<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2254-2884</journal-id>
<journal-title><![CDATA[Enfermería Nefrológica]]></journal-title>
<abbrev-journal-title><![CDATA[Enferm Nefrol]]></abbrev-journal-title>
<issn>2254-2884</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Nefrológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2254-28842017000200132</article-id>
<article-id pub-id-type="doi">10.4321/s2254-288420170000200006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Consulta de enfermería y adherencia terapéutica del paciente en hemodiálisis]]></article-title>
<article-title xml:lang="en"><![CDATA[Nursing consultation and therapeutic adherence of the hemodialysis patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ojeda Ramírez]]></surname>
<given-names><![CDATA[María Dolores]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caro Rodríguez]]></surname>
<given-names><![CDATA[Inmaculada]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ojeda Ramírez]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Pérez]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Hita]]></surname>
<given-names><![CDATA[Sonia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Marcos]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Poniente Unidad de Hemodiálisis de la APES ]]></institution>
<addr-line><![CDATA[El Ejido Almería]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>20</volume>
<numero>2</numero>
<fpage>132</fpage>
<lpage>138</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2254-28842017000200132&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2254-28842017000200132&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2254-28842017000200132&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  Al entrevistar a un paciente en la sala de hemodiálisis se producen muchas interferencias en la comunicación ya que simultáneamente atendemos a otros pacientes y se presentan complicaciones que tendremos que resolver de forma inmediata. Mediante la consulta de enfermería se pretende evitar esto, y darle el valor y tiempo que tienen las intervenciones enfermeras que son parte del tratamiento. Debemos asegurar que el paciente recibe instrucciones terapéuticas correctamente escritas, revisarlas y verificarlas con él para poder hacer un ajuste de niveles de comprensión, además de motivarlo y corresponsabilizarlo para lograr la adquisición de conductas implicadas en su autocuidado.  Objetivo:  Evaluar el efecto de la consulta de enfermería al paciente renal en hemodiálisis sobre el cumplimiento terapéutico.  Material y Método:  Estudio observacional longitudinal prospectivo de cohorte. Muestra de 42 pacientes en programa de hemodiálisis desde enero a junio 2014. Los pacientes seleccionados para la consulta son aquellos para los que la investigadora del estudio es enfermera referente y colaboradora (Grupo A). Se recogen datos de las diferentes variables revisando las historias clínicas y mediante la entrevista con el paciente y cuidador principal.  Resultados:  Encontramos diferencias significativas al comparar las variables estudiadas entre el Grupo A y Grupo B (resto pacientes) en cuanto al fósforo y cumplimiento farmacológico, pero no se encontraron en cuanto al potasio aunque la tendencia es a mejorar los niveles.  Conclusiones:  La consulta de enfermería mejora la adherencia terapéutica en dieta y medicación, relacionándose con un mayor tiempo de dedicación al tratamiento y mayor contacto con el cuidador principal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  When interviewing a patient in the hemodialysis room, there is a lot of interference in communication since we simultaneously attend to other patients and present complications that we should solve immediately. Nursing consultation is intended to avoid this and give the value and time that nurses have interventions, which are part of the treatment. We must ensure that the patient receives correctly written therapeutic instructions, check and verify them with him in order to adjust comprehension levels, motivate and co-responsibility for achieving the acquisition of behaviors involved in self-care.  Objective:  To evaluate the effect of the nursing consultation on the therapeutic compliance in the renal patient on hemodialysis.  Material and Method:  A prospective longitudinal observational cohort study. Sample of 42 patients in hemodialysis program from January to June 2014. Patients selected for the consultation are those that the researcher of the study is referring nurse and collaborator (Group A). Data are collected from the different variables by reviewing the medical records and by interviewing the patient and primary caregiver.  Results:  Significant differences were found when comparing the variables studied between Group A and Group B (rest patients) in terms of phosphorus and pharmacological compliance, but were not found in terms of potassium although the tendency is to improve levels.  Conclusions:  The nursing consultation improves the therapeutic adherence in diet and medication, being related to a greater time of dedication to the treatment and greater contact with the main caregiver.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[consulta de enfermería]]></kwd>
<kwd lng="es"><![CDATA[adherencia terapéutica]]></kwd>
<kwd lng="es"><![CDATA[paciente renal]]></kwd>
<kwd lng="es"><![CDATA[hemodiálisis]]></kwd>
<kwd lng="en"><![CDATA[nursing consultation]]></kwd>
<kwd lng="en"><![CDATA[therapeutic adherence]]></kwd>
<kwd lng="en"><![CDATA[renal patient]]></kwd>
<kwd lng="en"><![CDATA[hemodialysis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Lobo]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Calidad de vida en los pacientes con insuficiencia renal crónica terminal en tratamiento sustitutivo de hemodiálisis. Aproximación a un proyecto integral de apoyo]]></article-title>
<source><![CDATA[Revista de la Sociedad Española de Enfermería Nefrológica]]></source>
<year>2001</year>
<volume>4</volume>
<page-range>6-12</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Fajardo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Guevara]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gonzáles]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Hurtado]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mala adherencia a la dieta en hemodiálisis: papel de los síntomas ansiosos y depresivos]]></article-title>
<source><![CDATA[Nefrología]]></source>
<year>2002</year>
<volume>22</volume>
<page-range>245-52</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Leiva]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Martos]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Prados]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[¿Cómo diagnosticar el cumplimiento terapéutico en Atención Primaria?]]></article-title>
<source><![CDATA[Medicina de Familia]]></source>
<year>2000</year>
<volume>1</volume>
<page-range>13-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cvengros]]></surname>
<given-names><![CDATA[BS]]></given-names>
</name>
<name>
<surname><![CDATA[Christensen]]></surname>
<given-names><![CDATA[PD]]></given-names>
</name>
<name>
<surname><![CDATA[Lawton]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The role of perceived control and preference for control in adherence to a chronic medical regimen]]></article-title>
<source><![CDATA[Ann Behav Med]]></source>
<year>2004</year>
