Avaliação da síndrome de pernas inquietas em pacientes em tratamento dialítico e sua relação com a qualidade de vida

Abstract

INTRODUCTION: Restless Legs Syndrome (RLS) is a movement disorder common in patients on dialysis. Its severity is related to poorer quality of life and increased cardiovascular morbidity and mortality in this population. OBJECTIVES: To evaluate the prevalence of RLS in dialysis patients of the Clinic of Nephrology of Sergipe, severity levels, possible association between quality of life (QoL) and SPI. METHODS: 273 of dialysis CLINESE underwent chart review and interviews to identify the SPI through international scales and questionnaires assessing QoL. RESULTS : The overall prevalence of RLS in patients CLINESE was 8.4 % in relation to the scale of gravity , 4 patients (1.5 %) had mild RLS , 12 (4.4%) SPI moderate , 5 (1,8 %) severe RLS and 2 (0.7 %) to very severe . Of the 19 areas of KDQOL , 4 had a median less than or equal to 50 . For others the median was higher. In the list of domains KDQOL - SF with SPI, the statistical analysis showed that only treatment satisfaction (r = 45, p = 0.03) and weakness (r = - 42 , p = 0.04) had significance . CONCLUSION: SPI did not influence the QOL of these patients. The QOL of patients was negatively affected by four domains. On the other hand, high medians were found in the remaining 15 areas. The average of the domain scores indicate good QOL. The SPI should be routinely investigated in patients with chronic renal failure. Multicenter studies are needed to increase understanding of the pathophysiology of disease related and to improve not only survival, but also the QOL of patients with chronic renal failure.