Examinando por Autor "Silva Espinoza, Angie Geraldine"

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    Relationship between knowledge and self-care of vascular access in patients undergoing hemodialysis, Lima 2022
    (Universidad Privada Norbert Wiener, 2023-02-12) Silva Espinoza, Angie Geraldine; Fernández Rengifo, Werther Fernando
    Chronic Kidney Disease (CKD) is one of the main public health problems worldwide. The World Health Organization estimated that 13.4% of the global population has CKD. Patients with CKD require renal replacement therapy, such as hemodialysis treatment. The estimated number of patients undergoing hemodialysis is 7.1 million, a silent disease that directly impacts the global burden of morbidity and mortality. Estimates also show that 1,086,778 people died from CKD in 2013 alone. The rise in diseases such as diabetes mellitus, obesity, and aging are the main causes of this increase (1). The Pan American Health Organization (PAHO) stated that the prevalence of chronic kidney disease has steadily increased in Latin America. This is due to factors such as longer life expectancy, aging populations, higher rates of diabetes and hypertension in the general population, as well as high rates of Type 2 diabetes in Chile, Mexico, Argentina, and Brazil. Additionally, 40% of individuals with reduced kidney function were unaware of their CKD. Each day, 360 people began hemodialysis treatment for kidney failure, equivalent to one treatment every two minutes (2). The Spanish Society of Nephrology in Spain (2017) emphasized prioritizing the native arteriovenous fistula (AVF) over the prosthetic fistula due to its long-term patency, maturity, and the lower levels of complications that may arise. They concluded that achieving optimal patient recovery requires this prioritization. Questions about kidney disease, diet, and types of vascular access were developed to identify the concepts and knowledge evaluated in the study. Additionally, the questions determined how individuals responded to treatments and their dietary habits. Correct answers were assigned one point, while incorrect answers received zero points. The nine-point self-care assessment measured the patient’s understanding of their condition. Three subcategories were designated and scored: physical, social, and spiritual.