Resultado de la intervención Enseñanza: Dieta prescrita en la consulta de enfermedad renal crónica avanzada

Abstract

Advanced chronic kidney disease (ACKD) units provide care to chronic kidney disease patients <30 ml/min glomerular filtration rate (GFR). These include different nursing interventions as 5614 intervention teaching: prescribed diet intervention.
Goal: To analyze the effectiveness of 5614 Education: prescribed diet intervention in ACKD unit patients, on the first visit.
Material and methods: Quasi-experimental study. 92 incident ACKD unit patients in 2014 were included.
5614 Teaching: prescribed diet intervention was performed. 1004 nutritional status outcome indicators were evaluated 2 months after nursing intervention.
Descriptive statistics of the variables pre and post intervention was performed.
Results: Mean age 69.5 ± 15 years, 64.1% (n = 59) men, 35.9% (n = 33) women, 41.3% diabetic. After nursing intervention, 62% of patients decreased the K values, 54.3% with P, 55.4% in total cholesterol, 59.8% in LDL-C, and 44.6% of uric acid. 67.4% of patients lost weight. In these patients the average variation of albumin was -0.005 ± 0.0028 mg /dL. The FG remained stable in 63% of patients. SBP mean decreased in 42.4% of patients and DBP mean in 38% patients.
Conclusion: After 5614 Teaching: prescribed diet intervention at first ACKD unit visit weight loss and plasma levels of P, K, LDL-cholesterol, total cholesterol and uric acid were observed. Kidney function remained stable. Albumin concentration in patients who lost weight remained stable. The mean difference for the K values and total cholesterol was statistically significant.