Fora

Nurse graduated from the Federal University of Juiz de Fora. He worked as a scholarship holder in the extension project "Nursing Consultation for Patients with Chronic Wounds" (2020-2021); member of the Tissue and Organ Transplant League of UFJF (2021-2022) and worked as a volunteer monitor in the discipline of Fundamentals and Technologies of Nursing Care I (2021-2022). He worked as a scholarship monitor in the discipline of Pharmacology Applied to Nursing, was president of the board of the Academic League for Patient Safety of UFJF (2022-2023). He currently holds the position of assistant nurse at the Terezinha de Jesus Maternity Hospital (HMTJ).

Andréia Aparecida Henriques Carvalho, Universidade Federal de Juiz de Fora

Nurse graduated (Bachelor's and Licentiate's Degree) in Nursing from the Federal University of Juiz de Fora in 2011. She has a postgraduate degree in the Multiprofessional Residency in Family Health from the HU/UFJF Foundation, with the year of obtaining the title in 2014. Specialist in Nursing in Prenatal Care from UNIFESP, year 2015. Master's degree in Public Health from the Postgraduate Program in Public Health at UFJF (2014-2016). Specialization in Public Health Management from UFF (2015-2017). Professor at the CECON Education Network (Juiz de Fora Unit), having taught classes for the Nursing Technician course. Specialization in Nursing in Nephrology from the FAVENI University Center - Porto União Faculty (2020-2022). Public employee at the Brazilian Hospital Services Company (EBSERH), currently allocated to the Urinary System Unit, in the Hemodialysis service of the University Hospital of UFJF. Member of the Brazilian Nursing and Patient Safety Network - Zona da Mata Mineira Nucleus. Member of the Nursing Ethics Committee of HU-UFJF (Management 2021-2024).

Paulo Sergio Pinto, Universidade Federal de Juiz de Fora

Graduated in Nursing from the Federal University of Juiz de Fora (2005) and Master's degree in Nursing from the Federal University of Juiz de Fora (2015). Currently, he is a nurse at the UNIVERSITY HOSPITAL - UFJF and nurse - occupational health management at the Federal University of Juiz de Fora. He has experience in the area of Nursing, with emphasis on Nephrology Nursing and Occupational Health.

Fernanda Ismaela Rolim Teixeira , Universidade Federal do Maranhão

Graduated in Nursing from the Federal University of Maranhão (UFMA); Specialist in Renal Health in the Integrated Multiprofessional Residency in Health modality, Specialist in Family Health, Specialist in Quality Management and Health Services and Specialist in Multiprofessional Preceptorship in the Health Area. She worked as a Nurse at the Psychosocial Care Center II (CAPS II) and as a Nephrology Nurse at the Nephro Clinic, at the Center for the Prevention of Kidney Diseases (HU-UFMA) and in Hemodialysis (HU-UFJF). She also worked as a Nursing Preceptor of the Integrated Multiprofessional Residency in Health in the area of concentration of Renal Health (HU-UFMA) and Preceptor of the Multiprofessional Residency in the Hemodialysis sector (HU-UFJF). She collaborated as a Nursing Assistant and Educator in Diabetes at the Center for Specialized Medicine in Hypertension and Diabetes of Maranhão (CEMESP). Currently a clinical nurse and preceptor in Hemodynamics at HU-UFMA

Roberta Ferreira Schaefer , Universidade Federal de Juiz de Fora

Master's student in Nursing at the Federal University of Juiz de Fora. She is currently a nurse in the Urinary System Unit at HU UFJF. She has experience in the areas of public health, nephrology and as a teacher.

Elisa Oliveira Marsicano de Souza, Universidade Federal de Juiz de Fora

She holds a degree in Nursing from the Federal University of Juiz de Fora (2001) and a PhD in Health from the Postgraduate Program in Health at the Federal University of Juiz de Fora. She has experience in Nursing, with an emphasis on adult intensive care, kidney transplantation, and higher and technical education. She was a Nurse in the Kidney Transplant Program at the Minas Gerais Institute of Study and Research in Nephrology Foundation (IMEPEN) and at Hospital Ascomcer. She is currently an Adjunct Professor at the Federal University of Juiz de Fora/Faculty of Nursing - Department of Basic Nursing. Member of the Brazilian Association of Organ Transplantation (ABTO). Elected Member of the Department of Transplant Nursing at ABTO Management 2015/2017.

References

1. Xie Y, Bowe B, Mokdad AH, Xian H, Yan Y, Li T, et al. Analysis of the global burden of disease and the impact of chronic kidney disease: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;395(10225):709–33.

2. Bello A, Okpechi I, Levin A, Ye F, Saad S, Zaidi D, et al. ISN–Global Kidney Health Atlas [Internet]. Brussels: International Society of Nephrology; 2023 [Acesso em 13 de dezembro de 2024]. Disponível em: https://www.theisn.org/initiatives/global-kidney-health-atlas.

