Resumo

ABRIL SABATER, Mª Dolores et al. Application of a qualitative technique for preparing an attention plan for patients with multipathological problems under haemodialysis. Rev Soc Esp Enferm Nefrol [online]. 2004, vol.7, n.4, pp.67-71. ISSN 1139-1375.

In our nephrology unit there has been an increase in the number of patients on chronic haemodialysis programmes; many are elderly and this has supposed an increase in the organisational and assistential work. The need has been detected for more detailed organisation and planning to comprehensively attend patients with multipathological problems, as there is currently no well-defined line of work and this causes some shortfalls, tension among the team, excessive and/or repeated bureaucracy and generates unrest in the patients and their surroundings. In order to give integral attention with criteria of effectiveness and efficiency to patients with multipathological problems under haemodialysis, the current working method has been analysed to draw up a plan of integral attention for patients, using the Delphi technique. 184 patients were treated in chronic dialysis in 2002, with a predominance of the following characteristics: elderly (69±13 years of age), with other associated pathologies such as hypertension, caryopathy, diabetes or vasculopathy. This year 19 patients died (14.28 %). The Delphi was useful for identifying the needs of patients with multipathological problems and for drawing up a good plan and organisation for their care, giving an improvement in the quality of the assistance and achieving greater satisfaction from patients and professionals.

Palavras-chave : Haemodialysis; Delphi technique; Associated pathologies; Integral attention.

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