Examinando por Materia "Renal Insufficiency"

Mostrando 1 - 12 de 12

Acceso abierto
Ansiedad y la calidad de vida en pacientes con insuficiencia renal en una clínica de hemodiálisis del distrito de Los Olivos, Lima, 2024
(Universidad Privada Norbert Wiener, 2024-10-06) Sulca Carbajal, Felicitas; Matos Valverde, Carmen Victoria
Introducción: Los pacientes con una enfermedad renal crónica terminal, presentan síntomas de ansiedad principalmente al inicio de cada sesión de hemodiálisis, experimentan trastornos emocionales que pueden causar un impacto negativo en su calidad de vida. El profesional de Enfermería está debe tener las competencias para intervenir con los cuidados de brindar apoyo emocional al paciente renal y su familia. Objetivo: Determinar cuál es la relación entre la ansiedad y calidad de vida en pacientes con insuficiencia renal de una clínica de hemodiálisis. Método: se desarrolló la investigación con método hipotético deductivo con enfoque cuantitativo, tipo aplicada, diseño no experimental, de nivel correlacional. La muestra censal estará conformada de 84 pacientes de ambos sexos entre la edad de 18 a 60 años de edad en tratamiento de hemodiálisis. El material utilizado para el trabajo de investigación será el cuestionario Inventario de Ansiedad Estado-Rasgoy el cuestionario WHOQOL-BREF Los instrumentos son validados y confiables con un valor Alfa de Cronbach de 0,90 A/R, 0,94 A/E, mientras que la confiabilidad del cuestionario Calidad de Vida, para la escala total y que van desde 0,70 a 0,79 en cada una de las dimensione. Los resultados serán procesados en el programa estadístico Microsoft Excel e IBM SPSS 26 versión 26.
Acceso abierto
Efficacy of Citrate Versus Heparin Anticoagulation in Decreasing Bleeding in Patients With Acute Renal Failure on Continuous Renal Replacement Therapy
(Universidad Privada Norbert Wiener, 1905-07-09) Cabanillas Huamán, Augusto Enrique; Rosas Casique, Diana Beatriz; Remuzgo Artezano, Anika
Objective: Systematize the evidence on the effectiveness of citrate anticoagulation versus heparin to reduce bleeding in patients with acute renal failure on continuous renal replacement therapy. Results: The results obtained from the systematic reviews show that of the total of 10 scientific articles reviewed, 100% (n=10/10) report that the use of citrate anticoagulation is more effective compared to the use of heparin. , show that the implementation of a protocol, and the choice of first-line use of citrate anticoagulation is safe, and has more advantages than heparin, because it presents a lower risk of bleeding complications. and/or bleeding. Fernández states that the incidence of hemorrhage was (0% vs. 10.3%). Zhang indicated that citrate is able to reduce the risk of bleeding 0.28 (95% CI 0.15 0.50). Wu reported a statistically significant decrease in bleeding (RR, 0.34; 95% CI, 0, 17-0.65). Conclusions: 100% (n=10/10) show that the use of citrate anticoagulation is more effective compared to the use of heparin, because it significantly reduces the risk and complications of hemorrhage and/or bleeding.
Acceso abierto
Knowledge about adherence to treatment and self-care of vascular access in patients with renal failure, Hospital Nacional Dos de Mayo, 2021
(Universidad Privada Norbert Wiener, 2022-01-09) Huamán Carrasco, María Luz; Fernández Rengifo, Werther Fernando
The study is descriptive and cross-sectional. Likewise, the sample consisted of 38 patients treated in the hemodialysis unit of the Dos de Mayo National Hospital in the district of Lima. The technique used for data collection was the survey and as an instrument the questionnaire, which evaluated the relationship between the level of knowledge about treatment adherence and central venous catheter self-care: variable level of knowledge about central venous catheter, 11 items were used. ; and, for the central venous catheter self-care variable in hemodialysis patients, 15 items were used. Frequency tables and bar figures were used for the parametric correlation test. Data analysis and processing was done using Microsoft Excel 2013 software. The results indicate that the level of knowledge about venous catheters is significantly related to central venous catheter self-care in hemodialyzed patients. It is important that patients continue to be educated to strengthen their knowledge and encourage self-care practices, which are fundamental aspects for the prevention of complications.
