Examinando por Materia "Renal Replacement Therapy"

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Coping strategies and quality of life in patients with renal replacement therapy - hemodialysis of a national hospital of Lima 2023
(Universidad Privada Norbert Wiener, 2023-11-12) Borda Fernández, Milagros Ivet; Fernández Rengifo, Werther Fernando
This study aimed to: Determine the relationship between coping strategies and quality of life in patients undergoing renal replacement therapy (hemodialysis) at a National Hospital in Lima. Methodology: Hypothetical-deductive method, non-experimental design, quantitative, descriptive method, applied correlation method, transversal method; The sample will be made up of 50 patients and the tool used for the research work will be the “Coping Strategies ScaleRevised”. (EEC-R)" "Coping Strategies", the first instrument for patients with the questionnaire and the SF-36 questionnaire that measure quality of life, has been validated with a Cronbach's Alpha value of 9.76; while the reliability of the "Quality of Life" questionnaire. The questionnaire was 9.66, the reliability of both instruments is high and the data collection takes around 30 minutes for the participants. Likewise, Kolmogorov analysis will be used to contract the hypothesis. -Smirnov.
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Critic review: effect of physical exercise on improving quality of life in people with chronic kidney disease on renal replacement therapy
(Universidad Privada Norbert Wiener, 2021-12-22) Camones Palomino, Gisselle Eloisa; Dávila Córdova, Jennifer Estefania
Patients with chronic kidney disease who undergo renal replacement therapy have no physical activity or physical exercise due to the multiple comorbidities and physical problems they may present. The present secondary research titled as a critical review: Effect of physical exercise on improving the quality of life in patients with chronic kidney disease on renal replacement therapy, aimed to demonstrate whether physical activity improves the quality of life in patients with Chronic kidney disease in renal replacement therapy. The clinical question was: Will the effect of physical exercise (aerobic exercises, walking, squats) improve the quality of life of patients with chronic kidney disease on renal replacement therapy? The Evidence-Based Nutrition (NuBE) methodology was used. The information search was carried out in Science Direct, Pubmed, HINARI, Scielo, Redalyc, Springer, finding 24 articles, 12 being selected that have been evaluated by the CASPE critical reading tool, finally selecting a systematic review and meta-analysis titled Effects of intradialytic aerobic exercise on hemodialysis patients: a systematic review and meta-analysis, which has a level of evidence B I and Grade of Strong Recommendation, according to the expertise of the researcher. The critical comment allowed us to conclude that physical exercise improves the quality of life of patients with chronic kidney disease on renal replacement therapy.
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Critical review: effect of renal replacement therapy on the quality of life of patients with chronic kidney disease
(Universidad Privada Norbert Wiener, 2023-11-22) Lopez Nieto, Mery Petronila; Ponce Castillo, Diana Antonia
Chronic kidney disease (CKD) results from a decrease in kidney function, and patients receiving renal replacement therapy (RRT) experience changes in their quality of life. This critical review titled “Critical Review: Effect of RRT on the Quality of Life of CKD Patients” aimed to provide a professional and critical assessment based on the review of relevant clinical studies on the topic. The clinical question was: “What is the effect of RRT on the quality of life of CKD patients?” The Evidence-Based Nutrition (NuBE) methodology was used to search for information in various databases like PubMed, Dialnet, Science Direct, and Redalyc, finding a total of 25 articles. The CASPE tool was applied to select 10 pertinent studies. As a result, the randomized clinical trial “Quality of life of patients having renal replacement therapy” was chosen. According to the research, this selected clinical trial has an A I level of evidence and a strong recommendation grade. The critical evaluation indicated that RRT significantly improves the quality of life of CKD patients.
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Critical Review: Effects of Omega-3 Polyunsaturated Fatty Acid Supplementation on Vascular Access Patency of Patients with Chronic Kidney Disease in Renal Replacement Therapy
(Universidad Privada Norbert Wiener, 2021-01-14) Palacios Melgarejo, Katerine Alexandra; Gutíerrez Ramírez, Karla Verónica
Nutritional intervention is supplementation with fatty acids in patients with chronic kidney disease in renal replacement therapy. The present secondary research entitled as a critical review: Effects of supplementation with omega 3 polyunsaturated fatty acids on the permeability of vascular accesses of patients with chronic kidney disease on renal replacement therapy, aimed to identify the effects of supplementation with fatty acids polyunsaturated omega 3 in the permeability of vascular accesses of patients with chronic kidney disease in renal replacement therapy The clinical question was: - Will the nutritional intervention of supplementation with omega 3 fatty acids improve the Permeability of vascular access in patients with chronic kidney disease on renal replacement therapy? The Evidence-Based Nutrition (NuBE) methodology was used. The information search was carried out in Medline, Pubmed and Scielo, finding 17 articles, being selected 9 that have been evaluated by the CASPE critical reading tool, finally selecting the review and meta-analysis article entitled Omega – 3 polyunsaturated fatty acid supplementation to prevent arteriovenous fistula and graft failure: a systematic review and meta-analysis of randomized controlled trials, which has a level of evidence I and Grade of Recommendation I, according to the expertise of the researcher. The critical commentary led to the conclusion that omega-3 PUFA supplementation initiated at the time of arteriovenous access surgery likely prevents loss of primary patency within 12 months.
