Disability in instrumental activities of daily living in hemodialysis patients: Influence on quality of life related to health

• Published in: Nefrología 2019-09, Vol.39 (5), p.531-538
• Main Authors: Jiménez, María Dolores Arenas, García, Mónica Navarro, Reina, Encarnación Serrano, Álvarez-Ude, Fernando
• Format: Article
• Language: English
• Subjects: Actividades basales de la vida diaria; Actividades instrumentales de la vida diarias; Basical activities of daily living; Calidad de vida relacionada con la salud; Health-related quality of life; Hemodialysis; Hemodiálisis; Instrumental activities of daily living; Occupational therapy; Terapia ocupacional
• ISSN: 2013-2514; 2013-2514
• DOI: 10.1016/j.nefroe.2019.10.007

Instrumental Activities of Daily Life (IADL) requires a higher level of personal autonomy and interaction with the environment than the basic activities of daily life (BADL). Few studies analyze the deficit on IADL. Early detection is important because an early action can delay the evolution of the dependency process. To know the prevalence of functional deficit in IADL of hemodialysis patients, its relationship with the functional deficit in the BADL and its influence on the health related quality of life (HRQoL). Cross-sectional study in 66 patients on HD. Different scales were used: Lawton and Brody (AIVD dependency), Delta (BADL dependency), and Coop-Wonca (HRQOL). Clinical data were collected (age, sex, CKD etiology, months in HD, marital status, employment situation). 80.3% of the patients had some degree of dependence for the IADL (57.5% in moderate / severe degree) and 40.8% for the BADL (9% in moderate / severe degree). There was a correlation between dependence to the BADL and AIVD. Age and employment status influence the dependence on IADL and BADL. Patients with greater dependence on IADL had worse HRQoL (p