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Relationship between frailty, social support and family functionality of hemodialysis patients: a cross-sectional study

ABSTRACT

BACKGROUND:

The population with chronic kidney disease (CKD) is more predisposed to early development of frailty. Although the concept of frailty is well established from a physical point of view, it is not an exclusively physical syndrome. It can be characterized as an interaction of physical, psychological and social factors.

OBJECTIVE:

To ascertain the relationship between frailty, social support and family functionality among CKD patients undergoing hemodialysis.

DESIGN AND SETTING:

Correlational, cross-sectional and quantitative study conducted at a service in the interior of the state of São Paulo.

METHODS:

This study included 80 patients with CKD who were on hemodialysis. The participants were interviewed individually, with application of the following instruments: sociodemographic and economic characterization, Tilburg Frailty Indicator, Medical Outcomes Study and Family APGAR. Females and white ethnicity predominated among the participants, and their mean age was 59.63 ± 15.14 years.

RESULTS:

There was high prevalence of frailty (93.8%). Although there was a difference in scores for the dimensions of social support between the frail group and the non-frail group, only family functionality reached a statistically relevant difference. There was a significant correlation between physical frailty, social support and family functionality.

CONCLUSIONS:

Presence of frailty is related to the social support and family functionality of patients with CKD undergoing hemodialysis.

KEY WORDS (MeSH terms):
Frailty; Renal insufficiency, chronic; Social support; Family relations

AUTHORS’ KEY WORDS:
Dialyses; Social network; Family support

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