Abstract

FARALDO CABANA, Araceli et al. Frequency of nursing diagnoses on the first admission of the patient with a recent renal transplant. Enferm Nefrol [online]. 2017, vol.20, n.1, pp.76-81. ISSN 2255-3517.

Chronic kidney failure is a health problem whose prevalence has increased and has serious implications for the patient. Renal transplantation improves the quality of life of these patients but it forces them to modify habits in their daily life. The nurse seeks the commitment of the patient with their self-care to avoid rejection of the transplanted organ and for this it is important to systematize the work through plans of care appropriate to the situation of each patient and their needs. A retrospective descriptive study was carried out. The aim was to know the most frequent nursing diagnoses (NxD) in the first post-transplant admission, as well as the reason for the admission. All patients who received a kidney transplant at the Hospital Clínico San Carlos of Madrid, during the period 2010 to 2014, were included. During this period, 331 transplants were performed, of which 50.8% (167) were admitted during the post-transplant year. In the first admission after kidney transplantation, a median of 4 NxD (RI = 2-7) per patient was assigned, being the most frequent 'Infection Risk' with 25.1% (83), 'Acute Pain' with 11.8% (39) and 'Poor Knowledge' with 10.3% (34). Knowing the most frequent NxD, allows establishing plans of care that improve the quality of care and try to prevent possible complications of transplantation that affect the quality of life of the patient. This fact will help reduce costs in treatment, and more importantly, increase patient satisfaction and safety, while at the same time recover their health.

Keywords : Nursing diagnosis; Renal transplantation; In-patient.

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