Dificultades y estrategias en el manejo del régimen terapéutico en el paciente renal crónico en hemodiálisis

Abstract

Objective: To identify the difficulties perceived by hemodialysis patients related to the management of the therapeutic regimen; the strategies they use to cope with these problems, and identify factors that influence the management of the treatment. Methods: We conducted semi structured interviews 20 adults from two hemodialysis centers and thematic content analysis. Results: Most difficulties are identified as psychosocial: fluid restriction; dietary restriction; having to perform hemodialysis;, duration of hemodialysis sessions; taking prescribed medication; limitations on vacancy. Subjects mobilize different strategies to cope with difficulties, but problem-focused strategies are more used than emotion-focused strategies. Conclusions: Support from the health care team, from family and having residual renal function, seem to facilitate treatment management, while the summer heat and smoking are among the factors hindering. Nurses need to understand how renal patients manage the treatment regimen, so they can better help and promote their independence.