Abstract:

Abstract This is a quantitative and qualitative study carried out in July and June of 2017 with the objective of investigating how the Practice of Pleasure Activities (PPA) manifests in elderly people with Chronic Kidney Disease (CKD) and to verify the presence of depressive symptoms in patients submitted to hemodialysis in a hospital-school of a medium-sized city in Minas Gerais, Brazil. The following tools were used: a sociodemographic questionnaire, the Brazilian version of the Older Person’s Pleasant Events Schedule, the Geriatric Depression Scale-15, the Pfeffer's Instrumental Activities of Daily Living Scale and a semi-structured interview script. In the quantitative data we performed descriptive analysis and in the qualitative data we used content analysis. Seven elderly, four female people participated, all of whom with low schooling. Three elderly patients presented positive screening for depression. The mean of the sample (M = 1.1) indicated moderate PPA. Three categories emerged, namely Family as a source of care and mediation in the practice of activities; CKD and negative impacts on PPA in the elderly; and Adaptations in the routine of PPA by the elderly with CKD. We observed that the family of these elderly people acted as mediators, facilitating or hindering the PPA. Although there are many negative impacts for the elderly people to perform the PPA due to CKD, some participants also reported an ability to adapt to these losses. The implementation of interventions to ameliorate depressive symptoms and increase PPA in this population is a necessary action.

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