<?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>S2254-28842021000300304</article-id>
<article-id pub-id-type="doi">10.37551/s2254-28842021027</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efectividad de una intervención educativa con prescripción enfermera para el control del fósforo en pacientes en hemodiálisis]]></article-title>
<article-title xml:lang="en"><![CDATA[Effectiveness of a nurse-prescribed educational intervention for phosphorus control in hemodialysis patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reixach-Aumatell]]></surname>
<given-names><![CDATA[Laia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cufí-Vallmajor]]></surname>
<given-names><![CDATA[Maria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martín-Rabassa]]></surname>
<given-names><![CDATA[Esther]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rey-Miguel]]></surname>
<given-names><![CDATA[Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Figueres Servicio de Nefrología Fundació Salut Empordà]]></institution>
<addr-line><![CDATA[Girona ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>24</volume>
<numero>3</numero>
<fpage>304</fpage>
<lpage>312</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2254-28842021000300304&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2254-28842021000300304&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2254-28842021000300304&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Introducción: El control del fósforo en pacientes en hemodiálisis es muy importante para la prevención de complicaciones.  Objetivo principal:  Evaluar los niveles de fósforo en sangre antes, durante y después de las intervenciones médica y enfermera-médica.  Material y Método:  Estudio cuantitativo, analítico, cuasi experimental, longitudinal y prospectivo en una población de pacientes en hemodiálisis hospitalaria. El estudio tuvo una duración de 18 meses donde enfermeras y médicos en diferentes meses controlaron la prescripción de los quelantes del fósforo. Se recogieron datos de los resultados analíticos y se reforzó la pauta dietética por parte de las enfermeras. Se administró el test de Morisky Green para valorar la adherencia al tratamiento, así como un "check list" para valorar los efectos secundarios de los quelantes.  Resultados:  Se estudiaron 19 pacientes. Los niveles de fósforo (mediana; rango intercuartílico) en los distintos periodos fueron de: (4,8; 1,3) mg/dl en el periodo previo, (4,5; 1,9) mg/dl en el periodo médico y (4,5; 0,9 mg/dl) en el periodo enfermera-médico. Se compararon los resultados entre los diferentes periodos y no se observaron diferencias estadísticamente significativas entre los niveles de fósforo. Tampoco se observaron diferencias en dichos niveles al separar los pacientes cumplidores de los no cumplidores.  Conclusiones:  Aunque los resultados no fueron estadísticamente diferentes, se observó una disminución del fósforo con el refuerzo de dieta continuo por parte de las enfermeras. Por lo que se concluye que las enfermeras, junto con el apoyo médico, podrían implicarse en la prescripción y el control de fósforo mensual de los pacientes de la Unidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Introduction: Phosphorus control in hemodialysis patients is very important for the prevention of complications.  Objective:  To assess blood phosphorus levels before, during and after medical and nurse-medical interventions.  Material and Method:  Quasi-experimental, analytical, longitudinal and prospective study in a population of hospital hemodialysis patients. The study lasted 18 months in which nurses and doctors monitored the prescription of phosphorus chelators during different months. Data on analytical results were collected and dietary guidelines were reinforced by the nurses. The Morisky Green test was administered to assess adherence to treatment, as well as a checklist to assess the side effects of the chelators.  Results:  A total of 19 patients were studied. The phosphorus levels (median; interquartile range) were: (4.8; 1.3) mg/dl in the previous period, (4.5; 1.9) mg/dl in the physician period and (4.5; 0.9 mg/dl) in the nurse-physician period. The results were compared between the different periods and no statistically significant differences were observed between the phosphorus levels. Nor were differences in these levels observed when separating compliant and non-compliant patients.  Conclusions: Although no significant differences were found, a decrease in phosphorus was observed with continuous dietary reinforcement by nurses. It is therefore concluded that nurses, together with medical support, could be involved in the monthly phosphorus prescription and control of the unit&#8217;s patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fósforo sérico]]></kwd>
<kwd lng="es"><![CDATA[hemodiálisis]]></kwd>
<kwd lng="es"><![CDATA[dieta]]></kwd>
<kwd lng="es"><![CDATA[enfermera]]></kwd>
<kwd lng="es"><![CDATA[cumplimiento de la medicación]]></kwd>
<kwd lng="en"><![CDATA[serum phosphorus]]></kwd>
<kwd lng="en"><![CDATA[dialysis]]></kwd>
<kwd lng="en"><![CDATA[diet]]></kwd>
<kwd lng="en"><![CDATA[nurses]]></kwd>
<kwd lng="en"><![CDATA[medication adherence]]></kwd>
</kwd-group>
</article-meta>
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