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Enfermería Nefrológica

On-line version ISSN 2255-3517Print version ISSN 2254-2884

Abstract

CARRILLO ALGARRA, Ana Julia. The operability of the self-care agency capacity of patients in peritoneal dialysis. Enferm Nefrol [online]. 2015, vol.18, n.1, pp.31-40. ISSN 2255-3517.  http://dx.doi.org/10.4321/S2254-28842015000100005.

Introduction: Chronic kidney disease is considered a high-cost disease due to its effects on the patient´s life, including his family and the impacts it has on the facility providing healthcare. These problems can be mitigated with better self-care. Objective: To measure the operability of self-care capability and establish its relationship with socio-demographic and clinical characteristics for patients in the peritoneal dialysis program in nephrology units in Bogotá, Colombia. Methodology: A cross-sectional descriptive and quantitative study was done with a population of 915 patients of over 18 years of age in peritoneal dialysis. A stratified, probability sampling method was chosen and 105 patients in automatic peritoneal dialysis were selected, while 174 patients in manual peritoneal dialysis participated. Nurses specialized in nephrology and urology asked them to fill out three instruments: a self-care activities scale (ASA-A), a Morisky Green test and a form to identify socio-demographic and clinical characteristics. Data were analyzed descriptively, using frequency tables and multiple correspondences. Results: The average score for self-care capability was 78.7, with a standard deviation of 16.5. 72% of patients got a score above the average. 77.42% of patients were classified in the high operability range of self-care agency, 9.32% in the medium range and 13.98% in the low range. The median was 78 points with an inter-quartile range of 77-88 y and the mode was 86 points. Three subjects got the maximum score of 96 and the lowest was 27. In conclusion, 22.30% of subjects require that the healthcare personnel design strategies to improve the operability of self-care agency.

Keywords : self-care; peritoneal analysis; chronic kidney disease; infirmary attention; medication control.

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