Socio-demographic, clinical and laboratory profile of patients submitted to hemodialysis

Telles, Cristina Trevizan; Dobner, Taise; Pomatti, Gabriela; Fortes, Vera Fortunato; Brock, Felipe; Bettinelli, Luiz Antônio

doi:10.15253/2175-6783.2014000300006

Cited by 5 publications

(9 citation statements)

References 12 publications

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“…20 In relation to underlying CRD disease and association of comorbidity, systemic arterial hypertension (SAH) has also been found in other studies. [21][22] SAH has become a national and worldwide public health problem and is considered a ubiquitous condition in CRD, and can be considered a cause and consequence of such pathology. 23 The choice of the dialysis modality is associated with several factors, and it is of fundamental importance that the patient knows the types of treatments offered for a joint definition of the treatment, associated with the clinical condition of the patient and the doctor´s evaluation 6 .…”

Section: /13mentioning

confidence: 99%

Health Literacy of Individuals Undergoing Dialysis Therapy

Bezerra

Lessa

et al. 2019

Texto contexto - enferm.

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Objective: to assess the functional levels of health literacy in individuals undergoing dialysis. Method: a cross-sectional study with 42 patients of the Nephrology Unit of a public hospital in Recife, Brazil, from May to August 2016. Data were collected through scripted interviews and chart analysis. Functional health literacy was measured using the Brazilian version of the Short-Test of Functional Health Literacy in Adults questionnaire. Data analysis was performed using the Statistical Package for Social Sciences (SPSS ® ) software, version 18.0, with a univariate analysis to verify the association between independent variables and functional health literacy levels using Fisher's exact test. Results: 80.9% of the patients presented inadequate health literacy and 19.1% presented adequate health literacy. The number of correct answers remained between 0-18 in the reading comprehension and in the scheduling appointment card. Among the independent variables, only marital status (p-value=0.018) and personal income (p-value=0.009) were factors associated with the worst scores in the test, indicating that these variables influence the increase in inadequate literacy. Conclusion: the prevalence of inadequate functional literacy was high, reflecting difficulties in understanding and processing health information, which may interfere with therapeutic management and self-care.Objetivo: analisar os níveis de letramento funcional em saúde dos indivíduos em tratamento dialítico. Método: estudo transversal com 42 pacientes assistidos na Unidade de Nefrologia de um hospital da rede pública em Recife, Brasil, no período de maio a agosto de 2016. Os dados foram coletados por meio de entrevista com roteiro estruturado e análise de prontuário. O letramento funcional em saúde foi mensurado pela versão brasileira do questionário Brief Test of Functional Health Literacy in Adults. A análise dos dados foi por meio do software estatístico Statistical Package for the Social Sciences (SPSS ® ) versão 18.0, com análise univariada para verificar associação entre as variáveis independentes com os níveis de letramento funcional em saúde através do teste Exato de Fisher. Resultados: constatou-se que 80,9% dos pacientes apresentaram letramento em saúde inadequado e 19,1% adequado. O número de acertos se manteve entre 0-18 na compreensão de leitura e no cartão de aprazamento das consultas. Dentre as variáveis independentes, apenas estado civil (p-valor=0,018) e renda pessoal (p-valor=0,009) apresentaram-se como fatores associados aos piores escores no teste, indicando que essas variáveis influenciam no aumento do letramento inadequado. Conclusão: a prevalência de letramento funcional inadequado foi alta, refletindo as dificuldades de compreensão e processamento de informações em saúde, podendo interferir no manejo terapêutico e no autocuidado. DESCRITORES:Alfabetização em saúde. Doença renal. Diálise. Conhecimento. Autocuidado.

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Section: /13mentioning

confidence: 99%

Health Literacy of Individuals Undergoing Dialysis Therapy

Bezerra

Lessa

et al. 2019

Texto contexto - enferm.

