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Abstract
Introduction: People with chronic kidney disease on dialysis require greater care due to the complex management of their condition, the multiple complications associated with treatment and the need to adopt healthy lifestyles in order to guarantee the effectiveness and safety of the therapies.
Objective: To determine the self-care competence of people on dialysis, as well as its relationship with socio-demographic and clinical characteristics.
Methodology: A descriptive cross-sectional observational study was carried out in a renal unit in southern Colombia. Instruments used: Characterisation survey for the care of the person with chronic disease, clinical characteristics form and the patient-version of the Competence for Care Questionnaire.
Results: 200 dialysis patients were included, with a mean age of 59±13.89 years, 50.5% women, with a stable partner, support for their care, primary education, dedicated to household chores, and low socioeconomic level. 47.5% showed high self-care competence, 42% medium competence and 10.5% low competence. Statistically significant associations of self-care competence with the variables punctual attendance to therapy (p=0.024) and pharmacological adherence (p=0.001) were identified.
Conclusions: The population studied was characterised by living in socioeconomic conditions that increase the vulnerability of the dialysed person, most of them had support for care, presented a high to medium level of competence for self-care, related to punctual attendance at therapy and compliance with pharmacological adherence.
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References
- Pérez-Fontán M, Remón-Rodríguez C, Coronel F. Trasplante renal en diálisis peritoneal. Guías de Práctica Clínica en Diálisis Peritoneal. Sociedad Española de Nefrología. 2005;304-20.
- Andreetta B, Verrina E, Sorino P, Edefonti A, Perfumo A, Bassi S, et al. Complications linked to chronic peritoneal dialysis in children after kidney transplantation: experience of the italian registry of pediatric chronic peritoneal dialysis. Peritoneal Dialysis International. 1996;16(1):570-3. DOI: https://doi.org/10.1177/089686089601601S118
- Palmer JA, Kaiser BA, Polinsky MS, Dunn SP, Braas C, Waltz R, et al. Peritoneal dialysis catheter infections in children after renal transplantation: choosing the time of removal. Pediatr Nephrol. 1994;8:715-8. DOI: https://doi.org/10.1007/BF00869099
- Warren J, Jones E, Sener A, Drage M, Taqui A, Griffin S, et al. Should peritoneal dialysis catheters be removed at the time of kidney transplantation. Can Urol Assoc J. 2012;6(5):376-8. DOI: https://doi.org/10.5489/cuaj.12112
- Bakir N, Surachno S, Sluiter WJ, Struijk DG. Peritonitis in peritoneal dialysis patients after renal transplantation. Nephrol Dial Transplant. 1998;13:3178-83. DOI: https://doi.org/10.1093/ndt/13.12.3178
- Díaz-Buxo JA, Walker PJ, Burgess WP, Farmer CD, Chandler JT, Faircloth W, et al. The influence of peritoneal dialysis on the outcome of transplantation. The International Journal of Artificial Organs. 1986;9(5):359-62. DOI: https://doi.org/10.1177/039139888600900520
- Brady HR, Abraham G, Oreopoulos DG, Cardella CJ. Bowel erosion due to a dormant peritoneal catheter in immunosuppressed renal transplant recipients. Peritoneal Dialysis International. 1988;8:163-5. DOI: https://doi.org/10.1177/089686088800800212
- O’Donogue D, Manos J, Pearson R, Scott P, Bakran A, Jonhson R, et al. Continuous ambulatory peritoneal dialysis and renal transplantation: a ten-year experience in a single center. Peritoneal Dialysis International. 1992;12:242-9. DOI: https://doi.org/10.1177/089686089201200212
- Evangelista JB, Bennet-Jones D, Cameron JS, Ogg C, Williams DG, Taube DH, et al. Renal transplantation in patients treated with haemodialysis and short term and long term continuous ambulatory peritoneal dialysis. British Medical Journal. 1985;291:1004-7. DOI: https://doi.org/10.1136/bmj.291.6501.1004
- Patel S, Rosenthal JT, Hakala TR. Management of the peritoneal dialysis catheter after transplantation. Transplantation. 1983;36:589-90. DOI: https://doi.org/10.1097/00007890-198311000-00025
- Winchester JF, Rotellar C, Goggins M, Robino D, Alijani MR,Rakowski TA, et al. Transplantation in peritoneal dialysis and hemodialysis. Kidney International. 1993;43(40):101-5.
