Impacto de una intervención dirigida a incrementar el conocimiento de la enfermedad renal sobre el inicio oportuno de la terapia sustitutiva

Abstract

Introduction: In Mexico it is estimated that between 70 and 80% of patients who are admitted for dialysis are admitted as mergencies. This leads to higher mortality, higher costs and reduced organizational efficacy in the nephrology services. Aim: To assess the impact of an intervention aimed at increasing knowledge of kidney disease on the timely commencement of replacement therapy. Hypothesis: The group average knowledge of kidney disease after the intervention is higher than the average prior to the intervention. Material and Methods: Pre-experimental design (before-after): a sample of 65 patients with stage 5 CKD (95% CI) underwent four group educational sessions: About chronic kidney disease, Nutrition and chronic kidney disease, Changes in lifestyle and Peritoneal dialysis, what you need to know. A questionnaire containing 26 items (KR.8) was used. Descriptive statistics and the student's t-test were used (ns > 0.05). Results: Before the intervention, average knowledge was 60.76 which increased by 35.08 points after the intervention. Prior to the intervention, good level was at 23.1%, and increased to 98.5%. Significant changes in the level of knowledge were achieved (t = 13.207 ns.000) 93.80% agreed to start treatment after the intervention. Conclusions: Providing education on kidney disease and the treatment options increases knowledge of the disease, favouring correct decision-making for the timely commencement of replacement therapy.