Abstract

ANDREU PERIZ, Lola; MORENO ARROYO, Carmen  and  JULVE IBANEZ, Maricel. Evaluation of patients treated with haemodialysis according to the Act for the Promotion of Personal Autonomy and Attention to Persons in a Situation of Dependency. Rev Soc Esp Enferm Nefrol [online]. 2010, vol.13, n.4, pp.252-257. ISSN 1139-1375.

The evaluation of the degree of dependency of patients on haemodialysis is a clinical and organizational indicator. The aim of the study is to determine the degree of dependency of people undergoing haemodialysis in Catalonia, according to the criteria established by the Act for the Promotion of Personal autonomy and Attention to Persons in a Situation of Dependency. A transversal descriptive study was carried out in 42 centres in Catalonia on the degree of dependency of patients on haemodialysis. The data were collected through a survey based on the scale established by the Act plus sociodemographic data and treatment characteristics. Of the patients who made up the renal population of Catalonia (3868), 806 were considered by the healthcare professionals to have a high degree of dependency, of whom 425 were men and 381 were women; 61% were older than 70. 53% live with a partner and 80.1% had one or more children. 77.4% of the patients had been unskilled workers, and 65.4% stated that they had no educational qualifications. 137 patients were considered not dependent, 350 were considered to have moderate dependency, 237 with significant dependency and 82 with a high dependency. There was a significant (p<0.005) relationship between dependency and age, mobility and, in those with high dependency, with the inability to make decisions. The time they had been on haemodialysis was not statistically significant. Although the scale established by the Act reduces the evaluation of dependency carried out by the professionals, 19% of the patients being treated by the haemodialysis centres have a clear lack of personal autonomy.

Keywords : Haemodialysis; Dependency evaluation; Functional autonomy; Act for the promotion of personal autonomy and attention to persons in a situation of dependency.

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