Influencia de la consulta de acogida en diálisis sobre la elección del tratamiento renal sustitutivo

Abstract

Introduction: We create the outpatient nursing reception in dialysis patients which ensures the choice of renal replacement treatment, guaranteed by the law of patient autonomy. Objectives: • To assess the usefulness of the outpatient nursing reception to guarantee the choice of treatment. • Analyze the choice of treatment according to the origin of the patient after passing through nursing reception. Material and Methods: A prospective descriptive study of one year. Medical records and interviews were used as primary sources. Results: In 2014, 273 patients were started hemodialysis treatment. 175 patients went through outpatient nursing reception; 169 were new cases. We analyzed 120 patients with advanced chronic kidney disease (ACKD). 66.7% of patients made their choice in ACKD, 100% in the nursing reception. Of the 48 patients with non ACKD made their choice: 3.7% from other specialties, 7.7% of transplant recipients, and 100% of peritoneal dialysis. In the nursing reception, 100% of patients made their choice, from 20% to 100% in those with non ACKD. Hemodialysis was the chosen treatment, except for patients derived from peritoneal dialysis. The number of patients who chose peritoneal dialysis after passing through the nursing reception was increased. Conclusion: The outpatient nursing reception was effective to ensure that the choice of renal replacement therapy was performed. After passing through outpatient nursing and decision-making reception, the source of patients is no longer important for the choice of treatment. All patients chose having the same information, increasing the choice of peritoneal dialysis.