Enquanto houver vida, há esperança : nível de atividade física, esperança de vida e intensidade de sintomas depressivos e ansiosos em pacientes hemodialíticos.

Abstract

Introduction: Individuals with advanced-stage chronic kidney disease require hemodialysis, in which the resource has deleterious physical and mental effects, and it is still unclear how the level of physical activity is related to mental status in this population. Methods: Cross-sectional study carried out with 59 hemodialysis patients dichotomized into two groups (sufficiently active and insufficiently active) according to the level of physical activity (International Physical Activity Questionnaire), evaluated in terms of hope of life (Herth Hope Index) and the intensity of depressive symptoms (Beck Depression Inventory) and anxious (Beck Anxiety Inventory). The association between categorical variables was tested using Pearson's chi-square test and numerical variables using the Student's T test and Mann-Whitney U test (p<0,05). Results: There was a prevalence of subjects categorized as sufficiently active (64%) and with a minimal degree of depression (57%) and anxiety (59%). Insufficiently active individuals had higher scores on the depression (p=0,001) and anxiety (p=0,019) instrument, and similar scores on the life expectancy instrument (p=0,067). There was a greater intensity of depressive and anxious symptoms in insufficiently active (p=<0,001; p=0,003). Conclusion: When compared to insufficiently active, sufficiently active hemodialysis patients have similar hope of life and lower intensity of depressive and anxious symptoms.