Acceso abierto
Knowledge and practice of self-care for arteriovenous fistula in hemodialysis patients in a hospital and clinic in Huancayo, 2023
(Universidad Privada Norbert Wiener, 2023-09-24) Arredondo Cristóbal, Hugo Alfredo; Camarena Chamaya, Luis Miguel
The knowledge and self-care practices of arteriovenous fistula in hemodialysis patients refer to proper self-care of their arteriovenous fistula. This includes keeping the area clean, avoiding trauma, monitoring the fistula regularly, following recommendations, and taking preventative measures to avoid complications. Objective: To determine the relationship between the level of knowledge and practice of self-care of arteriovenous fistula in patients in the hemodialysis area of a Clinic in Huancayo - 2023. Methods: applied, qualitative, hypothetical, correlational and cross-sectional study. The sample will consist of 80 nurses. The survey will be used with two questionnaire instruments of certified and reliable validity, according to the statistical processes. The collected data will be processed in SPSS version 26. The verification of the hypotheses will be carried out through the application of statistical analysis based on Spearman's correlation coefficient, measuring the range relationship between these variables, thus offering a statistically robust and validated for the data set in question.
Acceso abierto
Knowledge and practice of self-care of arteriovenous fistula in patients in the hemodialysis area of a hospital in Lima – 2022
(Universidad Privada Norbert Wiener, 2022-12-11) Verastegui Azalde, Adriana Irene; Montoro Valdivia, Marcos Antonio
Renal failure (RI) is considered a progressive decrease in glomerular filtration. The acute phase begins suddenly and can be changeable, while the severe phase evolves rapidly over a period of 3 months and can lead to permanent kidney failure. Excessive intake of protein, phosphorus, nephrotoxic drugs, proteinuria, hyperlipidemia, are the agents for developing the disease, etc., this end-stage renal failure requires hemodialysis or hemodialysis technology as the only cure. Transplant. In the bibliographic review, the objective was defined to determine the level of knowledge and self-care practice of patients on hemodialysis for stage 5 chronic kidney disease, including self-care through continuous instruction. The present work is descriptive and the articles mentioned in the research They are indexed by scientific journals.
Acceso abierto
Lesiones de mucosa oral en pacientes con insuficiencia renal crónica bajo tratamiento con hemodiálisis en el centro de diálisis San Juan Bosco Sullana, 2025
(Universidad Privada Norbert Wiener, 2025-06-03) Rujel Ubillus, Angie Tatiana; Girano Castaños, Jorge
El presente estudio buscó determinar las lesiones de mucosa oral en pacientes con insuficiencia renal crónica bajo tratamiento con hemodiálisis, atendidos en el Centro de Diálisis San Juan Bosco, Sullana 2025. Se elaboró una investigación cuantitativo, aplicado, no experimental, transversal y prospectivo; se analizaron 40 pacientes que acuden al Centro de Diálisis San Juan Bosco diagnosticados con enfermedad renal crónica y que se encontraban en tratamiento con hemodiálisis activa, utilizando un instrumento de recolección de datos. Se pudo evidenciar que respecto a las lesiones de mucosa oral en pacientes con insuficiencia renal crónica bajo tratamiento con hemodiálisis se aprecia que el 70.0% (N°=38) presenta gingivitis; el 15.0% (N°=6) presenta gingivitis, queilitis angular y lengua saburral; el 10.0% (N°=4) no presenta lesiones, el 2,5% (N°= 1) presentaron queilitis angular y petequias. Se concluye que Las lesiones de mucosa oral en pacientes con insuficiencia renal crónica bajo tratamiento con hemodiálisis, atendidos en el Centro de Diálisis San Juan Bosco, Sullana 2025, en mayoría presentó gingivitis en un 70.0%.
