Abstract

CIRERA SEGURA, Francisco; RUIZ MONTES, Myriam; ROSALES SANCHEZ, Verónica  and  MARTIN ESPEJO, Jesús Lucas. Standardising care of metabolic syndrome in peritoneal dialysis. Enferm Nefrol [online]. 2012, vol.15, n.2, pp.129-137. ISSN 2255-3517.  https://dx.doi.org/10.4321/S2254-28842012000200008.

Introduction: We detected a high prevalence of cardiovascular risk factors in both incidental and prevalent cases in peritoneal dialysis. Aim: To draw up a standardised care plan for patients in peritoneal dialysis to deal with the problems arising from metabolic syndrome. Material and Method: The target population consisted of patients in peritoneal dialysis. A needs assessment was carried out using Marjory Gordon's approach, in which the NANDA, NIC and NOC classifications were used to establish the most frequent diagnoses, interventions and criteria for outcomes. Results: The most prevalent diagnoses were: lack of knowledge, ineffective management of the therapy regime, nutritional imbalance due to excess and deterioration in physical mobility. The interventions to be performed in the nursing consulting room and the criteria for expected outcomes were drawn up. The interventions were based on educating patients about altering their lifestyle, proper management of their diet, doing physical exercise appropriate to their age and in matters concerning their basic pathology and its treatment, such as administering and managing medication and peritoneal dialysis liquids. Conclusion: Through a care plan we standardised care of the health problems arising from metabolic syndrome in patients on a peritoneal dialysis programme.

Keywords : Care plan; Metabolic syndrome; Peritoneal dialysis.

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