Perfil epidemiológico de pacientes renais crônicos em tratamento

Santos., Karlene Kristina dos; Lucas, Thábata Coaglio; Glória, José Cristiano Ramos; Júnior, Assis do Carmo Pereira; Ribeiro, Gabriela de Cássia; Lara, Maristela Oliveira

doi:10.5205/1981-8963-v12i9a234508p2293-2300-2018

Cited by 14 publications

(19 citation statements)

References 8 publications

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“…The average age of participants during therapy was lower than that identified in studies conducted in countries in Europe (63 years), North America (62 years), and Japan (61.5 years) (Hecking et al, 2014;Mclntyre et al, 2017;Murray et al, 2018). However, the average age was higher than that described in national studies, which identified average ages of 48.5, 49, and 51 years (Santos et al, 2018;Oliveira, Da Silva, Ferreira, & Skalinski, 2015;Oliveira Jr, Formiga, & Alexandre, 2014).…”

Section: Resultsmentioning

confidence: 69%

Chronic Kidney Disease: Clinical and Epidemiological Scenario of Patients in Hemodialysis

Campos¹,

Toffoli-Kadri²,

Matos³

2021

GJHS

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OBJECTIVE: To describe the clinical and epidemiological scenario of patients with chronic kidney disease undergoing hemodialysis. METHOD: Retrospective study with secondary data collected from the medical records of patients over 18 years of age on hemodialysis from January 2016 to December 2018. RESULTS: 507 patients underwent ambulatory and/or hospital hemodialysis during the study period. From these, 494 participants were included, comprising 383 who were still under treatment at the end of the study period and 111 who died during the study period. The majority of hemodialysis patients were male, with a mean age of 56.6 years, non-white (77.4%), in a stable relationship (51.6%), retired (54.9%), and with low education (73.9%). Most participants started hemodialysis with the use of a central venous catheter (83.3%), which was maintained for 43.8% of the treatment time. Participants used an average of 18.91 medications daily. More than half of the deaths occurred during the first two years of treatment, with 30.6% of these occurring in the first 12 months of hemodialysis. Evaluation of the results of the clinical outcome of death demonstrated a relationship between age (p= 0.003), number of comorbidities (p = 0.009), time using a central venous catheter (p = 0.025), and white ethnicity (p = 0.021). Septic shock was the main cause of death (56.8%). CONCLUSION: Some factors related to the prognosis of the disease cannot be changed, such as age and white ethnicity. However, greater attention to the management and adequate monitoring of comorbidities is necessary, as well as a reduction in the time spent using a central venous catheter. Due to polymedication, pharmacotherapeutic monitoring is indicated, both for the prevention of drug related problems and for discussions concerning drug discontinuation.

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Section: Resultsmentioning

confidence: 69%

Chronic Kidney Disease: Clinical and Epidemiological Scenario of Patients in Hemodialysis

Campos¹,

Toffoli-Kadri²,

Matos³

2021

GJHS

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“…Studies highlighted these two morbidities as the main causes for renal failure, and such diseases, when decompensated, eventually cause complications, which include the CKD. 5,9,18 Moreover, there becomes extremely important the look for actions and strategies in Basic Health Care to control and prevent these diseases, acting directly on the risk factors involved 19 , as well as the development of actions geared to the public in…”

Section: Resultsmentioning

confidence: 99%

Adesão à medicação pelo paciente renal crônco em hemodiálise

Lira

Fernandes

2020

Rev enferm UFPE on line.

