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Enfermería Nefrológica
On-line version ISSN 2255-3517Print version ISSN 2254-2884
Abstract
HERNANDEZ-ZAMBRANO, Sandra Milena et al. Sociodemographic and clinical characterization of patients with chronic kidney disease with multiple pathologies and caregivers. Enferm Nefrol [online]. 2021, vol.24, n.1, pp.56-67. Epub Apr 26, 2021. ISSN 2255-3517. https://dx.doi.org/10.37551/s2254-28842021006.
Introduction:
Comorbid patients with Chronic Kidney Disease present progressive functional deterioration, clinical vulnerability, polypharmacy, diminished quality of life, psychosocial impact and high cost for the person and their family. Nursing must know the clinical and sociodemographic characteristics to identify patient's needs.
Objective:
To establish through a multidimensional assessment the sociodemographic and clinical conditions of multiple pathological patients with chronic kidney disease and their family caregivers.
Material and Method:
Descriptive cross-sectional study, involving 97 people with chronic kidney disease in a situation of multiple pathologies and their family caregivers, attending in two centers in Bogotá, Colombia. A multidimensional assessment was performed on the patient and caregiver with validated instruments. For the descriptive analysis, STATA version 13 was used.
Results:
52.6% were women over 80 years old, 48% were married, all of them completed primary school. In addition to kidney disease, 43.3%. has three associated diseases. 36.08% reported total independence in Basic Activities of Daily Living. 38% present a medium and problematic social risk, and a severe alteration in the quality of life. The main caregivers were children, followed by spouses.
Conclusion:
Many comorbid patients with chronic kidney disease present three associated chronic diseases, COPD, heart disease and mental illnesses. The results reflect clinical and psychosocial complexity associated especially with levels of functional dependence and social risk. The most affected quality of life dimensions are physical function and physical role. Family caregivers are mainly children, with a low burden is low and the adoption of the caregiver role is adequate.
Keywords : case managers; kidney disease; chronic disease; multimorbidity; multiple chronic conditions; caregiver.