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Effectiveness of renal therapy substitution in reducing morbidity and mortality in patients in the renal unit
(Universidad Privada Norbert Wiener, 2020-02-08) Juarez Reyes, Noemi Pilar; Lenes Ticona, Rina Isabel; Arevalo Marcos, Rodolfo Amado
Objective: To analyze the evidence on the effectiveness of Renal Replacement Therapy (RRT) in reducing morbidity and mortality in patients with Chronic Renal Failure (CKD). Material and methods: A systematic observational and retrospective review was carried out, subjected to critical selection, through the Grade evaluation system to identify the degree of bibliographic evidence in March 2019. In databases such as Google Scholar, Scielo, Medline, Nephrology Magazine of the Spanish Society of Nephrology, Elsevier, the virtual magazine of global Nursing, the virtual magazine of intensive medicine of Mexico, Cuba, Chile and Spain. Only articles published between 2009 and March 2019 were included. The search was carried out only in Spanish. Results: It was evident that if there is a relationship between the application of Renal Replacement Therapy (RRT) and the decrease in morbidity and mortality in patients with Chronic Renal Failure (CKD), it is related to a greater extent to an early start, a younger age of the patient (<50 years) and at a lower frequency of application of Renal Replacement Therapy than required (minimum 3 times per week). Conclusion: the application of Renal Replacement Therapy or Renal Replacement does reduce morbidity and mortality in patients with CKD, and presents better results if applied at an early stage.
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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.
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Efficacy of conservative treatment in improving quality of life in patients with end-stage renal disease compared to renal replacement therapy
(Universidad Privada Norbert Wiener, 2020-01-25) Hurtado Torres, Maritza Yesenia; Sayas Aguilar, Lidia Albina; Avila Vargas Machuca, Jeannette Giselle
Objective: Systematize evidence on the effectiveness of conservative treatment to improve quality of life in patients with end-stage renal disease compared to renal replacement therapy. Material and methods: Systematic observational and retrospective review, subjected to critical reading and using the GRADE evaluation system to identify the degree of evidence of the published articles. Of the 10 articles systematically reviewed, 40% were of high quality and 60% of moderate quality as described below: 40% (n= 4/10) are systematic reviews and 60% (n= 6/10) are studies Quasi-experimental cohort Results: 70% (n=7/10) indicate that conservative treatment is more effective than renal replacement therapy to improve quality of life. 30% (n=3/10) indicate that renal replacement therapy is more effective than conservative treatment in improving quality of life. Conclusion: 7/10 articles reviewed evidence that conservative treatment was more effective than renal replacement therapy to improve quality of life. 3/10 articles reviewed show that renal replacement therapy is more effective than conservative treatment in relation to: pain, discomfort, mobility, self-care, being less dependent and with fewer comorbidities
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Efficacy of renal transplantation in decreasing the risk of graft loss for survival in pediatric patients.
(Universidad Privada Norbert Wiener, 2018-03-25) De la Cruz Quispe, Sonia Esther; Perez Siguas, Rosa Eva
Objective: To systematize and evidence the efficacy of kidney transplantation in the reduction of the risk of graft loss for survival in pediatric patients. Materials and Methods: The study is quantitative, with a systematic review design. The population consisted of 39 articles that were reviewed, and 10 scientific articles were selected as the sample. Of these, 20% (n=2/10) were systematic reviews, 10% (n=1/10) were systematic review and meta-analysis, and 70% (n=7/10) were cohort studies. According to the quality of evidence, 30% was rated as high and 70% as moderate. In terms of the strength of recommendations, 30% were strong and 70% were weak, based on the country where the research was conducted. Results: The reviewed articles show that 40% (n=4/10) indicate the efficacy of renal replacement therapy in the risk of graft loss for survival in pediatric patients. Another 40% (n=4/10) state that it is partially effective, and 20% (n=2/10) state it is not effective. Conclusion: It is concluded that 40% (n=4/10) indicates that renal replacement therapy is partially effective in the risk of graft loss for survival in pediatric patients.
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Factors that determine the choice of renal replacement therapy modality in patients with chronic kidney failure
(Universidad Privada Norbert Wiener, 2017) Alata Huamani, Karelyn Grissel; Morales Muñoz, Mery Karen; Gómez Gonzales, Walter Edgar
Objective: To establish the factors that determine the choice of renal replacement therapy modality in chronic kidney disease patients. Materials and Methods: A systematic review of 10 articles and one systematic review containing 23 articles was conducted. Results: Education was identified as the most significant factor in the choice of renal replacement therapy modality. Factors like employment intention, age, marital status, family support, comorbidities, and the ability to maintain an active lifestyle were also influential. Conclusion: Information and education about kidney disease are the most crucial factors influencing the choice of renal replacement therapy, with education increasing knowledge and improving decision-making.
