Senses and Meanings of Conservative Treatment in People with Chronic Kidney Disease

Abstract

Objective: To unveil the senses and meanings of conservative treatment in people with chronic kidney disease (CKD). Materials and Methods: A descriptive and exploratory study with a qualitative approach. It was developed in 2017, with a sample of individuals with CKD undergoing conservative treatment. A semi-structured interview was used and the data were analyzed using simple descriptive statistics and content analysis. Results: 25 individuals participated in the study, of which 56 % were female; 52 % belonged to the 60-79-year-old age group; 48 % were white-skinned; 48 % did not complete elementary school; and only 12 % worked. Content analysis revealed two categories: food restriction: anguishes and impacts that affect the daily lives of patients with CKD and the social imaginary and fear related to renal replacement therapy. Conclusions: The results revealed that diet and fear about dialysis therapy produce uncertainty, anxiety, and insecurity, in addition to a wide and impacting change in people’s lives.

Análisis del tratamiento conservador en el paciente con enfermedad renal crónica terminal. Revisión sistemática

“…Por último, la forma de reducir los síntomas según propone Kamaret et al 26 , se debe centrar en que los pacientes obtengan información plena sobre su enfermedad, resuelvan dudas y conozcan los resultados; y esto redundará en una menor carga de los síntomas respecto a aquellos que vivan con la incertidumbre. En este sentido, es importante destacar que si se refuerza la educación sanitaria, se disminuirá el miedo y la incertidumbre de los pacientes, ya que tendrán una mayor compresión sobre la enfermedad y sus síntomas; y por lo tanto, es esencial nombrar la figura de enfermería en el rol de educadores en salud, para abordar con estos pacientes la toma de decisiones, respecto a su cuidado integral y elección de tratamiento 36 .…”

Clinical validation of the terminological subset for people with chronic kidney disease undergoing conservative treatment

“…As it is a chronic condition that requires the involvement of a multidisciplinary team, care practices must be implemented in order to contribute to reducing the progression of the disease. In this way, conservative treatment is instituted in order to provide the person with CKD with a good and reconcilable clinical condition, especially with regard to treatment possibilities compatible with the reality of each individual, with a view to endorsing, at an opportune moment, a better condition, to discuss and decide on the most appropriate and convenient therapeutic method for future phases ( 4 ) .…”

Validação clínica do subconjunto terminológico para pessoas com doença renal crônica em tratamento conservador

“…Por ser uma condição crônica que requer o envolvimento de uma equipe multidisciplinar, é preciso que práticas de cuidado sejam implementadas a fim de contribuir para redução da progressão da doença. Deste modo, o tratamento conservador é instituído a fim de propiciar a pessoa com DRC um bom estado clínico e conciliável, sobretudo no tocante às possibilidades de tratamento compatíveis com a realidade de cada indivíduo, com vistas a referendar, em momento propício, uma melhor condição para se discutir e decidir acerca do modo terapêutico mais adequado e conveniente para as fases futuras (4) .…”