Consulta de enfermería y adherencia terapéutica del paciente en hemodiálisis

Abstract

Introduction: When interviewing a patient in the hemodialysis room, there is a lot of interference in communication since we simultaneously attend to other patients and present complications that we should solve immediately. Nursing consultation is intended to avoid this and give the value and time that nurses have interventions, which are part of the treatment. We must ensure that the patient receives correctly written therapeutic instructions, check and verify them with him in order to adjust comprehension levels, motivate and co-responsibility for achieving the acquisition of behaviors involved in self-care. Objective: To evaluate the effect of the nursing consultation on the therapeutic compliance in the renal patient on hemodialysis. Material and Method: A prospective longitudinal observational cohort study. Sample of 42 patients in hemodialysis program from January to June 2014. Patients selected for the consultation are those that the researcher of the study is referring nurse and collaborator (Group A). Data are collected from the different variables by reviewing the medical records and by interviewing the patient and primary caregiver. Results: Significant differences were found when comparing the variables studied between Group A and Group B (rest patients) in terms of phosphorus and pharmacological compliance, but were not found in terms of potassium although the tendency is to improve levels. Conclusions: The nursing consultation improves the therapeutic adherence in diet and medication, being related to a greater time of dedication to the treatment and greater contact with the main caregiver.