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Enfermería Nefrológica
On-line version ISSN 2255-3517Print version ISSN 2254-2884
Abstract
FERNANDEZ-DIAZ, Reyes; CIFUENTES-RIVERA, Begoña; LOPEZ-SIERRA, Emilia Margarita and PABLOS-DE PABLOS, Montserrat. Assessment of the care experience in patients with advanced chronic kidney disease. Enferm Nefrol [online]. 2023, vol.26, n.3, pp.260-267. Epub Feb 19, 2024. ISSN 2255-3517. https://dx.doi.org/10.37551/s254-28842023025.
Introduction:
Clinical outcomes are more influenced by the active role of the patient in self-care than by professional qualifications. Therefore, it is important to capture the patient’s experience to enhance the quality of care.
Objetives:
To evaluate the renal patient’s experience with the care provided by healthcare professionals.
Material and Method:
A cross-sectional descriptive study was conducted with hemodialysis patients and those attending the Advanced Chronic Kidney Disease consultation. The Patient Experience Assessment Instrument, comprising 15 items rated from 0 (worst) to 10 (best experience), measuring three factors: productive interactions, patient self-management, and a new relational model, was administered. Data were analyzed using R software.
Results:
A total of 76 patients were included. The patient experience score (items 1-11) was 6.68±1.41 points, with scores for each factor being: “productive interactions” (9.00±1.37 points), “patient self-management” (7.80±1.78 points), and “new relational model” (1.86±2.01 points). Items 12-15 received low scores with average values between 2-4 points. When comparing clinic and hemodialysis patients, the hemodialysis group scored lower in the “patient self-management” (p=0.01) and “new relational model” (p=0.03) factors. Additionally, regarding items 12-15, a lower score was obtained in the “continuing care following admission/emergency” item (p=0.04).
Conclusions:
The renal patient’s experience is positive in interactions with healthcare professionals and in self-care management. However, there are areas for improvement, such as the use of digital technology, sharing experiences with peers, and post-acute episode health monitoring.
Keywords : patient experience; patient-centered care; renal dialysis; IEXPAC; chronic disease.