Valoración de las necesidades de cuidados del paciente durante la hemodiálisis y su relación con el grado de dependencia

Abstract

Introduction: Currently, haemodialysis patients are older, higher comorbidity added and a certain greater degree of dependence. This situation causes that the attention in dialysis units become increasingly complex, often related to the degree of dependence with higher patient care needs. However, there are no studies where this fact is evidenced concretely.
Objective: The aim of this study was to evaluate the dependence of haemodialysis patients and their relationship to the needs of nursing care during the session. Patients and Methods: 88 haemodialysis patients were studied in the Nephrology Unit of the HURS of Córdoba, through an analytical observational design. To assess the degree of dependence, we used the "Delta Test" and the "Katz index”. To analyse the demand for care, we used during the session, a homemade table of nursing activities.
Results: The mean age was 64.87 years, with a mean comorbidity index of 7 (range 0-12. When Delta Test results were analyzed, we found that 69.3% had some type of dependency, while the Katz index showed 72.7%, finding a good correlation between the two measures (r= 0.866; p<0.01). Correlations between age and nursing activities (r= 0.331; p <0.01), comorbidity index (r= 0.726; p<0.01) and the Delta Test (r = 0.244; p<0.05) were found.
Conclusions: Our results suggest that the greater the degree of dependence, regardless of the instrument used, the greater care needs. Similarly, the higher age and comorbidity, higher need for nursing care during haemodialysis. It would be necessary deepen on the study of the table care during the session.