Calidad de vida y depresión en enfermos renales en Puebla
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sep 23, 2025
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https://doi.org/10.36677/medicinainvestigacion.v13i2.25262
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Antecedentes: la enfermedad renal crónica es un problema de salud pública. La terapia de reemplazo renal mejora la sobrevida, incrementa la depresión y disminuye la calidad de vida en la salud. Objetivo: comparar la calidad de vida y depresión en enfermos renales con terapia: diálisis contra hemodiálisis. Material y métodos: estudio transversal, realizado en el Hospital General Zona No. 20, de marzo a septiembre de 2023, en enfermos renales en diálisis o hemodiálisis > 18 años, utilizamos instrumentos: Calidad de Vida en Enfermedad Renal (kdqol-36), índice de Beck para depresión. Realizamos un análisis bivariado de variables con x2 calculándose el riesgo. Se evaluó el puntaje de ambas escalas para determinar una asociación p <0.05. Resultados: De 134 pacientes (67 hemodiálisis y 67 diálisis), 80 % presentó depresión leve y moderada; 75 % tenía calidad de vida regular, sin diferencias en calidad de vida ni riesgo estimado para depresión según tratamiento sustitutivo; la dimensión física, fue mejor en hemodiálisis (p<0.024). Factores asociados a depresión severa: trabajadores activos (p<0.022) y escolaridad menor (p<0.047) sin importar el tratamiento. Conclusión: No existen diferencias en la percepción de calidad de vida global ni riesgo de depresión en los pacientes con diferentes tipos de tratamiento de terapia sustitutiva renal.
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MENDEZ, Cinthia Yareth Hernandez et al.
Calidad de vida y depresión en enfermos renales en Puebla.
Medicina e Investigación Universidad Autónoma del Estado de México, [S.l.], v. 13, n. 2, p. 119-126, sep. 2025.
ISSN 2594-0600.
Disponible en: <https://medicinainvestigacion.uaemex.mx/article/view/25262>. Fecha de acceso: 04 dic. 2025
doi: https://doi.org/10.36677/medicinainvestigacion.v13i2.25262.
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Elflein J. Chronic kidney disease prevalence rates for select countries worldwide 2017 [Internet]. Statista. [citado el 6 de septiembre de 2024]. Available from https://www.statista.com/statistics/1105641/chronic-kidney-disease-prevalence-rates-by-country-worldwide/
Yamanouchi M, Furuichi K, Hoshino J, et al. Nonproteinuric diabetic kidney disease. Clin Exp Nephrol [Internet]. 2020;24(7):573–81. Dis Available from: http://dx.doi.org/10.1007/s10157-020-01881-0
Charles C, Ferris A. Chronic kidney disease. Prim Care [Internet]. 2020;47(4):585–95. Available from: http://dx.doi.org/10.1016/j.pop.2020.08.001
Al Salmi I, Kamble P, Lazarus E, et al. Kidney disease-specific quality of life among patients on hemodialysis. Int J Nephrol [Internet]. 2021; 2021:1–8. Available from: http://dx.doi.org/10.1155/2021/8876559.
García R, Bover J, Segura J, et al. Documento de información y para la detección y manejo de la enfermedad renal crónica. Nefrologia [Internet];42(3):233–64. Disponible en: http://dx.doi.org/10.1016/j.nefro.2021.07.010.
Hejazi S, Hosseini M, Ebadi A, et al. Components of quality of life in hemodialysis patients from family caregivers’ perspective: a qualitative study. BMC Nephrol [Internet]. 2021;22(1). Available from: http://dx.doi.org/10.1186/s12882-021-02584-8.
Chuasuwan A, Pooripussarakul S, Thakkinstian A, et al. Comparisons of quality of life between patients underwent peritoneal dialysis and: a systematic review and meta-analysis. Health Qual Life Outcomes [Internet]. 2020;18(1). Available from: http://dx.doi.org/10.1186/s12955-020-01449-2
Saulo B, Lima F, Dias L, et al. Depression and quality of life in older adults on hemodialysis. Rev Bras Psiquiatr [Internet]. 2020 [citado el 6 de septiembre de 2024];42(2):195–200. Available from: https://pubmed.ncbi.nlm.nih.gov/31389496/. doi: 10.1590/1516-4446-2018-0345.
Bonenkamp A, Van E, Hoekstra T, et al. Health-related quality of life in home dialysis patients compared to in-center hemodialysis patients: A systematic review and meta-analysis. Kidney Med Internet]. 2020;2(2):139–54. Available from: http://dx.doi.org/10.1016/j.xkme.2019.11.005.
Hiramatsu T, Okumura S, Asano Y, et al. Quality of life and emotional distress in peritoneal dialysis and hemodialysis patients. Ther Apher Dial Internet]. 2020 [citado el 6 de septiembre de 2024];24(4):366–72. Available from: https://pubmed.ncbi.nlm.nih.gov/31671240/, doi: 10.1111/1744-9987.13450.