Acceso abierto
Quality of care and satisfaction of patients with peritoneal dialysis in the nephrology unit of the Dos de Mayo hospital, Lima-2022
(Universidad Privada Norbert Wiener, 2022-09-11) Vargas Zavaleta, Lizbeth Guissella; Molina Torres, Jose Gregorio
In the course of medical advances, treatment for patients with chronic kidney deficiency improves the perception of the disease by the affected individual and the level of treatment they must undergo for life. Within this context, public health policies should be based on the patient's physical and emotional needs, thus achieving greater satisfaction. This research project aims to determine the relationship between the quality of care and the satisfaction of patients undergoing peritoneal dialysis. The study will be developed using a hypothetical-deductive method, with a quantitative approach, as well as a cross-sectional design and a non-experimental framework, with a sample of 70 patients undergoing peritoneal dialysis. For data collection, questionnaires were used for each variable, with 18 items for quality of care and 22 items for satisfaction. Regarding the results, the information collected will be processed and analyzed through statistical and computing programs such as SPSS 25.0, Excel, and Word to present the results and provide conclusions for the case.
Acceso abierto
Relación entre los niveles de hemoglobina y la tasa de filtración glomerular en pacientes con insuficiencia renal que acuden al centro médico del adulto mayor “Maxx Salud” Piura, enero – junio 2020
(Universidad Privada Norbert Wiener, 2023-05-07) Calle Peña, Marco Antonio; Astete Medrano, Delia Jessica
En nuestra región en los últimos años, la anemia y la insuficiencia renal representa un problema de salud, esta representa cuadros de morbilidad vinculada, con la anemia, las cuales representan interacción entre ellas. Es en ese sentido, que la presente investigación permitirá aplicar los conceptos teóricos de la anemia y la insuficiencia renal, permitiendo obtener un mejor entendimiento de las enfermedades renales.
Acceso abierto
Revisión crítica: efecto de la suplementación de vitamina d en los niveles de calcitriol de pacientes adultos con enfermedad renal
(Universidad Privada Norbert Wiener, 2025-05-15) Castillejo Julca, Fabby Sonia; Ponce Castillo, Melissa
La investigación secundaria presente que lleva por título revisión crítica: Efecto de la suplementación de vitamina d en los niveles de calcitriol de pacientes adultos que presentan enfermedad renal (ER), tuvo como meta identificar el efecto de la intervención en los parámetros de resultados a través de la revisión bibliografía. Tuvo por objetivo identificar el vacío de conocimiento y valorar el efecto que tiene la suplementación mediante vitamina D en los niveles de calcitriol. La pregunta de índole clínico fue: ¿Cuáles es efecto de la suplementación de vitamina D en los niveles de calcitriol de pacientes adultos con enfermedad renal? Se empleó la metodología Nutrición Basada en Evidencia (NuBE). Se seleccionaron 11 de los 31 artículos encontrados con la ayuda de información en MEDLINE, PUBMED, SCIENCE DIRECT, SCIELO y SCOPUS, y se valoraron mediante lectura crítica CASPE, eligiendo el Ensayo Clínico Aleatorizado titulado como "Colecalciferol versus ergocalciferol para la reposición de 25-hidroxivitamina D (25(OH)D) en la enfermedad renal crónica: un ensayo clínico aleatorizado", que, conforme a la experiencia del investigador, tiene un Grado de Recomendación I y un Nivel de Evidencia B. El comentario crítico llevó a concluir que los hallazgos relacionados a los niveles totales de 25-hidroxivitamina D (25(OH)D) a las 12 semanas, el grupo de colecalciferol tuvo un mayor aumento en los niveles totales de 25(OH)D a comparación con el grupo de ergocalciferol (45.0 ng/ml vs 30.7 ng/ml, p<0.01). No obstante, a las 18 semanas (6 semanas después de suspender el tratamiento), no fueron encontradas significativas diferencias entre los grupos en el cambio de los niveles totales de 25(OH)D (22.4 ng/ml vs 17.6 ng/ml, p= 0,17). En cambio, en la hormona paratiroidea (PTH) el grupo de colecalciferol mostró una mayor reducción media en los niveles de PTH en comparación con el grupo de ergocalciferol (-15,3 pg/ml vs 2,3 pg/ml, p=0,14 en el análisis de rango).
