Valoración de la eficacia de la consulta de enfermería en relación a la kalemia y la ganancia ponderal del paciente en hemodiálisis

Abstract

Introduction: Nursing consultation is an indispensable tool in renal replacement therapy by providing the knowledge necessary for the self-management of the patient and family. Kalemia and weight gain are two of the variables with greater association with morbi-mortality.
Alm: To evaluate the effectiveness of nursing consultation regarding kalemia and weight gain in hemodialysis patients.
Material and methods: Descriptive and retrospective study conducted in 121 patients in hemodialysis program of the Parc Taulí Hospital.
Were analyzed:
– Kalemia before nursing consultation and at 2, 4 and 6 months after intervention stratified according to the presence of drug treatment.
– Interdialytic weight gain of 14 sessions before and after the nursing consultation, considering whether patients maintained diuresis.
Results:
Kalemia:
• 68.61% of the 51 patients with hyperkalemia at baseline improved at 2 months post-intervention, without changes in drug treatment. Results were maintained at 4 and 6 months.
• Stratifying the sample: K=5'1-5'5 mEq / l were improved at 67.85%, K> 5'5-6'5 mEq / l at 72.99% and K> 6.5 mEq / l at 100 %.
Weight gain:
• Patients before nursing consultation accumulated more than 2kg improved post-intervention in 52.45%.
Conclusions: Results demonstrate the effectiveness of the nursing consultation because after the intervention was significantly decreased hyperkalemia and hypervolemia, reducing the morbimortality of our patients.