Social fragility of patients with chronic kidney disease on hemodialysis

Abstract

Fragility is a clinical syndrome where individuals are in a state of increased vulnerability, where minimal stressors can lead to negative outcomes. Although it has a very strong concept about the fragility of the physical point of view, it isn't an exclusively physical syndrome. From the creation of the Model Integral Fragility (MIF), frailty is characterized as an interaction of physical, psychological and social factors. Social fragility consists in the decline of social relations and social support that are directly linked to the determinants of the course of life. The decline of these factors may have as consequence the insertion of the individual in the cycle of physical fragility. A population that has a high incidence and prevalence of physical and cognitive impairment is that of people with chronic kidney disease (CKD) that most of whom are undergoing hemodialysis treatment, being more predisposed to the early development of fragility. Are nonexistent the studies about the level of social fragility of the population with CKD and its relation to physical fragility, among other aspects. In view of the foregoing, this study has the general objective of assessing social fragility and its relationship with physical frailty in patients with CKD on hemodialysis. This research is a cross-sectional, cross-sectional study with a quantitative approach that will be performed in two renal replacement therapy units in the interior of the State of São Paulo. The sample size will be defined with the support of a statistician. An individual interview will be held, in a private place of said units, after signing the Term of Free and Informed Consent, with the application of the following instruments: socio-demographic characterization, economic and health condition, Subjective Fragility Assessment, HALFT Scale, Tilburg Frailty Indicator, UCLA Leoneliness Scale, Social Support Scale of Medical Outcomes Study, Patient Health Questionnaire-9 e APGAR of Family. The project will be forwarded to the Research Ethics Committee of UFSCar. Among the expected results, it is desired to know the level and the relationship between the social and physical fragility of patients with CKD in HD.