Objetivo: identificar o perfil clínico, psicossocial e mensurar o nível de esperança entre pacientesque realizam hemodiálise e diálise peritoneal.Método: estudo exploratório, descritivo e quantitativo, realizado numa unidade de nefrologiado Distrito Federal com pacientes em tratamento dialítico. A coleta aconteceu entre setembro eoutubro de 2018, com questionário de caracterização e aplicação da escala de esperança de Herth.Para comparar o nível de esperança, utilizou-se o teste de Mann-Whitney.Resultados: participaram 122 pacientes. O escore médio de esperança obtido foi de 39,79 (±5,3)com maior nível em 48 e, no teste comparativo, não houve diferença significativa entre os níveis deesperança.Conclusão: apesar de todas as limitações impostas pelo tratamento e doença, essa populaçãopossui bom nível de esperança. Este estudo contribuiu para a ampliação do debate acadêmicoque permitiu identificar e construir pontos essenciais para um bom planejamento dos cuidados deenfermagem, em especial no âmbito do tratamento da doença renal crônica.
Hope facilitates the adaptation of disability to health care. In the context of chronic kidney disease, hope is a relevant factor, as it encourages patients to adhere to treatments that include invasive procedures, change their lifestyle, and remain, even if weakened, in a painful and delicate treatment. Currently, there are three main therapies for the advanced stage of chronic kidney disease: hemodialysis (HD), peritoneal dialysis (PD), and kidney transplantation. The last is the ideal treatment, but not all patients can be transplanted, for different reasons. Thus, most individuals in a situation of renal failure undergo hemodialysis or peritoneal dialysis. Kidney failure is an unpleasant and difficult disease to accept. In general, a chronic renal patient on dialysis can live in anguish, fear, and insecurity about their subsequent quality of life. Thus, you can abandon your everyday life desires as well as your dreams of enjoying more favorable conditions in the future. The Herth Hope Scale aims to quantify hope in individuals in clinical situations. Therefore, this chapter will deal with the level of hope of dialysis patients, proposing a comparison between those who undergo hemodialysis and peritoneal dialysis.
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