Percepción sobre adherencia del autocuidado desde la enfermería en pacientes hemodializados
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2022-05
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Universidad de Guayaquil, Facultad de Ciencias Medicas, Carrera de Enfermería
Resumen
La presente investigación aborda la temática de la adherencia en el autocuidado de pacientes hemodializados a partir del rol de enfermería, teniendo como punto de partida que, la adherencia hace referencia a la capacidad que posee un individuo para lograr llevar a cabo los lineamientos del tratamiento. En el caso específico del estudio, la adherencia se refiere a la capacidad del individuo de llevar a cabo cada una de las medidas de autocuidado que guardan relación con las complicaciones asociadas a la hemodiálisis. El principal objetivo del estudio se encuentra asociado a describir la percepción sobre adherencia del autocuidado desde la enfermería en pacientes hemodializados en el Centro de Hemodiálisis Nefrodíaz. Desde el punto de vista metodológico se realizó un estudio cualitativo, descriptivo, interpretativo a través de la aplicación de una entrevista a los informantes claves. Dentro de los principales resultados obtenidos, se observa que, los pacientes presentaron sentimientos positivos y negativos referentes al tratamiento, su respuesta se encuentra influenciada por todos los factores inmersos dentro del proceso de hemodiálisis, los cuales pueden o no afectar la actitud del individuo. Se concluye que, dentro de los principales sentimientos que experimentan los pacientes hemodializados en el Centro de Hemodiálisis Nefrodíaz sobre adherencia al autocuidado, se encuentran relacionados al temor a lo desconocido, en el caso de pacientes nuevos dentro de la unidad de salud y cuando los pacientes se realizan su primera hemodiálisis. Sin embargo, los sentimientos cambian a medida que pasa el tiempo, puesto que los pacientes no sienten la necesidad de decidir acudir o no, tienen el ánimo suficiente para afrontar el tratamiento.
This research addresses the issue of adherence in the self-care of hemodialysis patients from the nursing role, having as a starting point that adherence refers to the ability of an individual to carry out the treatment guidelines. In the specific case of the study, adherence refers to the individual's ability to carry out each of the self-care measures that are related to the complications associated with hemodialysis. The main objective of the study is associated with describing the perception of nursing self-care adherence in hemodialysis patients at the Nefrodíaz Hemodialysis Center. From the methodological point of view, a qualitative, descriptive, interpretive study was carried out through the application of an interview to the key informants. Among the main results obtained, it is observed that the patients presented positive and negative feelings regarding the treatment; their response is influenced by all the factors involved in the hemodialysis process, which may or may not affect the individual's attitude. It is concluded that, within the main feelings experienced by hemodialysis patients at the Nefrodiaz Hemodialysis Center about adherence to self-care, they are related to the fear of the unknown, in the case of new patients within the health unit and when patients undergoing their first hemodialysis. However, feelings change as time goes by, since patients do not feel the need to decide to go or not, they have enough courage to face treatment.
This research addresses the issue of adherence in the self-care of hemodialysis patients from the nursing role, having as a starting point that adherence refers to the ability of an individual to carry out the treatment guidelines. In the specific case of the study, adherence refers to the individual's ability to carry out each of the self-care measures that are related to the complications associated with hemodialysis. The main objective of the study is associated with describing the perception of nursing self-care adherence in hemodialysis patients at the Nefrodíaz Hemodialysis Center. From the methodological point of view, a qualitative, descriptive, interpretive study was carried out through the application of an interview to the key informants. Among the main results obtained, it is observed that the patients presented positive and negative feelings regarding the treatment; their response is influenced by all the factors involved in the hemodialysis process, which may or may not affect the individual's attitude. It is concluded that, within the main feelings experienced by hemodialysis patients at the Nefrodiaz Hemodialysis Center about adherence to self-care, they are related to the fear of the unknown, in the case of new patients within the health unit and when patients undergoing their first hemodialysis. However, feelings change as time goes by, since patients do not feel the need to decide to go or not, they have enough courage to face treatment.
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PERCEPCIÓN, ADHERENCIA, AUTOCUIDADO, HEMODIALISIS