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Family risk and family functionality of the patient with renal replacement therapy, Arzobispo Loayza National Hospital
(Universidad Privada Norbert Wiener, 2021-04-18) Cerrón Urbano, Thalía Nataly; Bastidas Solis, Miriam Cecilia
Aim. Determine the relationship between family risk and family functionality of the patient with renal replacement therapy at the Arzobispo Loayza National Hospital. Methods. The study has a quantitative approach. The type of study is correlational and transversal. The sample population will consist of 50 patients undergoing renal replacement therapy at the Arzobispo Loayza National Hospital. The technique that will be applied is the interview. To measure family functionality, the FF – SIL Family Functioning Questionnaire instrument will be used and to measure total family risk, the RFT 5:33 questionnaire will be used. These instruments will be applied after acceptance of informed consent to each study unit. In the inferential statistical analysis, Spearman's rho or Pearson's r test will be used, after a normality test, and the value of statistical significance will also be taken into consideration (p≤0.05). Expected results. The family risk is expected to be related to the family functionality of the patient with renal replacement therapy at the Arzobispo Loayza National Hospital.
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Level of physical activity in patients undergoing hemodialysis renal replacement therapy at the Centromed Clinic of Humanity Lima
(Universidad Privada Norbert Wiener, 2020-12-27) Oviedo Zuñiga, Rossio; Palomino Taquire, Rewards
Physical activity plays a very important role for people's well-being and quality of life. The Objective of this research is: To determine the level of physical activity of patients in hemodialysis therapy at the Centromed de la Humanidad clinic, year 2020. Material and methods: The present study will have a quantitative approach and its measurement scale is ordinal. The study population consists of 132 patients receiving hemodialysis therapy. The study instrument is the IPAQ (instrument that measures physical activity).
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Quality of life and functional dependence in older adult patients undergoing hemodialysis in the nephrology service of the Guillermo Almenara Irigoyen Hospital – 2020
(Universidad Privada Norbert Wiener, 2020-11-29) Gonzales Ydrogo, Flormira; Mori Castro, Jaime Alberto
Chronic kidney disease is a multifactorial pathophysiological process of gradual and irreversible condition that leads to a terminal state, where the patient demands renal replacement therapy, that is, dialysis or transplant in order to survive. Elderly patients on hemodialysis have greater associated comorbidity and worse quality of life, associated with a high degree of dependency. The objective of this study is to determine the relationship between the level of quality of life and functional dependence in older adult patients undergoing hemodialysis at the Guillermo Almenara Irigoyen Hospital - 2020. The present research is quantitative, non-experimental, cross-sectional, descriptive and correlational. . The population and sample will be made up of 84 elderly patients with functional dependence undergoing hemodialysis in the Nephrology service during the months of July to September 2020. The technique for data collection is the survey and the instrument is two questionnaires: SF - 36 that evaluates quality of life, and the Barthel Index that evaluates functional dependence.
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Self-care and quality of life of patients undergoing renal replacement therapy in a public hospital in Ica-2023
(Universidad Privada Norbert Wiener, 2023-09-24) Huallanca Sotelo, Arel Julissa; Palomino Taquire, Rewards
The objective of this study is to: Determine the relationship between self-care and quality of life of patients undergoing renal replacement therapy at a public hospital in Ica - 2023; It is a study with a basic approach and non-experimental design, the sample population will be 35 patients from the hemodialysis service, who will be surveyed using a questionnaire and an observation sheet to finally obtain the results. The results will be collected through questionnaire-type instruments, then they will be coded and entered into the database designed in Excel, likewise the results will be analyzed and synthesized by the statistical software package version 25.0 SPSS, which will allow us to obtain results both descriptive as inferential.
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Systemic review: Protein-energy wasting in pediatric patients on renal replacement therapy
(Universidad Privada Norbert Wiener, 2020-12-18) Salazar Ramos, Rosa Angélica; Marcelo de la Cruz, Hernán Arcenio
Objective: Determine the impact of DPE in children with chronic kidney disease on renal replacement therapy. Materials and methods: Academic work of bibliographic review. Information was collected through the search procedure for scientific articles according to the search algorithm: PICO model. The evaluation of validity, quality, strength of recommendation of the scientific evidence, usefulness of the findings and ethical aspects was carried out. Results: 33 scientific articles were collected, of which 14 were selected. 42% of this selection studied protein-energy wasting in pediatric patients on renal replacement therapy. Conclusions: Although loss of appetite and increased growth retardation are common in both pediatric patients with chronic kidney disease whether with or without renal replacement therapy, the greatest impact of DPE is observed in pediatric patients than they receive, mainly in hemodialysis.