Factores que influyen en la satisfacción del paciente de diálisis con enfermería

Abstract

Introducción: La satisfacción del paciente con los cuidados enfermeros se ha convertido en un determinante clave de la calidad de la atención sanitaria. Además, esto es especialmente relevante, sobre todo en pacientes crónicos, como es el caso del paciente con enfermedad renal crónica avanzada en hemodiálisis. Objetivo: Analizar los factores que intervienen en la satisfacción de los pacientes en hemodiálisis respecto al personal de enfermería. Metodología: Se ha llevado a cabo un estudio cualitativo, de tipo fenomenológico, mediante grupo focal de 7 pacientes en hemodiálisis de la Unidad de Gestión Clínica de Nefrología de Córdoba. Los sujetos fueron seleccionados mediante muestreo intencionado, tras su consentimiento informado. Resultados: Se han categorizado los resultados según las dimensiones de la calidad percibida. Respecto a la accesibilidad creen que son bien atendidos, pero pierden mucho tiempo en la unidad de diálisis. En cuanto a la fiabilidad, confían en las enfermeras con destreza para pinchar la fístula y desconfían de las enfermeras nuevas. Respecto a la comunicación, resaltan la buena relación existente entre ellos y el personal de enfermería. El trato es percibido como un punto fuerte, agradable y humano, en general. De forma generalizada destacan en las enfermeras un alto grado de competencia profesional, ligada al grado de fiabilidad que tengan con la enfermera. En general, califican el servicio asistencial que reciben de muy bueno e incluso excelente. Conclusiones: Este grupo de pacientes en hemodiálisis destaca la relación que se crea entre ellos y enfermería. Tienen un alto grado de confianza en el personal de enfermería, basado en su destreza para pinchar la fístula arteriovenosa y en su fiabilidad profesional.

Patients’ experiences of cannulation of arteriovenous access for haemodialysis: A qualitative systematic review

“…Only four studies were directly about cannulation. 8,9,17,18 Other studies were about pain, 26,27 experiences of VA for haemodialysis, 14,[28][29][30][31][32][33] experiences of in-centre and home haemodialysis [34][35][36][37][38][39][40][41][42][43][44][45][46] and research priority setting. 47 Studies were conducted across five continents, but despite this diversity in study location themes extracted did not seem to vary due to culture, with the exception of one study, which developed themes linked to religion in a Thai culture.…”

“…The issue of cannulation is not only evident in studies that specifically explore cannulation, but is also highlighted in studies that explore experiences of VA 14,[28][29][30][31][32][33] and haemodialysis. [34][35][36][37][38][39][40][41][42][43][44][45][46] Casey et al's 7 systematic review identified 'fear of cannulation' as part of patients' experiences of VA for haemodialysis and a key area of concern. Whilst studies have found there was better patient satisfaction with AV fistulae in comparison to AV grafts and CVCs, patients with AV access were more likely to be bothered by symptoms associated with cannulation, namely the appearance of their access, pain, bruising and swelling.…”

“…Patients had ‘ more confidence in somebody that you know is going to do it well ’. 37 Whereas patients often worried if they did not trust the cannulator: ‘ I was in non-stop panic because she’d stuffed up my buttonhole, my access ’. 33 The cannulator could also do things to make patients feel safer: ‘ Just talking through it, I think that really helps.…”

“…The necessity and regularity of the procedure creates the need to survive this procedure, regardless of how unpleasant this is. 9,14,17,18,27,29,30,31,32,33,34,36,37,38,40,41,42,43,45,46 High confidence -…”

Satisfaction Level Undergoing Patients Hemodialysis in Service Nursing in the Hemodialysis Unit Hemodialysis Efarina Hospital Etaham Berastagi

“…Whereas satisfaction patient according to [18] is something situation Where client and family consider costs incurred in accordance with quality service received and level progress condition his health. System service given health For patient at first always oriented to disease but moment This various effort has done in enhancement service health besides That public general has more interested about enhancement service that is , awareness public the influenced by letters newspapers , magazines , electronic media , and other communication media as well as by their existence debates transparent politics , with awareness public the so they start have great faith that health and services health is right basic and not just facility For certain group of people [17].…”