Conhecimento dos enfermeiros da atenção primária à saúde sobre fatores de risco para Lesão Renal Aguda

Lima, Wellington Luiz de; Paula, Letícia Brazil de; Duarte, Tayse Tâmara da Paixão; Magro, Marcia Cristina da Silva

doi:10.1590/2177-9465-ean-2019-0280

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…In the clinical practice, these biomarkers, especially creatinine, even though it is widely used in the assessment of renal function, have a late characteristic for the identification of kidney injury, since changes in glomerular filtration do not cause its immediate increase [25]. In this context, lack of knowledge about the change in these biomarkers by the Nursing team, when present, can worsen health users' evolution, especially in those with NCDs, and delay the identification of renal impairment, which reinforces the need for knowledge and professional training [9].…”

Section: Discussionmentioning

confidence: 99%

“…Within the scope of PHC, health professionals, especially nurses, should offer users educational strategies supported by proposals that emphasize health promotion and prevention of future complications [7,8]. So, establishing models for monitoring and monitoring users by nurses makes it possible to identify risk factors and, consequently, can mitigate clinical worsening [9].…”

Section: Introductionmentioning

confidence: 99%

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Monitoring of the Renal Function in the Nursing Practice

WL¹,

TTP²,

LF³

et al. 2023

austinjnephrolhypertens

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Objective: Verify the effects of intensified and usual clinical nursing monitoring on the quality of life and sedentary lifestyle of hypertensive and diabetic patients in primary care. Method: A quantitative and quasi-experimental study of time series. The sample this study consisted in 85 users allocated in control (n=45) and experimental (n=40) groups. The intervention was a nursing consultation with biochemical monitoring program. Results: With the monitoring, laboratory variables in experimental group were controlled, such as serum creatinine (0.82 – 0.79 mg/dL). The control group included 6 (26.09%) patients with renal dysfunction (p=0.001). Sedentary lifestyle was reduced in the experimental group (15.00% to 0.00%). The psychological domain of quality of life presented a better perception in the group without renal dysfunction, when compared to the users with renal dysfunction (80.8 ± 0.19 vs 51.8 ± 0.21, p=0.013). Conclusion: Results proved to be relevant for the Nursing assistance practice with reduction of sedentary lifestyle and an improvement in quality of life, the modifiable risk factors for kidney diseases.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Monitoring of the Renal Function in the Nursing Practice

WL¹,

TTP²,

LF³

et al. 2023

austinjnephrolhypertens

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“…In addition, the nursing team must perform health education actions in the prevention, early detection, and management of CKD in order to change behaviors and lifestyle habits ( 48 ) . Thus, providing the protagonism of care for PLHIV from the knowledge of the risks to the chronic diseases that they are exposed to, CKD being an important comorbidity that can affect these individuals.…”

Section: Discussionmentioning

confidence: 99%

Factors associated to chronic kidney disease in people living with HIV/AIDS

Pontes

Netto

Kusumota

et al. 2020

Rev. Latino-Am. Enfermagem

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Objective: to analyze the factors associated to chronic kidney disease in people living with HIV (PLHIV). Method: a paired case-control study (4 controls for each case) carried out in a specialized care service in the Southeastern of Brazil, by analyzing PLHIV medical records. The sample consisted of 85 participants, corresponding to 17 cases and 68 controls. Pearson’s chi-square test (Χ2) and Fisher’s exact test, logistic regression, Odds Ratio (OR), 95% Confidence Interval (CI) and p<0.05 were used. SPSS version 25.0 and R Core Team, 2018 version 3.5.1 were used. Results: the factors associated with chronic kidney disease identified in this study were the following: presence of Systemic Arterial Hypertension [OR=5.8, CI (95%)=1.84-18.42, p=0.001] and use of nephrotoxic anti-retrovirals in the previous therapeutic regimen [OR=3.3, CI (95%)=1.105-10.221, p=0.028]. On the other hand, age below 40 years old [OR: 0.122, CI (95%)=0.015-0.981, p=0.022] was identified as a protective factor. Conclusion: the PLHIV under study have multi-factorial exposure associated with chronic kidney disease. However, knowing these factors helps to identify the existing risks and/or renal dysfunction, in addition to supporting the clinical decision of the health professionals who directly assist them.

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“…Apesar dos avanços em tratamentos a incidência de LRA é alta, podendo acometer cerca de 0,3% da população total, 18% de pacientes internados e 60% de pacientes com doenças crônicas. Esses dados evidenciam a necessidade de um diagnóstico precoce de LRA para melhorar a saúde do paciente e assim reduzir os riscos que a doença traz (Baron et al, 2015;Flynn & Dawnay, 2015;Kothari et al, 2018;Lima et al, 2020;Da Paixão Duarte et al, 2020;Siew & Davenport, 2015;Silva et al, 2018;Thomas et al, 2015). Improving Gloval Outcomes).…”

Section: Introductionunclassified

Uso do delta check da creatinina como ferramenta para detecção precoce de lesão renal aguda: uma revisão de escopo

Lira

Jorge

Linard

2022

RSD

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A lesão renal aguda (LRA) é uma condição caracterizada pela redução da função renal. Existem vários métodos de diagnosticar esta condição, o mais aceito é o KDIGO, que classifica esta condição em 3 estágios. O delta check é a ferramenta laboratorial utilizada para calcular a variação entre as dosagens de um exame atual e seu anterior. O objetivo deste trabalho é verificar se o delta check pode ser utilizado como auxílio diagnóstico de LRA. Este estudo foi elaborado através de uma revisão de escopo da literatura existente com uso de palavras chave e descritores. As buscas nos bancos resultaram em 177 artigos onde após os processos de eliminação 6 artigos foram incluídos para o estudo. Os artigos tinham como origem os seguintes países: Reino Unido, Estados Unidos e Canadá, todos em língua inglesa. Cada artigo tinha regras diferentes para o cálculo do delta check e também diferentes limites de tempo entre as dosagens de creatinina evidenciando que cada instituição criou regras de acordo com a população atendida em suas unidades. Em todos os artigos o delta check teve o seu auxílio comprovado, mas no artigo de Kothari ganhou mais destaque devido além de criar um alerta com o delta check foi enfatizado a necessidade de treinamentos da equipe médica para o diagnóstico de LRA. Pode-se concluir que o delta check auxilia na LRA, sendo fundamental que cada instituição crie suas regras de delta check.

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Conhecimento dos enfermeiros da atenção primária à saúde sobre fatores de risco para Lesão Renal Aguda

Cited by 4 publications

References 14 publications

Monitoring of the Renal Function in the Nursing Practice

Monitoring of the Renal Function in the Nursing Practice

Factors associated to chronic kidney disease in people living with HIV/AIDS

Uso do delta check da creatinina como ferramenta para detecção precoce de lesão renal aguda: uma revisão de escopo

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