Abstract

CONTRERAS ABAD, Mª Dolores; RIVERO ARELLANO, Mª Flora; JURADO TORRES, Mª Jesús  and  CRESPO MONTERO, Rodolfo. Current profile of patient under hemodialysis: An analysis of their needs. Rev Soc Esp Enferm Nefrol [online]. 2004, vol.7, n.1, pp.56-61. ISSN 1139-1375.

This study was performed with the aim of detecting the degree of dependence of patients underhemodialysis and its influence on the necessity ofnursing care. We performed a transversal descriptive study inpatients under hemodialysis between Novemberand December 2002. We studied 38 patients, 19women and 19 men who were under hemodialysis for 84 months (2-317) with a range of age between 21 and 78 years. 13 patients (34%) werediabetic. Patients were grouped according to theirage, 30 - 65 years (19 patients), 65 - 70 years (7patients), 70 - 80 years (12 patients). From the14 basic needs (V Henderson) we chose those 5 that can have the greatest influence on nursingcare (food and drink, elimination, movement,dressing, hygiene). Dependence was analysedglobally. For food and drink 42% were dependent. Elimination, 36% were dependent. Moving 73.6% were dependent. Dressing 68.3% were dependent. Hygiene 55.1% were dependent. When patients weregrouped by age, for food and drink, in group one,36% were dependent, in group 2, 28% and ingroup 3, 58%. For elimination in group 1, 26%were dependent, in group 2, 14%, and in group 3,58%. For moving, in group 1, 62% were dependent, in group 2, 71 % and in group 3, 92%. Fordressing, in group 1, 58% were dependent, ingroup 2, 57%, and in group 3, 92%. Finally, forhygiene, in group 1, 42% were dependent, ingroup 2, 28%, and in group 3, 75%. In conclusion, patients of 60 years or older, withchronic pathology present a higher degree of dependence. Therefore, they need individual careadapted to this reality. Areas of dependence presented by patients in our unit, confirm a quantitative and qualitative increase in caring procedures.

Keywords : Hospital hemodialysis; Elderly patient; Basic needs.

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