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Enfermería Nefrológica
On-line version ISSN 2255-3517Print version ISSN 2254-2884
Abstract
PELAYO-ALONSO, Raquel; SAINZ-ALONSO, Rosa Ana; COBO-SANCHEZ, José Luis and MARTINEZ-ALVAREZ, Patricia. Influence of the educational process in the ACKD consultation on the choice of renal replacement therapy. Enferm Nefrol [online]. 2020, vol.23, n.3, pp.267-272. Epub Jan 04, 2021. ISSN 2255-3517. https://dx.doi.org/10.37551/s2254-28842020028.
Introduction:
The purpose of the Chronic Kidney Disease consultations is to enhance the patient’s self-care and autonomy. The process of information and choice of renal replacement therapy in these patients is a key aspect for their treatment.
Objective:
To determine if the type of educational process that the patient receives in ACKD consultation influences the choice of the type of renal replacement treatment.
Material and Method:
Retrospective observational study in patients followed up in ACKD consultation in the period 2015-2020. Clinical and sociodemographic data were collected from the patient’s medical history as well as the therapeutic option chosen by the patient and the educational process received (only nephrologist or multidisciplinary team: nephrologist and nurse).
Results:
294 patients who were candidates for renal replacement therapy were included. 51% of the sample chose in-centre haemodialysis as the most frequent option. The patients who were educated by a multidisciplinary team chose haemodialysis in 36.4% and conservative treatment in 18.2% versus 56.7% and 5.1% respectively, for the group that was informed by only the nephrologist (p<0.01).
Conclusions:
In-centre haemodialysis is the most frequent option among patients. When the patient receives a structured, systematic and multidisciplinary information process, the choice between the different options tends to balance out and conservative treatment is considered an alternative option.
Keywords : advanced chronic kidney disease; health education; Decision making; renal replacement therapy.