Early nephrology care provided by the nephrologist alone is not sufficient to mitigate the social and psychological aspects of chronic kidney disease
Clinics
;
66(2): 245-250, 2011. tab
Artigo
em Inglês
| LILACS
| ID: lil-581509
ABSTRACT
OBJECTIVE:
Patients with chronic kidney disease who receive early nephrology care have a better prognosis with maintenance dialysis. We aimed to determine whether early referral to a nephrologist can also improve the psychological burden of having chronic kidney disease. SUBJECTS ANDMETHODS:
Thirty-nine patients with chronic kidney disease that required hemodialysis were studied 19 had a $ 6-month history of nephrology care (Group1), and 20 had never received any prior nephrology care (Group2). All patients participated in a semi-structured interview that addressed their perceived knowledge and psychological aspects related to CKD and hemodialysis. Demographic and laboratory data as well as socioeconomic status were evaluated.RESULTS:
In both groups, most of the patients were of low socioeconomic status. Group 1 had significantly better laboratory parameters (p<0.05). The patients' answers to the questions showed no differences between the groups 63 percent of Group 1 and 55 percent of Group 2 reported that they had no prior knowledge about dialysis; 58 percent and 40 percent, respectively, reported that they ''don't completely understand what the doctor says''; and 74 percent and 85 percent, respectively, believed that their ''kidneys would work again''.CONCLUSION:
Pre-dialysis nephrology care improves the clinical conditions of the patients with chronic kidney disease but is insufficient for minimizing other aspects of having chronic kidney disease.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Encaminhamento e Consulta
/
Conhecimentos, Atitudes e Prática em Saúde
/
Educação de Pacientes como Assunto
/
Diálise Renal
/
Falência Renal Crônica
Tipo de estudo:
Estudo prognóstico
/
Pesquisa qualitativa
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Clinics
Assunto da revista:
Medicina
Ano de publicação:
2011
Tipo de documento:
Artigo
País de afiliação:
Brasil
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