3. Malkina A. Doença Renal Crônica. Manual MSD; 2021 [Acesso em: 20 mar. 2023]. Disponível em: https://www.msdmanuals.com/pt-br/profissional/distúrbios-geniturinários/doença-renal-crônica/doença-renal-crônica.

4. Azevedo G, Felizardo JR, Moser MP, Savi DC. Fisiopatologia e diagnóstico da nefropatia diabética: uma revisão integrativa. Braz J Health Rev. 2022;5(1):3615–37.

5. Tkachuk O. Fisiopatologia da hipertensão arterial na doença renal crônica [tese]. Coimbra: Universidade de Coimbra; 2019 [cited 2023 May 9]. Available from: http://hdl.handle.net/10316/89738.

6. Gismondi R. Relação entre hipertensão e doença renal crônica [Internet]. Pebmed; 2019 [cited 2023 Apr 12]. Available from: https://pebmed.com.br/relacao-entre-hipertensao-e-doenca-renal-cronica.

7. Levin A, Ahmed SB, Carrero JJ, Foster B, Francis A, Hall RK, et al. Executive summary of the KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease: known knowns and known unknowns. Kidney Int. 2024 Apr;105(4):684–701. https://doi.org/10.1016/j.kint.2023.10.016. PMID: 38519239.

8. Matos JP, Fazenda J. Mecanismos da hemodiálise e diálise peritoneal. Res Soc Dev. 2022;11(14):e237111436213. doi: 10.33448/rsd-v11i14.36213. Available from: https://rsdjournal.org/index.php/rsd/article/view/36213

9. Borg R, Carlson N, Søndergaard J, Persson F. The growing challenge of chronic kidney disease: an overview of current knowledge. Int J Nephrol. 2023 Mar 1;2023:9609266. https://doi.org/10.1155/2023/9609266. PMID: 36908289.

10. Nerbass FB, Lima HDN, Moura-Neto JA, Lugon JR, Sesso R. Censo Brasileiro de Diálise 2022. J Bras Nefrol. 2023;46(2):160-7. . https://doi.org/10.1590/2175-8239-JBN-2023-0062pt.

11. Sociedade Brasileira De Nefrologia. Censo da Sociedade Brasileira de Nefrologia 2023. São Paulo: SBN, 2023.

12. Silva FSL, Cruz FC, Pinheiro DM, Campelo EM, Cardoso JA, Rodrigues SPM, et al. Mortalidade por doença renal crônica no Brasil: revisão integrativa. Braz J Hea Rev. 2021;4(5):19900–10. https://doi.org/10.34119/ bjhrv4n5-117

13. Carney EF. The impact of chronic kidney disease on global health. Nat Rev Nephrol. 2020;16(5):251. https://doi.org/10.1038/s41581-020-0268-7.

14. Evans M, Lewis RD, Morgan AR, Whyte MB, Hanif W, Bain SC, et al. A narrative review of chronic kidney disease in clinical practice: current challenges and future perspectives. Adv Ther. 2022 Jan;39(1):33-43. https://doi.org/10.1007/s12325-021-01927-z. Epub 2021 Nov 5. PMID: 34739697.

15. Baldin JE, Souza AA, Simões M, Walsh IAP, Accioly MF. Qualidade de vida, aspectos clínicos e sociodemográficos de indivíduos com doença renal crônica em hemodiálise. Rev Família Ciclos Vida Saúde Context Soc. 2021 Apr 21;9(2):438. doi: 10.18554/refacs.v9i2.4532.

16. Zanesco C, Pitilin EB, Rossetto M, Silva DTR. Evaluation of the quality of life of chronic renal patients in hemodialysis - a cross-current study / Avaliação da qualidade de vida de pacientes renais crônicos em hemodiálise – um estudo transversal. Rev Pesqui Cuidado Fundam Online. 2019 Jan 1;11(1):186–91. https://doi.org/10.9789/2175-5361.2019.v11i1.186-191.

17. Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Departamento de Análise Epidemiológica e Vigilância de Doenças Não Transmissíveis. Vigitel Brasil 2023: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2023. Brasília: Ministério da Saúde; 2023. 131 p. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/vigitel_brasil_2023.pdf.

18. Silva SCJ, Silva EFA, Nagarol CJP, Bortolotto LA, Lima JJG. Qualidade de vida de pacientes em hemodiálise com doença coronariana versus sem doença coronariana. Rev Soc Cardiol Estado São Paulo. 2018 Jun 1;28(2):224–9. https://doi.org/10.29381/0103-8559/20182802224-9.

19. Instituto Brasileiro de Geografia e Estatística. Censo Demográfico 2022: Resultados preliminares - Juiz de Fora, MG. 2022. Available from: https://censo2022.ibge.gov.br/ [cited 2024 Dec 13].

20. Dall’agnol J, Schwartz E, Zillmer J, Lise F. Caracterização das pessoas com tratamento de hemodiálise na região sul do Rio Grande do Sul, Brasil. Enferm Univ. 2021;18(1):81–92. https://doi.org/10.22201/eneo.23958421e.2021.1.863.