- García-García G, Harden P, Chapman J. El papel global del trasplante renal. Nefrología. 2012; 32(1):1-6. DOI: https://doi.org/10.1590/S0101-28002012000100001
- Pérez-Fontán M, Rodríguez-Carmona A, García T, Moncalin J, Oliver J, Valdés F. Renal transplantation in patients undergoing chronic peritoneal dialysis. Peritoneal Dialysis International. 1996;16:48-51. DOI: https://doi.org/10.1177/089686089601600112
- Gokal R, Kost S. Peritoneal dialysis immediately post transplantation. Adv Perit Dial. 1999;15:112-5. DOI: https://doi.org/10.1177/089686089901902S02
References
Pérez-Fontán M, Remón-Rodríguez C, Coronel F. Trasplante renal en diálisis peritoneal. Guías de Práctica Clínica en Diálisis Peritoneal. Sociedad Española de Nefrología. 2005;304-20.
Andreetta B, Verrina E, Sorino P, Edefonti A, Perfumo A, Bassi S, et al. Complications linked to chronic peritoneal dialysis in children after kidney transplantation: experience of the italian registry of pediatric chronic peritoneal dialysis. Peritoneal Dialysis International. 1996;16(1):570-3. DOI: https://doi.org/10.1177/089686089601601S118
Palmer JA, Kaiser BA, Polinsky MS, Dunn SP, Braas C, Waltz R, et al. Peritoneal dialysis catheter infections in children after renal transplantation: choosing the time of removal. Pediatr Nephrol. 1994;8:715-8. DOI: https://doi.org/10.1007/BF00869099
Warren J, Jones E, Sener A, Drage M, Taqui A, Griffin S, et al. Should peritoneal dialysis catheters be removed at the time of kidney transplantation. Can Urol Assoc J. 2012;6(5):376-8. DOI: https://doi.org/10.5489/cuaj.12112
Bakir N, Surachno S, Sluiter WJ, Struijk DG. Peritonitis in peritoneal dialysis patients after renal transplantation. Nephrol Dial Transplant. 1998;13:3178-83. DOI: https://doi.org/10.1093/ndt/13.12.3178
Díaz-Buxo JA, Walker PJ, Burgess WP, Farmer CD, Chandler JT, Faircloth W, et al. The influence of peritoneal dialysis on the outcome of transplantation. The International Journal of Artificial Organs. 1986;9(5):359-62. DOI: https://doi.org/10.1177/039139888600900520
Brady HR, Abraham G, Oreopoulos DG, Cardella CJ. Bowel erosion due to a dormant peritoneal catheter in immunosuppressed renal transplant recipients. Peritoneal Dialysis International. 1988;8:163-5. DOI: https://doi.org/10.1177/089686088800800212
O’Donogue D, Manos J, Pearson R, Scott P, Bakran A, Jonhson R, et al. Continuous ambulatory peritoneal dialysis and renal transplantation: a ten-year experience in a single center. Peritoneal Dialysis International. 1992;12:242-9. DOI: https://doi.org/10.1177/089686089201200212
Evangelista JB, Bennet-Jones D, Cameron JS, Ogg C, Williams DG, Taube DH, et al. Renal transplantation in patients treated with haemodialysis and short term and long term continuous ambulatory peritoneal dialysis. British Medical Journal. 1985;291:1004-7. DOI: https://doi.org/10.1136/bmj.291.6501.1004
Patel S, Rosenthal JT, Hakala TR. Management of the peritoneal dialysis catheter after transplantation. Transplantation. 1983;36:589-90. DOI: https://doi.org/10.1097/00007890-198311000-00025
Winchester JF, Rotellar C, Goggins M, Robino D, Alijani MR,Rakowski TA, et al. Transplantation in peritoneal dialysis and hemodialysis. Kidney International. 1993;43(40):101-5.
García-García G, Harden P, Chapman J. El papel global del trasplante renal. Nefrología. 2012; 32(1):1-6. DOI: https://doi.org/10.1590/S0101-28002012000100001
Pérez-Fontán M, Rodríguez-Carmona A, García T, Moncalin J, Oliver J, Valdés F. Renal transplantation in patients undergoing chronic peritoneal dialysis. Peritoneal Dialysis International. 1996;16:48-51. DOI: https://doi.org/10.1177/089686089601600112
Gokal R, Kost S. Peritoneal dialysis immediately post transplantation. Adv Perit Dial. 1999;15:112-5. DOI: https://doi.org/10.1177/089686089901902S02