Zhang L, Guo Y, Ming H, et al.Effects of hemodialysis, peritoneal dialysis, and renal transplantation on the quality of life of patients with end-stage renal disease. Rev Assoc Med Bras [Internet]. 2020 [cited 2024 Sep 6];66(9):1229–34. Available from: https://pubmed.ncbi.nlm.nih.gov/33027450/ doi: 10.1590/1806-9282.66.9.1229
Krishnan A, Teixeira-P, Lim W, et al.Health-related quality of life in people across the spectrum of CKD. Kidney Int Rep [Internet]. 2020;5(12):2264–74. Available from: http://dx.doi.org/10.1016/j.ekir.2020.09.028.
Shdaifat E. Quality of life, depression, and anxiety in patients undergoing renal replacement therapies in Saudi Arabia. ScientificWorldJournal [Internet]. 2022;2022:1–7. Available from: http://dx.doi.org/10.1155/2022/7756586
Mok M, Liu C, Lam M, et al. A longitudinal study on the prevalence and risk factors for depression and anxiety, quality of life, and clinical outcomes in incident peritoneal dialysis patients. Perit Dial Int [Internet]. 2019 [cited 2024 Sep 6];39(1):74–82. Available from: https://pubmed.ncbi.nlm.nih.gov/29991560/. doi:10.3747/pdi.2017.00168.
Jung H, Jeon Y, Park Y, et al. Better quality of life of peritoneal dialysis compared to hemodialysis over a two-year period after dialysis initiation. Sci Rep [Internet]. 2019 [cited 2024 Sep 6];9(1). Available from: https://pubmed.ncbi.nlm.nih.gov/31312004/. doi: 10.1038/s41598-019-46744-1
Hsu C, Huang C, Chang Y, et al. A comparison of quality of life between patients treated with different dialysis modalities in Taiwan. PLoS One [Internet]. 2020 [cited 2024 Sep 6];15(1): e0227297.Available from:
https://pubmed.ncbi.nlm.nih.gov/31907493/. doi: 10.1371/journal.pone.0227297
Nagasawa H, Sugita I,Tachi T, et al. The relationship between dialysis patients’ quality of life and caregivers’ quality of life. Front Pharmacol [Internet]. 2018;9. Available from: http://dx.doi.org/10.3389/fphar.2018.00770
Ishiwatari A, Yamamoto S, Fukuma S, et al. Changes in quality of life in older hemodialysis patients: A cohort study on dialysis outcomes and practice patterns. Am J Nephrol [Internet]. 2020 [cited 2024 Sep 6];51(8):650–8. Available from: https://karger.com/ajn/article/51/8/650/41629/Changes-in-Quality-of-Life-in-Older Hemodialysis. https://doi.org/10.1159/000509309
Spinowitz B, Pecoits-R, Winkelmayer W, et al. Economic and quality of life burden of anemia on patients with CKD on dialysis: a systematic review. J Med Econ [Internet]. 2019 [cited 2024 Sep 6];22(6):593–604. Available from: https://pubmed.ncbi.nlm.nih.gov/30813807/. doi: 10.1080/13696998.2019.1588738.
Simões S, Miranda A, Rocha N, et al. Neuropsychiatric disorders in chronic kidney disease. Front Pharmacol [Internet]. 2019 [cited 2024 Sep 6];10. Available from: http://dx.doi.org/10.3389/fphar.2019.00932.
Liu Y, Mao A. Exploring the meaning in life and the influencing factors among patients undergoing hemodialysis in Macau. SAGE Open Nurs [Internet]. 2022 [cited 2024 Sep 6]; 8:237796082210921. Available from: https://pubmed.ncbi.nlm.nih.gov/35434306/. doi: 10.1177/23779608221092170
Maia J, Lopes P. Physical exercise and peritoneal dialysis: An area yet to be explored. Nefrologia [Internet]. 2022;42(3):265–72. Available from: http://dx.doi.org/10.1016/j.nefro.2021.02.007.
Bello A, Okpechi I, Osman M, et al. Epidemiology of hemodialysis outcomes. Nat Rev Nephrol [Internet]. 2022 [cited 2024 Sep 6];18(6):378–95. Available from: https://pubmed.ncbi.nlm.nih.gov/35194215/, doi: 10.1038/s41581-022-00542-7
Murdeshwar H, Anjum F. Hemodialysis. Treasure Island (FL): StatPearls [Internet]. 2022 [cited 2024 Sep 6];2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK563296/
Hays R, Kallich J, Kidney Disease Quality of Life Short Form (KDQOL-SFTM). Version 1.3: A manual for use and scoring. California, RAND, P-7997. [cited 2024 Sep 6]. Available from: https://www.rand.org/content/dam/rand/pubs/papers/2006/P7994.pdf