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“…Neste estudo observou-se que a maioria dos pacientes submetidos à hemodiálise eram do sexo masculino, o que corrobora com estudos em diversas localidades no Brasil [32,33,34,35]. Em um estudo com população japonesa, foi observado que a obesidade sem anormalidades metabólicas estava associada com maior risco de DRC em homens [36].…”

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Identificação de risco cardiovascular pela razão triglicerídeo/HDL-colesterol em pacientes com doença renal crônica em hemodiálise

Moraes

Santos²,

Dias

et al. 2017

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. ABSTRACT AIMS: To identify cardiovascular risk by triglyceride/high density lipoprotein cholesterol ratio (TG/HDL-c) and to verify its association with socio-demographic factors, clinical parameters and body mass index in patients with chronic renal disease on hemodialysis. METHODS: Cross-sectional study, in which patients with chronic kidney disease in hemodialysis were evaluated. A non-probability convenience sampling was used. Sociodemographic data were collected through a semi-structured questionnaire interview, and clinical and laboratory data were obtained from the medical records. For the identification of cardiovascular risk, the TG/HDL-c ratio was calculated from plasma triglycerides (mg/dL) and high density lipoprotein cholesterol (mg/dL). The cut-off point for TG/HDL-c considered to be indicative of cardiovascular risk was ≥3.8 mg/dL. For statistical analysis, the chi-square test was used, and the significance level was set at 5% (p <0.05). RESULTS: A total of 71 patients were evaluated, with a mean age of 49.9±13.2 years, being 28 women (50.1±13.2 years) and 43 men (49.7±13.2 years). Among the 71 patients, 31 (43.66%) had cardiovascular risk characterized by the TG/HDL-c ratio ≥3.8 mg/dL. In general, the profile of patients with and without cardiovascular risk was similar. However, in patients with cardiovascular risk there was a higher proportion of males (77.42%), while in those who did not have this risk, the female gender was more frequent (52.50%). This variable showed a significant difference between the groups with and without cardiovascular risk (p=0.011). CONCLUSIONS: In this sample of patients with chronic kidney disease on hemodialysis, the TG/HDL-c ratio identified a high cardiovascular risk index, which was significantly associated with males.

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“…3,6,8 The greater prevalence of men in the process of hemodialysis occurs by their lower frequency in health services, thus, the late diagnosis of a CKD leads to a poor prognosis. 9 This therapy is performed in older adults once the greater the age, the higher the probability of being affected by chronic diseases such as diabetes mellitus and hypertension, which provides gradual onset of a CKD and consequently adherence to a treatment. 2,10 Other studies corroborate the results of this work, regarding race, in which pardos showed greater adherence to both hemodialysis, as well as to the pharmacological treatment.…”

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confidence: 99%

Impacto da hemodiálise nas escórias nitrogenadas séricas

Porto

Leal

Barbosa

et al. 2019

Rev enferm UFPE on line.