Acceso abierto
Self-care and quality of life in patients with chronic kidney disease, hemodialysis unit of a Lima clinic - 2022
(Universidad Privada Norbert Wiener, 2022-08-14) Bendezu LLactahuaman, Christian Joel; Montoro Valdivia, Marcos Antonio
The patient who suffers from deficiency in kidney functions at a chronic level, faces several challenges that will change his life on a personal and social level, with the treatment of hemodialysis, and other procedures designed to control their illness, which are complex, but which consequently alter the patient at a physical and psychological level, clearly affecting their quality of life. This is why this research project will be developed with the objective of determining the relationship between self-care and the quality of life of patients with chronic kidney disease in the hemodialysis unit of a clinic in Lima - 2022. The work is developed through a quantitative descriptive methodology of cross-sectional experimental design with a hypothetical deductive method. The study population and sample will consist of a total of 80 patients from the hemodialysis unit of a private clinic in Lima. As a data collection technique and instrument: a questionnaire will be used to evaluate self-care and another to measure quality of life. In resolving the results, the data obtained from the sample will be analyzed and designed in Excel, through the SPSS 25.0 program, which will synthesize the results and provide tables and graphs to be able to interpret them and provide the conclusions and recommendations of the case.
Acceso abierto
Self-care and quality of life of patients with kidney failure in a hospital in Lima 2023
(Universidad Privada Norbert Wiener, 2023-07-09) Espinoza Leo, Sara; Bernardo Santiago, Grisi
The patient with kidney disease is a patient who is in constant treatment for life, so it is very important to constantly measure self-care, an essential component for the patient to have the motivation and firmness to continue their treatment and not harm their health. Health leaving him. This research has the objective of determining the relationship between self-care and the quality of life of the patient who presents renal failure, through a quantitative methodology with an observational design, of an applied type working with 110 patients as a sample quantity, through the use of validated and reliable data collection tools, which will be applied in an average of 25 minutes per participant, information that will be statistically processed by Spss 25.0 which will provide tables and graphs to present the results as well as inferential tests such as Rho of Spearman to be able to verify the hypotheses raised and to be able to establish the conclusions of the case with 95% confidence.
Acceso abierto
Self-care of temporary central venous catheter for hemodialysis in patients with renal failure in the intensive care unit of the Arzobispo Loayza national hospital, 2021
(Universidad Privada Norbert Wiener, 2021-06-13) Ramos Cajo, Milagros del Rosario; Mori Castro, Jaime Alberto
Materials and methods. The present research will have a quantitative approach, in terms of the methodological design it is a cross-sectional research. The population will consist of 30 patients with chronic renal failure who are hospitalized at the Arzobispo Loayza National Hospital, the participating patients were selected under inclusion and exclusion criteria set out in the research, an inclusion criterion is that patients who are hospitalized in the intensive care unit of the Arzobispo Loayza National Hospital. The technique to be used in the work will be the survey, with which a significant amount of data will be obtained in an optimal and efficient way. To measure the level of self-care of the central venous catheter for hemodialysis, the data collection instrument will be used, through a questionnaire by Ortega and Eulogio (2018), this includes 13 items grouped into 3 dimensions, where ethical considerations will be applied. during the intervention.