Foi/não foi tudo o que pensava: facilidades e dificuldades após o transplante renal

Santos, Bianca Pozza dos; Viegas, Aline da Costa; Feijó, Aline Machado; Lise, Fernanda; Schwartz, Eda

doi:10.1590/1983-1447.2016.03.60135

Cited by 5 publications

(9 citation statements)

References 7 publications

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“…As for the testimonies described in the category "Values and expectations attributed to the current condition of renal transplant", it is observed the story of a new meaning to life, the possibility of continuity in personal growth, freedom, new perspectives of well-being and challenges for adaptation. Corroborating the data presented here, surveys have also evidenced achievements, such as the independence, liberation from dialysis therapy, unrestricted fluid intake, return to social/leisure activities (25) , reduction of important stress factors and return to social and professional life (26)(27) .…”

Section: Discussionsupporting

confidence: 75%

“…During the treatment, these people experience several negative nuances, among them the creation of an arteriovenous fistula; double-lumen graft or catheter for the treatment; dependency on a life maintenance machine; feeding restrictions; and restriction of water intake (9) . Other situations, such as dizziness, hypo/hypertension, weakness, weight loss/ gain, anemia, itching, cramp, intestinal constipation, repetitive infections and cardiac arrhythmia, are described in the literature as regular clinical intercurrences (20,(24)(25) .…”

Section: Discussionmentioning

confidence: 99%

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Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse

et al. 2021

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Objectives: to identify feelings, experiences, and expectations of kidney transplant patients, generated from the diagnosis of chronic renal disease until the post-transplant period, highlighting the challenges for nurses to incorporate individualized care to cope throughout the disease process. Methods: qualitative, descriptive research, carried with seven kidney transplant patients, in the city of Manaus, State of Amazonas. The data analysis followed the methodological referential of Bardin’s content analysis. Results: the diagnosis of the disease was experienced negatively, and hemodialysis was described as an imprisonment and health decline. The transplant meant an improvement in quality of life. The main difficulties were lack of a specialized hospital and low immunity. Conclusions: the nurses’ approach of chronic renal patient and with the renal transplantation favored the discovery of solutions facing the demands of the disease and allowed greater capacity to implement individualized care, surrounding a relationship of trust and respect.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse

et al. 2021

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“…• Monitoring of systemic signs and symptoms and sites of infection such as the surgical wound (15,32,34).…”

Section: Resultsmentioning

confidence: 99%

“…• Monitoring the hydration situation; performing volume replacement; diuresis control every hour; weighs in fasting; evaluation of waist circumference and laboratory results regarding fluid retention (1,30,31,34).…”

Section: Resultsmentioning

confidence: 99%

“…• Monitoring the patient from the beginning of the evolution of their disease to a better quality of life after the procedure (16,33,34,37). • Orientation of the patient to always walk with their identification card about their transplant condition, in addition to their medication (15,32,34,36). • Updated vaccination card -including Covid-19 vaccination (41).…”

Section: Classification Of Post-kidney Transplant Nursing Care Main Resultsmentioning

confidence: 99%

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Nursing Care for Kidney Transplant Patients: A Scoping Review

et al. 2021

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Objectives: Mapping nursing care in kidney transplant patients. Materials and method: A scoping review was conducted according to the recommendations of the Joanna Briggs Institute Reviewers’ Manual. Data were collected through 13 national and international databases from December 2020 to January 2021, following scientific rigor in the selection of the material. The pre-selection was made by reading the title, abstract and introductory text in advance; the materials included in this stage were read in full to define the content for the study. Results: Fifteen studies were included. Of these, 60% are articles; dissertations, manuals, protocols, guidelines and bulletins totaled 40% of the material studied. 86.6% of the material has a quantitative approach. Regarding the methodological design, 73.3% were descriptive/transversal character studies. Regarding the mapping of nursing care, it was possible to divide them into two categories: nursing care after kidney transplantation (immediate, mediated and late) and nursing care after kidney transplantation in primary health/extra-hospital care. Conclusions: It is concluded that the study allowed mapping nursing care to kidney transplant patients in the immediate, late and primary health care periods.

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Practices and perspectives of patients and healthcare professionals on shared decision-making in nephrology

Dulmen

Roodbeen²,

Schulze

et al. 2022

BMC Nephrol

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Background Given the complexity and variety in treatment options for advanced chronic kidney disease (CKD), shared decision-making (SDM) can be a challenge. SDM is needed for making decisions that best suit patients’ needs and their medical and living situations. SDM might be experienced differently by different stakeholders. This study aimed to explore clinical practice and perspectives on SDM in nephrology from three angles: observers, patients and healthcare professionals (HCPs). Methods An explanatory sequential mixed methods design was used. First, in the quantitative part of the study, outpatient consultations with patients with advanced chronic kidney disease (eGFR < 20 ml/min) were video recorded and SDM was assessed using the OPTION5 instrument. Subsequently, in the qualitative part, patients and HCPs reflected on their own SDM behaviour during individual stimulated recall interviews which were analysed using deductive thematic content analysis. Results Twenty nine consultations were recorded and observed in seven hospitals. The mean SDM score was 51 (range 25–80), indicating that SDM was applied to a moderate extent. The stimulated recall interviews with patients showed that they rely on the information provision and opinion of HCPs, expect consistency and support, and desire a proactive role. They also expect to be questioned by the HCP about their SDM preferences. HCPs said they were willing to incorporate patients’ preferences in SDM, as long as there are no medical contraindications. They also prefer patients to take a prominent role in SDM. HCPs ascribe various roles to themselves in supporting patients’ decision-making. Conclusions Although SDM was applied by HCPs to a moderate extent, improvement is needed, especially in helping patients get the information they need and in making sure that every patient is involved in SDM. This is even more important given the complex nature of the disease and the relatively high prevalence of limited health literacy among patients with chronic kidney disease.

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Foi/não foi tudo o que pensava: facilidades e dificuldades após o transplante renal

Abstract: The advantages and disadvantages depend on each person's experience. The health professionals need to understand and promote health actions that promote the uniqueness and context of renal transplant.

Cited by 5 publications

References 7 publications

Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse

Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse

Nursing Care for Kidney Transplant Patients: A Scoping Review

Practices and perspectives of patients and healthcare professionals on shared decision-making in nephrology

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