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RESUMOObjetivos: descrever o perfil sociodemográfico de pacientes em hemodiálise e analisar os parâmetros laboratoriais pré/pós-hemodiálise. Método: trata-se de estudo quantitativo, descritivo e transversal realizado com paciente em hemodiálise. Coletaram-se os dados através de formulário sociodemográfico e recorte documental de exames laboratoriais pré/pós-hemodiálise e analisou-os por meio de frequências relativas e absolutas pelo software Statical Package of Social Sciences 21.0, bem como cálculo de desvio padrão e taxa de redução dos metabólitos. Resultados: identificou-se que de 151 participantes, 72,8% eram homens, 52,3% pardos, 74,4% católicos, 37,8% tinham entre 40-59 anos de idade, 33,8% possuíam 4-8 anos de escolaridade, 63,3% possuíam 1-3 anos de hemodiálise e 60,3% foram admitidos pela emergência. Após a hemodiálise, observou-se taxa de redução importante para a ureia, fósforo, alumínio e transaminase glutâmico-pirúvica. Conclusão: compõe-se o perfil de pacientes em hemodiálise homens, pardos, católicos, 40-59 anos, 1-3 anos de hemodiálise e provenientes da emergência. A hemodiálise propiciou taxa de redução significativa das escórias nitrogenadas. Ressalta-se a importância das atividades educativas voltadas para o protagonismo do paciente na prevenção de complicações, a fim de determinar o sucesso do tratamento. Descritores: Saúde do Adulto; Assistência à Saúde; Unidades Hospitalares de Hemodiálise; Nefropatia; Doença Crônica; Diálise Renal. ABSTRACT Objectives: to describe the sociodemographic profile of patients on hemodialysis and analyze the pre/post-hemodialysis laboratory parameters. Method: this is a quantitative, descriptive and cross-sectional study with patients on hemodialysis. Data were collected using a sociodemographic form and documentary clipping of pre/post-hemodialysis laboratory examinations, examined by means of relative and absolute frequencies by the software Statistical Package of Social Sciences 21.0, as well as calculation of standard deviation and the reduction rate of metabolites. Results: of the 151 participants, 72.8% were men, 52.3% pardos, 74.4% Catholics, 37.8% were 40-59 years old, 33.8% had 4-8 years of schooling, 63.3% had 1-3 years of hemodialysis and 60.3% were admitted at the emergency. After hemodialysis, there was a reduction rate for urea, phosphorus, aluminum and glutamic-pyruvic transaminase. Conclusion: the profile of patients on hemodialysis consists of men, pardos, Catholics, 40-59 years old, 1-3 years of hemodialysis and from the emergency. The hemodialysis propitiated a significant reduction rate of nitrogenous waste. Educational activities focused on the patient’s role in the prevention of complications stand out, in order to determine the treatment success. Descriptors: Adult Health; Health Care; Hemodialysis Hospital Units; Nephropathy; Chronic Disease; Renal Dialysis. RESUMEN Objetivos: describir el perfil sociodemográfico de los pacientes en hemodiálisis y analizar los parámetros de laboratorio pre/post-hemodiálisis. Método: se trata de un estudio cuantitativo, descriptivo y de corte transversal en pacientes en hemodiálisis. Se recogieron los datos mediante un formulario sociodemográfico y recorte documental de exámenes de laboratorio pre/post-hemodiálisis, examinados por medio de frecuencias absolutas y relativas por el software Statistical Package of Social Sciences 21.0, así como el cálculo de la desviación estándar y el coeficiente de reducción de metabolitos. Resultados: se encontró que de 151 participantes, el 72,8% eran hombres, 52,3% pardos, 74,4% católicos, 37,8% tenían entre 40-59 años de edad, 33,8% tenían 4-8 años de escolaridad, 63,3% tenían 1-3 años de hemodiálisis y 60,3% fueron admitidos por la emergencia. Después de la hemodiálisis, se observó una tasa de reducción significativa de urea, fósforo, aluminio y transaminasa glutámico pirúvica. Conclusión: el perfil de los pacientes en hemodiálises es compuesto por hombres, pardos, católicos, 40-59 años de edad, 1-3 años de hemodiálisis y provenientes de la emergencia. La hemodiálisis propició la tasa de reducción significativa de los residuos nitrogenados. Se destaca la importancia de las actividades educativas centradas en el rol del paciente en la prevención de complicaciones, a fin de determinar el éxito del tratamiento. Descriptores: Salud del Adulto; Atención en Salud; Unidades Hospitalarias de Hemodiálisis; Nefropatía; Enfermedad Crónica; Diálisis Renal.

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Socio-demographic, clinical and laboratory profile of patients submitted to hemodialysis

Cited by 5 publications

References 12 publications

Health Literacy of Individuals Undergoing Dialysis Therapy

Health Literacy of Individuals Undergoing Dialysis Therapy

Identificação de risco cardiovascular pela razão triglicerídeo/HDL-colesterol em pacientes com doença renal crônica em hemodiálise

Impacto da hemodiálise nas escórias nitrogenadas séricas

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