Evaluation of the patient in hemodialysis by canadian occupational performance measure

Abstract

The chronic kidney patient under hemodialysis undergoes several changes in his/her daily routine, with the need for strategies able to assist him/her during this process. OBJECTIVE: The objective of the study was to evaluate the changes occurred in the self-perception of the chronic kidney patients under hemodialysis as regards his/her occupational performance, after the occupational therapy intervention. METHOD: participants were 21 patients with chronic kidney patient under hemodialysis, treated at a Renal Diseases Clinic, located in Curitiba, PR. Subjects were assessed using the Canadian Occupational Performance Measure - COPM and reassessed after the intervention period of Occupational Therapy, which was based on the Canadian Occupational Performance Model. RESULTS: the major problems found in the occupational performance of the subjects were to control the solid and liquid diet and to participate in social activities and courses. The percentage of subjects that vary from 2 or more points in scores for satisfaction and performance was 52.4% and 47.6%, respectively. The COPM was able to measure problems in occupational performance of the bearer of chronic kidney patient under hemodialysis and mainly the changes after the intervention of Occupational Therapy.