<?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>S2254-28842017000300215</article-id>
<article-id pub-id-type="doi">10.4321/s2254-28842017000300003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación de necesidades paliativas en el paciente con enfermedad renal crónica en hemodiálisis]]></article-title>
<article-title xml:lang="en"><![CDATA[Palliative needs assessment in patients with chronic kidney disease on hemodialysis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Blanco Mavillard]]></surname>
<given-names><![CDATA[Ian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leiva Santos]]></surname>
<given-names><![CDATA[Juan Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bolaños Herrezuelo]]></surname>
<given-names><![CDATA[Gregorio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jaume Riutort]]></surname>
<given-names><![CDATA[Catalina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Julià Móra]]></surname>
<given-names><![CDATA[Joana Maria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Calero]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Manacor Unidad de calidad, docencia e investigación ]]></institution>
<addr-line><![CDATA[Mallorca ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital de Manacor Equipo de soporte hospitalario de atención paliativa ]]></institution>
<addr-line><![CDATA[Mallorca ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital de Manacor Unidad de hemodiálisis ]]></institution>
<addr-line><![CDATA[Mallorca ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Servicio de Salud de las Islas Baleares  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universitat de les Illes Balears departamento de Enfermería y Fisioterapia ]]></institution>
<addr-line><![CDATA[Palma de Mallorca ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<volume>20</volume>
<numero>3</numero>
<fpage>215</fpage>
<lpage>220</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2254-28842017000300215&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2254-28842017000300215&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2254-28842017000300215&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Los cuidados paliativos aportan una atención necesaria que promueve una respuesta integral y coordinada del sistema sanitario respetando la autonomía y valores de los pacientes en situación de final de vida.  Objetivos: Determinar la prevalencia de necesidad de cuidados paliativos en la unidad de hemodiálisis de nuestro centro mediante el instrumento validado NECPAL CCOMSS-ICO e identificar la situación de complejidad en pacientes con necesidades paliativas usando la herramienta de IDC-Pal.  Material y Método: Estudio observacional transversal. Tres enfermeras con formación en cuidados paliativos y en el uso de los cuestionarios NECPAL CCOMS-ICO y el IDC-Pal evaluaron de forma independiente a todos los pacientes de la unidad de crónicos de hemodiálisis. Las evaluaciones fueron realizadas entre los días 6 y 10 de marzo. Las discrepancias se resolvieron consensuando el resultado final entre las tres profesionales.  Resultados: Se analizaron a 50 pacientes, con una edad media de 68.24. El perfil de paciente más frecuente fue aquel con un tiempo de permanencia en hemodiálisis de 48,8 meses de media. La enfermedad renal primaria y comorbilidad más prevalente fueron la nefropatía diabética (26%) y la hipertensión arterial (56%) respectivamente. Se identificaron 20 pacientes con necesidad de atención paliativa (40%). Respecto a la evaluación del IDC-Pal, se obtuvieron 19 pacientes en situación de complejidad y 1 en situación de no complejidad.  Conclusiones: Las necesidades paliativas complejas sugieren la necesidad de realizar evaluaciones periódicas en las unidades de hemodiálisis, así como un enfoque asistencial multidisciplinar para dar respuesta a las necesidades identificadas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: The palliative care provides a necessary attention that promotes a comprehensive response and coordination of the health system respecting the autonomy and values of patients in the end-of-life situation.  Aim: To determine the prevalence of the need for palliative care in the hemodialysis unit of our center using the validated instrument NECPAL CCOMSS-ICO and to identify the complexity situation in patients with palliative needs using IDC-Pal.  Material and Method: Cross-sectional observational study. Three nurses trained in palliative care and in the use of the NECPAL CCOMS-ICO and IDC-Pal questionnaires independently assessed all patients in the chronic hemodialysis unit. The evaluations were carried out between the 6th and 10th of March. The discrepancies were resolved agreeing the final result among the three professionals.  Results: 50 patients were analysed, with a mean age of 68.24. The most frequent patient profile was with a permanence time in hemodialysis of 48.8 months of means. The most prevalent renal disease and comorbidity were diabetic nephropathy (26%) and hypertension (56%), respectively. 20 patients with palliative care (40%) were identified. Regarding the evaluation of the IDC-Pal, 19 patients were obtained in a situation of complexity and 1 in situation of non-complexity.  Conclusions: Complex palliative needs suggest the need for periodic evaluations in hemodialysis units, as well as a multidisciplinary care approach to respond to identified needs.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hemodiálisis]]></kwd>
<kwd lng="es"><![CDATA[cuidados paliativos]]></kwd>
<kwd lng="es"><![CDATA[necesidad paliativa]]></kwd>
<kwd lng="es"><![CDATA[integración]]></kwd>
<kwd lng="en"><![CDATA[hemodialysis]]></kwd>
<kwd lng="en"><![CDATA[palliative care]]></kwd>
<kwd lng="en"><![CDATA[palliative needs]]></kwd>
<kwd lng="en"><![CDATA[integration]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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