<volume>27</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>155-61</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="">
<collab>Organización Mundial de la Salud</collab>
<source><![CDATA[Adherencia a los tratamientos a largo plazo: Pruebas para la acción]]></source>
<year>2004</year>
<publisher-loc><![CDATA[Washington, DC ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Morduchowicz]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Compliance in hemodiálisis patients a multivariate regression analysis]]></article-title>
<source><![CDATA[Nephron]]></source>
<year>1993</year>
<volume>64</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>365-8</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Leggat]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Orzol]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Hulbert-Shearon]]></surname>
<given-names><![CDATA[TE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Noncompliance in hemodialysis Predictors and survival analysis]]></article-title>
<source><![CDATA[Am J Kidney Dis]]></source>
<year>1998</year>
<volume>32</volume>
<page-range>139-45</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rahman]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ping]]></surname>
<given-names><![CDATA[Fu Fu]]></given-names>
</name>
<name>
<surname><![CDATA[Ashwini]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Interdialytic weight gain, compliance with dialysis regimen an age are independent predictors of blood pressure in hemodialysis patient]]></article-title>
<source><![CDATA[Am J Kidney Dis]]></source>
<year>2000</year>
<volume>35</volume>
<page-range>257-65</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Khechane]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Mwaba]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment adherence and coping with stress among Black South African Haemodialysis patients]]></article-title>
<source><![CDATA[Social Behaviour and Personality Journal]]></source>
<year>2004</year>
<volume>32</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>777-82</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hailey]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Moss]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Compliance behaviour in patients undergoing haemodialysis: A review of the literature]]></article-title>
<source><![CDATA[Psychology Health and medicine]]></source>
<year>2000</year>
<volume>5</volume>
<page-range>395-406</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kaveh]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Kimmel]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Compliance in hemodialysis patients multidimensional: measures in search of a gold standard]]></article-title>
<source><![CDATA[American Journal of Kidney Diseases]]></source>
<year>2001</year>
<volume>37</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>244-66</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vila]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Tejuca]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Tejuca]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cumplimentación terapéutica de pacientes en diálisis]]></article-title>
<source><![CDATA[Libro de Comunicaciones presentadas en el XXXII Congreso Nacional de la Sociedad Española de Enfermería Nefrológica]]></source>
<year>2007</year>
<page-range>173-7</page-range><publisher-loc><![CDATA[Cádiz ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="book">
<source><![CDATA[Guías SEN. Guías de centros de hemodiálisis]]></source>
<year>2006</year>
<volume>26</volume>
<numero>^s8</numero>
<issue>^s8</issue>
<supplement>8</supplement>
<publisher-name><![CDATA[Revista de la Sociedad Española de Nefrología]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<collab>Consejería de Salud</collab>
<source><![CDATA[Tratamiento sustitutivo de la insuficiencia renal crónica: diálisis y trasplante renal: Proceso Asistencial Integrado]]></source>
<year>2005</year>
<publisher-loc><![CDATA[Sevilla ]]></publisher-loc>
<publisher-name><![CDATA[Consejería de Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sezer]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ozdemir]]></surname>
<given-names><![CDATA[FN]]></given-names>
</name>
<name>
<surname><![CDATA[Arat]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Perim]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Turan]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Haberal]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The association of interdialytic weight gain with nutricional parameters and mortality risk in hemodialysis patients]]></article-title>
<source><![CDATA[Ren Fail]]></source>
<year>2002</year>
<volume>24</volume>
<page-range>37-48</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Galera]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Casado]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Programa educacional para un mejor control dietético y farmacológico de los pacientes en hemodiálisis]]></article-title>
<source><![CDATA[Libro de Comunicaciones presentadas al XIII Congreso Nacional de la Sociedad Española de Enfermería Nefrológica]]></source>
<year>1988</year>
<page-range>108-13</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[López-Gómez]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Villaverde]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jofré]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez-Benítez]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez García]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Interdialytic weight gain as a marker of blood pressure, nutrition, and survival in hemodialysis patients]]></article-title>
<source><![CDATA[Kidney Int]]></source>
<year>2005</year>
<numero>^s93</numero>
<issue>^s93</issue>
<supplement>93</supplement>
<page-range>63-8</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sezer]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ozdemir]]></surname>
<given-names><![CDATA[FN]]></given-names>
</name>
<name>
<surname><![CDATA[Arat]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Perim]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Turan]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Haberal]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The association of interdialytic weight gain with nutricional parameters and mortality risk in hemodialysis patients]]></article-title>
<source><![CDATA[Ren Fail]]></source>
<year>2002</year>
<volume>24</volume>
<page-range>37-48</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Galera]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Casado]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Programa educacional para un mejor control dietético y farmacológico de los pacientes en hemodiálisis]]></article-title>
<source><![CDATA[Libro de Comunicaciones presentadas al XIII Congreso Nacional de la Sociedad Española de Enfermería Nefrológica]]></source>
<year>1988</year>
<page-range>108-13</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tazon]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Aseguinolaza]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[García-Campayo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Ciencias psicosociales]]></source>
<year>1997</year>
<page-range>152-9</page-range><publisher-loc><![CDATA[Barcelona ]]></publisher-loc>
<publisher-name><![CDATA[Masson]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
