Influencia de la consulta de enfermería de enfermedad renal crónica avanzada en pacientes que inician tratamiento renal sustitutivo

Abstract

Early referral of patients with advanced specialist care and nephrology integrated and specialized in predialysis stage, provided by a multidisciplinary team chronic kidney disease, has been shown to have significant benefits for patients with advanced stage renal disease who initiate renal replacement therapy. Objective: To determine if there is risk of changes to physical, psychological or quality of life in patients starting renal replacement therapy depending on whether they have been tracking nephrology multidisciplinary predialysis stage. Methods: Observational analytical study on a sample of 90 patients starting renal replacement therapy. Results: 86.5% of the patients studied was followed by the nephrologist in the predialysis stage, only 37.8% of patients was treated by the nurse. 27.8% of patients showed elevated levels of anxiety when starting dialysis. No differences in quality of life associated with health among patients followed or not by the nurse in the predialysis phase were found. Conclusions: A very small percentage of patients are followed in predialysis nurses, with no significant differences in quality of life related to health between the two groups. If significant differences were found with regard to anxiety; the group of patients seen by the nurse in the predialysis stage have higher levels of anxiety that unattended.