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Impacto de una intervención dirigida a incrementar el conocimiento de la enfermedad renal sobre el inicio oportuno de la terapia sustitutiva

DOI: 10.4321/S1139-13752011000400005

Keywords: dialysis, chronickidney disease, timely commencement, educational strategy.

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Abstract:

introduction: in mexico it is estimated that between 70 and 80% of patients who are admitted for dialysis are admitted as emergencies. this leads to higher mortality, higher costs and reduced organizational efficacy in the nephrology services. aim: to assess the impact of an intervention aimed at increasing knowledge of kidney disease on the timely commencement of replacement therapy. hypothesis: the group average knowledge of kidney disease after the intervention is higher than the average prior to the intervention. material and methods: pre-experimental design (before-after): a sample of 65 patients with stage 5 ckd (95% ci) underwent four group educational sessions: about chronic kidney disease, nutrition and chronic kidney disease, changes in lifestyle and peritoneal dialysis, what you need to know. a questionnaire containing 26 items (kr.8) was used. descriptive statistics and the student's t-test were used (ns > 0.05). results: before the intervention, average knowledge was 60.76 which increased by 35.08 points after the intervention. prior to the intervention, good level was at 23.1%, and increased to 98.5%. significant changes in the level of knowledge were achieved (t = 13.207 ns.000) 93.80% agreed to start treatment after the intervention. conclusions: providing education on kidney disease and the treatment options increases knowledge of the disease, favouring correct decision-making for the timely commencement of replacement therapy.

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