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Objetivo: mensurar a adesão à medicação em doentes renais crônicos submetidos à hemodiálise. Método: trata-se de estudo quantitativo, descritivo, realizado em um centro de referência em Nefrologia com 174 pacientes. Empregou-se, para a coleta dos dados, um Questionário de Avaliação Sobre a Adesão do Portador de Doença Renal Crônica em Hemodiálise, analisando-os mediante estatística descritiva. Resultados: revela-se que a maioria dos pacientes era do sexo masculino, idosos e de baixa escolaridade, dos quais 161 (93,3%) eram aderentes à medicação, que não deixaram de tomar os medicamentos e apresentaram média de níveis séricos de fósforo de 5,6 mg/dL. Conclusão: mostraram-se os doentes deste estudo boa adesão à medicação e orientados quanto à importância do seu uso. Aponta-se, pelos resultados, que os profissionais de saúde realizam orientações constantes aos pacientes, o que contribui para a promoção do conhecimento e autocuidado, bem como para a melhoria e qualidade da assistência. Descritores: Insuficiência Renal Crônica; Diálise Renal; Adesão à Medicação; Cooperação do Paciente; Doença Crônica; Enfermagem em Nefrologia.AbstractObjective: to measure adherence to medication in chronic renal patients on hemodialysis. Method: this is a quantitative, descriptive study carried out at a center of reference in Nephrology with 174 patients. Data collection used an Evaluation Questionnaire on the Adherence of the Patient with Chronic Kidney Disease on Hemodialysis, analyzing them through descriptive statistics. Results: most patients were male, elderly and with low schooling, of whom, 161 (93.3%) were adhering to the medication, who did not stop taking the medication and had mean serum levels of phosphorus of 5.6 mg/dl. Conclusion: the patients in this study showed good adherence to medication and knowledge regarding the importance of its use. The results show that the healthcare professionals perform continuous guidelines with those patients, which contributes to the promotion of knowledge and self-care, as well as to improvement and quality of care. Descriptors: Renal Insufficiency, Chronic; Renal Dialysis; Adherence Medication; Patient Compliance; Chronic Disease; Nephrology Nursing.ResumenObjetivo: medir la adherencia a la medicación en los pacientes con enfermedad renal crónica en hemodiálisis. Método: se trata de un estudio cuantitativo, descriptivo, realizado en un centro de referencia en Nefrología con 174 pacientes. Fue utilizado, para recopilar datos, un Cuestionario de Evaluación de la Adhesión del Portador de la Enfermedad Renal Crónica en Hemodiálisis, analizándolos mediante estadística descriptiva. Resultados: la mayoría de los pacientes eran del sexo masculino, de edad avanzada y con baja escolaridad, de los cuales 161 (93,3%) adhirieron a la medicación, que no dejen de tomar el medicamento y con una media de niveles séricos de fósforo de 5,6 mg/dl. Conclusión: los pacientes en este estudio presentaron una buena adherencia a la medicación e instrucciones en relación con la importancia de su uso. Los resultados mostraron que los profesionales de la salud realizan directrices continuas en esos pacientes, lo que contribuye a la promoción del conocimiento y el auto-cuidado, así como para la mejora y la calidad de la atención. Descriptores: Insuficiencia Renal Crónica; Diálisis Renal; Cumplimiento de la Medicación; Cooperación del Paciente; Enfermedad Crónica; Enfermería en Nefrología.

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“…Anemia is another important condition that can occur at any stage of CKD, and its prevalence and incidence increase as the glomerular filtration rate decreases. This condition causes fatigue, reduced libido and cognitive function, lethargy, anorexia, sleep disorders, and increases cardiac overload due to the decrease in hemoglobin concentration, which leads to a decrease in tissue oxygenation (31) . In view of these complications, the nurse needs scientific knowledge about renal pathophysiology, with a view to prescribing a unique therapeutic project shared with the team professionals, since this assessment needs to be joint and judged according to the characteristics of each person.…”

Section: Discussionmentioning

confidence: 99%

Terms of specialized nursing language for chronic renal patients undergoing conservative treatment

et al. 2020

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Objectives: to validate the terms of the specialized nursing language used in the care of people with chronic kidney disease undergoing conservative treatment identified in the literature by mapping them with terms of the International Classification for Nursing Practice, version 2019, and representing them by means of a mandala. Methods: descriptive, documentary and methodological study. The terms were collected in 53 scientific articles, standardized and mapped with the terminology. The validation was performed by six nurses through a focus group. The Content Validity Index was used and terms with a value ≥ 0.80 were validated. Results: the normalization resulted in 957 relevant terms, of which 499 were constant and 458 not included in the terminology. Terms were validated when Content Validity Index was between 0.86 and 1.0. Conclusions: the study allowed the validation of terms that will contribute to unify the professional language of nursing in the care of people with chronic kidney disease.

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Perfil epidemiológico de pacientes renais crônicos em tratamento

Cited by 14 publications

References 8 publications

Chronic Kidney Disease: Clinical and Epidemiological Scenario of Patients in Hemodialysis

Chronic Kidney Disease: Clinical and Epidemiological Scenario of Patients in Hemodialysis

Adesão à medicação pelo paciente renal crônco em hemodiálise

Terms of specialized nursing language for chronic renal patients undergoing conservative treatment

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