21. Santana ÉC. Profile of patients submitted to hemodialytic treatment in a Theresin clinic / Perfil dos pacientes submetidos a tratamento hemodialítico em uma clínica em Teresina. Rev Pesqui Cuidado Fundam Online. 2019 Jan 1;11(1):142–6. https://doi.org/10.9789/2175-5361.2019.v11i1.142-146.

22. Bezerra JNM, Oliveira LSR, Ó MF, Luz GOA, Borba AKOT. Health literacy of individuals undergoing dialysis therapy. Texto Contexto Enferm. 2019;28:e20170418. https://doi.org/10.1590/1980-265X-TCE-2017-0418

23. Silva PAB, Silva LB, Santos JFG, Soares SM. Política pública brasileira na prevenção da doença renal crônica: desafios e perspectivas. Rev Saude Publica. 2020;54:86. https://doi.org/10.11606/s1518-8787.2020054001708

24. Figueiredo AEB, Ceccon RF, Figueiredo JHC. Doenças crônicas não transmissíveis e suas implicações na vida de idosos dependentes. Ciênc Saúde Coletiva. 2021 Jan;26(1):77–88. https://doi.org/10.1590/1413-81232020261.33882020

25. Barbosa JLCS, Mendes RCMG, Lira MN, Barros MBSC, Serrano SQ. Qualidade de vida de renais crônicos submetidos à hemodiálise. Rev Enferm UFPE Online. 2021 Feb;15(1). https://doi.org/10.5205/1981-8963.2021.246184.

26. Pereira CV, Leite ICG. Qualidade de vida relacionada à saúde de pacientes em terapêutica hemodialítica. Acta Paul Enferm. 2019 Jun;32(3):267–74 . https://doi.org/10.1590/1982-0194201900037.

27. Santos LSC, Silva EO, Ribeiro NS, Devezas AMLO, Rocha ABL. Percepção dos pacientes sobre qualidade de vida e doença renal crônica hemodialítica / Patients' perception of quality of life and hemodialysis chronic kidney disease. Arq Med Hosp Fac Cienc Med Santa Casa São Paulo. 2022 May 24. https://doi.org/10.26432/1809-3019.2022.67.005.

28. Pereira DA, Lemos SMA, Rocha FC, Assis Júnior JD, Barbosa DC. Espiritualidade e religiosidade em pacientes em hemodiálise: qualidade de vida e enfrentamento da doença [Internet]. J Bras Nefrol. 2019;41(3):307–15. Available from: https://doi.org/10.1590/2175-8239-jbn-2018-0104.

29. Amorin RG, Quirino APS, Menezes MEM, Lima LB, Souza ICA, Borba AKOT. Conhecimento da equipe de enfermagem quanto ao manuseio do cateter para hemodiálise. Cad Ensino Pesq Saúde. 2022;2(2):49–66. http://dx.doi.org/10.29327/269776.2.2-5.

30. Schaefer RF, Fernandes SCC. Hemodiálise: análise das taxas de infecção relacionadas aos acessos. Rev Recien - Rev Cient Enferm. 2021 Mar 29;11(33):178–85. https://doi.org/ 10.24276/rrecien2021.11.33.178-185.

31. Rocha RPF; Pinho DLM. Occurrence of adverse events in public hemodialysis units. Enfermería Global, [S.L.], v. 18, n. 3, p. 1-34, 5 jun. 2019. Servicio de Publicaciones de la Universidad de Murcia. http://dx.doi.org/10.6018/eglobal.18.3.343361.

32. Piccin C, Perlini NMOG, Coppetti LC, Cruz TH, Beuter M, Burg G. Perfil sociodemográfico e clínico de pacientes renais crônicos em hemodiálise. Rev Enferm UFPE online. 2018;12(12):3212-3220. https://doi.org/10.5205/1981-8963-v12i12a234669p3212-3220-2018.

33. Milagres CS, Ravagnani JF, Rodrigues AS. Características sociodemográficas e clínicas de pacientes em terapia hemodialítica. Rev Enferm Contemp. 2022;11:e4639. https://doi.org/10.17267/2317-3378rec.2022.e4639.

34. Oliveira AR, Pereira WDS, Lima ACB. Prevenção e controle da hipertensão arterial em pacientes com doença renal crônica: revisão de literatura. Rev Bras Hipertens. 2021;28(4):426-432. https://doi.org/10.1590/1982-0194202100043.

35. de Oliveira LGFV, Freire LBV. Esperança de vida e transplante renal: aplicação da Escala de Herth em pacientes em lista de espera. Health Residencies Journal (HRJ). 2024;5(24):97-104. https://doi.org/10.51723/hrj.v5i24.999

36. Oliveira, G.L., & Silva, C.L.L. 2023. Aspectos psicológicos e sociais que contribuem para dificuldade no acesso de pacientes renais crônicos ao transplante renal. Pubsaúde, 13, a438. https://dx.doi.org/10.31533/pubsaude13.a438.

37. Mora, C. V., & Bonomini, M. (2022). Management Strategies in Hemodialysis: Lessons from Epidemiological Research. Seminars in Dialysis, 35(4), 326-334.