Nursing diagnoses of patients with kidney disease undergoing hemodialysis: a cross-sectional study

Author:

Spigolon Dandara Novakowski1,Teston Elen Ferraz1,Souza Fábio de Oliveira1,Santos Bruna dos1,Souza Rebeca Rosa de1,Moreira Neto Antônio1

Affiliation:

1. Universidade Estadual do Paraná, Brazil

Abstract

ABSTRACT Objective: to identify Nursing Diagnoses of 5th stage chronic kidney disease patients undergoing hemodialysis. Method: cross-sectional, descriptive and quantitative study carried out with 151 patients undergoing hemodialysis in a clinic specialized in nephrology from the Northwest of the Paraná State. Nursing Diagnoses were determined through Nanda-I in which had the percentage greater than 50%. The analysis used was the simple statistics. Results: 17 Nursing Diagnoses were identified, emphasizing the risks present in 100% of patients: risks for electrolyte imbalance; ineffective kidney perfusion; infection: vascular injuries, adverse response to the iodine-based contrast-enhanced and impaired urinary elimination. Conclusion: the main diagnoses listed reflect the more frequent risks that patients undergoing hemodialysis are exposed to. Being aware of these risks allows the nursing planning with early interventions, in order to prevent complications related to the disease and to promote best life conditions.

Publisher

FapUNIFESP (SciELO)

Subject

General Nursing

Reference23 articles.

1. Brazilian chronic dialysis census 2014;Sesso RC;J Bras Nefrol,2016

2. KDOQI US commentary on the 2012 KDIGO clinical practice guideline for the evaluation and management of CKD;Inker LA;Am J Kidney Dis,2014

3. KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease;Kidney Int Suppl,2013

4. Manual de diálise;Daugirdas JT,2016

5. National Kidney Foundation-KDOQI clinical practice guideline for hemodialysis adequacy: 2015 update;Am J Kidney Dis,2015

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