Objetivo: O presente estudo possui o propósito de identificar e analisar melhorias adaptativas para pacientes renais crônicos em tratamento hemodialítico. Metodologia: Baseado em um estudo de revisão da literatura do tipo bibliográfica integrativa, descritiva e retrospectiva com fontes de informação bibliográfica e análise qualitativa e quantitativa. Resultados: Informa sobre as dificuldades enfrentadas pelos portadores de DRC durante o tratamento de hemodiálise, além dos principais cuidados e intervenções da assistência de enfermagem, incluindo a teoria de Callista Roy para o desenvolvimento do conhecimento e o processo de adaptação. Estabelecendo que o papel do enfermeiro é essencial e indispensável. Conclusão: Torna-se fundamental o aprimoramento da equipe de enfermagem, considerando que na área de nefrologia o enfermeiro vem sendo cada vez mais um profissional de destaque.

Background: Confinement measures that were put in place in Mexico to reduce the transmission of the SARS-CoV-2 virus can affect individual’s lifestyle and well-being; Therefore, the aim of the study was to assess perceived changes in diet quality, emotional eating, physical activity and lifestyle, in a group of Mexican adults before and during the COVID-19 confinement. Methods: 8289 adults answered an online questionnaire between April and May 2020. Data about diet quality, emotional eating, physical activity and sociodemographic characteristics, weight and height were collected. Before and after confinement differences by sociodemographic characteristics were assessed with Wilcoxon, Anova and linear regression analyses. Results: Most participants were women (80%) between 18 and 38 years old (70%), with a low degree of marginalization (82.8%) and a high educational level (84.2%); 53.1% had a normal weight and 31.4% were overweight. Half (46.8%) of the participants perceived a change in the quality of their diet. Lifestyle changes were present among some of the participants, 6.1% stopped smoking, 12.1% stopped consuming alcohol, 53.3% sleep later, 9% became more sedentary, and increased their screen (43%), sitting and lying down time (81.6%). Conclusion: Mexicans staying at home during the COVID-19 confinement, that completed the ESCAN-COVID19Mx Survey, perceived positive changes in the quality of their diet, and smoking and alcohol consumption, but negative changes in the level of physical activity and quality of sleep.

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