Eficácia das restrições hídrica e dietética em pacientes renais crônicos em hemodiálise

Cristóvão, António Filipe

doi:10.1590/0034-7167.2015680622i

Cited by 7 publications

(17 citation statements)

References 10 publications

(25 reference statements)

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“…In this sense, the Brazilian Society of Nephrology warns that being above 40 years is a relevant risk factor for the occurrence of chronic diseases, since there is a decrease in GFR of 0.08 ml/year after 40 years old, making the person vulnerable to electrolyte and metabolic imbalances (18)(19) . Other studies have also shown similar results in relation to the predominance of men (6,18,(20)(21)(22) .…”

Section: Discussionsupporting

confidence: 71%

“…In this context, and considering the results obtained in the CT, the literature points out that the excessive intake of sodium predisposes the patient to excess fluid intake. This is associated with the mechanism of regulation of these elements, and this behavioral pattern directly influences the human response (20) .…”

Section: Discussionmentioning

confidence: 99%

“…The treatment proposed to these patients is complex and requires a change in their daily routine. In this context, many patients are unable to follow the recommended water and dietary restrictions (20)(21)25) . The treatment requires a lot of effort from patients, and factors such as dietary preferences, economic status, level of education, behavior, social status, religious beliefs, and subjective issues can influence this process (26) .…”

Section: Discussionmentioning

confidence: 99%

“…A study that evaluated treatment adherence among renal patients showed that 56.4% were not able to avoid certain non-recommended foods, and when asked about difficulties to follow water restriction, 55.1% reported they were not successful in this task (20) . This fact is associated with the high and increasing mortality rates in this population (20) , which in 2017 was 19.9%, with an absolute number of deaths of 25,187 patients (17) .…”

Section: Discussionmentioning

confidence: 99%

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Classification tree for the inference of the nursing diagnosis Fluid Volume Excess (00026)

Botelho

Correia

Manzoli

et al. 2021

Rev. esc. enferm. USP

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Objective: To generate a Classification Tree for the correct inference of the Nursing Diagnosis Fluid Volume Excess (00026) in chronic renal patients on hemodialysis. Method: Methodological, cross-sectional study with patients undergoing renal treatment. The data were collected through interviews and physical evaluation, using an instrument with socio-demographic variables, related factors, associated conditions and defining characteristics of the studied diagnosis. The classification trees were generated by the Chi-Square Automation Interaction Detection method, which was based on the Chi-square test. Results: A total of 127 patients participated, of which 79.5% (101) presented the diagnosis studied. The trees included the elements “Excessive sodium intake” and “Input exceeds output”, which were significant for the occurrence of the event, as the probability of occurrence of the diagnosis in the presence of these was 0.87 and 0.94, respectively. The prediction accuracy of the trees was 63% and 74%, respectively. Conclusion: The construction of the trees allowed to quantify the probability of the occurrence of Fluid Volume Excess (00026) in the studied population and the elements “Excessive sodium intake” and “Input exceeds output” were considered predictors of this diagnosis in the sample.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Classification tree for the inference of the nursing diagnosis Fluid Volume Excess (00026)

Botelho

Correia

Manzoli

et al. 2021

Rev. esc. enferm. USP

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“…Além disso, as restrições hídricas e dietéticas são alguns dos contribuintes para o desenvolvimento da anorexia 20 . Estão inclusas nestas restrições a redução de sal, líquido, potássio e fósforo, revelando-se um grande desafio para o paciente e sua família [20][21][22] . Além disso, as inflamações crônicas induzidas por citocinas pró-inflamatórias observadas em pacientes com IRC, contribuem para a inapetência e consequente desnutrição e anorexia 15,18 .…”

Section: Discussão Anorexiaunclassified

Impacto dos fatores associados à sintomatologia depressiva na saúde de idosos em hemodiálise

Júnior

Brito

Rosa

et al. 2018

Revenf

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O objetivo desse estudo é conhecer o impacto dos fatores associados à sintomatologia depressiva na saúde de idosos em hemodiálise. Trata-se de uma revisão integrativa realizada em junho de 2017 com artigos selecionados por meio da Biblioteca Virtual em Saúde. Foram utilizadas duas combinações de descritores. A primeira foi: Associação; Depressão; Idoso e Diálise Renal. Em seguida, utilizou-se a segunda combinação: Depressão; Diálise renal e Idoso, fazendo-se uso da inter-relação do operador booleano and. Os critérios de inclusão foram artigos publicados em língua portuguesa e inglesa entre 2007 e 2017, ser artigo gratuito e disponível eletronicamente, ter idosos como limite da pesquisa, ter transtorno depressivo maior e depressão como assuntos principais, além de possuir conteúdo relevante para responder o objetivo deste estudo. Após a aplicação dos critérios, selecionou-se 9 artigos, sendo que 8 (88,9%) estão indexados da MEDLINE e 1 (11,1%) na LILACS. Encontrou-se 4 fatores: anorexia, síndrome das pernas inquietas, prurido urêmico e desemprego. Os sintomas depressivos configuram-se nas comorbidades mais frequentes em pacientes em hemodiálise. Além disso, podem estar associados a maior risco de complicações dialíticas e cardiovasculares, aumento da morbimortalidade, não adesão terapêutica e redução da qualidade de vida, tornando a incidência de suicídio dez vezes maior em relação à população geral. Conclui-se que há necessidade de fortalecimento da vigilância da equipe profissional para que esteja atenta às manifestações psiquiátricas com o objetivo de realizar o diagnóstico precoce e evitar maiores impactos.

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Health Literacy and Relation to Adherence to Pharmacologic Treatment of Patients in Hemodialysis

Santos¹,

Rossoni²,

Dallacosta³

2021

IJAERS

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Objective: to analyze the relationship between health literacy and adherence to treatment of dialysis patients. Method: cross-sectional study with 424 end-stage renal disease patients on conventional HD in the West and Middle West of Santa Catarina. The SALPHA questionnaire was used to analyze health literacy and the Brief Medication Questionnaire was used for treatment adherence. Minimental was used to analyze cognition. Results: the mean age was 57.3±15.8 years, 53.3% men, 71.4% with low education level, 10.1% have had a kidney transplant, 5.0% reported having already taken an extra dose of medication, 4.0% said they had missed doses and 22.6% admitted failure of days or prescribed doses. Literacy was inadequate for 67%, 49.1% were considered to have cognitive impairment, 55.2% are adhered to treatment. Low adherence to treatment was related to inadequate literacy (p<0.01), literacy and cognition showed a positive correlation (r=0.5; p<0.00), those who reported taking extra dose of the medication were less adherent (p<0.03), as well as those who omitted medication at some point (p<0.02). Conclusion: Inadequate literacy was related to low adherence to treatment, and also to cognitive deficit, low education, smoking and old age. I. II. METHODSCross-sectional study, carried out with hemodialysis patients in clinics in the Midwest, West and Far West of Santa Catarina, which currently serve 481 hemodialysis patients. Inclusion criteria were being on dialysis treatment for at least one month, age over 18Dayani Barbosa dos Santos et al.

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Eficácia das restrições hídrica e dietética em pacientes renais crônicos em hemodiálise

Abstract: these results can contribute to the nursing educational support.

Cited by 7 publications

References 10 publications

Classification tree for the inference of the nursing diagnosis Fluid Volume Excess (00026)

Classification tree for the inference of the nursing diagnosis Fluid Volume Excess (00026)

Impacto dos fatores associados à sintomatologia depressiva na saúde de idosos em hemodiálise

Health Literacy and Relation to Adherence to Pharmacologic Treatment of Patients in Hemodialysis

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