Faria-Schützer Débora Bicudo, Borovac-Pinheiro Anderson, Rodrigues Larissa, Surita Fernanda Garanhani
Universidade Estadual de Campinas, Faculdade de Ciências Médicas, Departamento de Tocoginecologia, Campinas, SP, Brazil.
J Bras Nefrol. 2023 Apr-Jun;45(2):180-191. doi: 10.1590/2175-8239-JBN-2022-0001en.
There are particularities of chronic kidney disease (CKD) in women and their treatment. The biology of women exposes them to greater risk factors for CKD and both pregnancy and the postpartum period place an additional burden on renal health. Pregnancy complications may cause or worsen CKD.
To explore the experiences of women with CKD undergoing hemodialysis in relation to their reproductive history.
This study consisted of clinical-qualitative design with semi-structured individual interviews and open-ended questions. The sample selection was intentional and according to the theoretical saturation criterion. The data analysis was carried out based on the seven steps of the clinical-qualitative content analysis and validated by Nvivo11. This study was conducted in a public hemodialysis clinic of the Brazilian National Health System.
Twelve women undergoing hemodialysis were interviewed. The results from the analysis revealed three categories: 1) Association of pregnancy with CKD; 2) Nebulosity in relation to diagnosis and reproductive history 3) Being a woman undergoing hemodialysis.
Our study showed the importance of considering the specificities of CKD in women, suggesting that these issues are important for diagnosis and treatment adherence. Consideration of reproductive life history allows the health of women undergoing hemodialysis to be promoted holistically, including aspects of mental health.
女性慢性肾脏病（CKD）及其治疗存在特殊性。女性的生理特点使她们面临更多导致CKD的风险因素，怀孕和产后时期会给肾脏健康带来额外负担。妊娠并发症可能导致CKD或使其恶化。
探讨接受血液透析的CKD女性患者的生殖史相关经历。
本研究采用临床定性设计，进行半结构化个人访谈并提出开放式问题。样本选择是有意的且符合理论饱和标准。数据分析基于临床定性内容分析的七个步骤进行，并通过Nvivo11软件验证。本研究在巴西国家卫生系统的一家公共血液透析诊所开展。
对12名接受血液透析的女性进行了访谈。分析结果揭示了三个类别：1）妊娠与CKD的关联；2）诊断和生殖史方面的模糊性；3）作为接受血液透析的女性。
我们的研究表明考虑女性CKD的特殊性很重要，这表明这些问题对诊断和治疗依从性很重要。考虑生殖生活史有助于全面促进接受血液透析女性的健康，包括心理健康方面。
