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ORIGINAL ARTICLE
Financial toxicity in people with chronic kidney disease undergoing hemodialysis treatment
- Emanuele Cristina de Sousa Silva
, - Maria de Fátima Mantovani ,
- Luciana de Alcantara Nogueira ,
- Mahara Louise Küchler ,
- Christian Carla Aparecida Volski Cassi , [ ... ],
- Luciana Puchalski Kalinke
09-04-2023
Resumo
ORIGINAL ARTICLEFinancial toxicity in people with chronic kidney disease undergoing hemodialysis treatment
Revista Brasileira de Enfermagem. 2023;76(4):e20220671
09-04-2023DOI 10.1590/0034-7167-2022-0671
- Emanuele Cristina de Sousa Silva ,
- Maria de Fátima Mantovani ,
- Luciana de Alcantara Nogueira ,
- Mahara Louise Küchler ,
- Christian Carla Aparecida Volski Cassi ,
- Luciana Puchalski Kalinke
Visualizações0ABSTRACT
Objective:
to assess the financial toxicity of people with chronic kidney disease undergoing hemodialysis treatment.
Method:
a descriptive analytical cross-sectional study, carried out with 214 people, between February and May 2022. For data collection, a sociodemographic and clinical instrument and the COmprehensive Score for financial Toxicity were used. For analysis, the Odds Ratio, ANOVA and Cronbach’s alpha tests were used.
Results:
the mean financial toxicity score was 20.30. Women with a monthly family income of at most two minimum wages are more likely to have some degree of financial toxicity (Odds Ratio: 0.85; 0.76).
Conclusion:
financial toxicity was identified to different degrees and varied according to sociodemographic and clinical characteristics. Measuring financial toxicity can help nurses plan care and develop strategies to avoid interrupting treatment.
Palavras-chave: Adult HealthChronic Kidney DiseaseFinancial ToxicityHealth Care CostsKidney DialysisVer maisVisualizações0
Resumo
ORIGINAL ARTICLEFinancial toxicity in people with chronic kidney disease undergoing hemodialysis treatment
Revista Brasileira de Enfermagem. 2023;76(4):e20220671
09-04-2023DOI 10.1590/0034-7167-2022-0671
- Emanuele Cristina de Sousa Silva ,
- Maria de Fátima Mantovani ,
- Luciana de Alcantara Nogueira ,
- Mahara Louise Küchler ,
- Christian Carla Aparecida Volski Cassi ,
- Luciana Puchalski Kalinke
Visualizações0ABSTRACT
Objective:
to assess the financial toxicity of people with chronic kidney disease undergoing hemodialysis treatment.
Method:
a descriptive analytical cross-sectional study, carried out with 214 people, between February and May 2022. For data collection, a sociodemographic and clinical instrument and the COmprehensive Score for financial Toxicity were used. For analysis, the Odds Ratio, ANOVA and Cronbach’s alpha tests were used.
Results:
the mean financial toxicity score was 20.30. Women with a monthly family income of at most two minimum wages are more likely to have some degree of financial toxicity (Odds Ratio: 0.85; 0.76).
Conclusion:
financial toxicity was identified to different degrees and varied according to sociodemographic and clinical characteristics. Measuring financial toxicity can help nurses plan care and develop strategies to avoid interrupting treatment.
Palavras-chave: Adult HealthChronic Kidney DiseaseFinancial ToxicityHealth Care CostsKidney DialysisVer mais
- Emanuele Cristina de Sousa Silva
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RESEARCH
Construction and validation of forms: systematization of the care of people under hemodialysis
Revista Brasileira de Enfermagem. 2018;71(2):379-390
01-01-2018
Resumo
RESEARCHConstruction and validation of forms: systematization of the care of people under hemodialysis
Revista Brasileira de Enfermagem. 2018;71(2):379-390
01-01-2018DOI 10.1590/0034-7167-2015-0130
Visualizações0Ver maisABSTRACT
Objective:
create and validate forms to subsidize the systematization of nursing care with people on hemodialysis.
Method:
institutional case study to support the systematization of assistance from the construction of forms for data collection, diagnoses, interventions and nursing results, using cross-mapping, Risner's reasoning, Neuman's theory, taxonomies of diagnoses, interventions and nursing results with application in clinical practice and validation by focal group with specialist nurses.
Results:
18 people on hemodialysis and 7 nurses participated. Consensus content of form matter with specialist nurses in the area (Crombach 0.86). The papers captured 43 diagnoses, 26 interventions and 78 nursing results depicting human responses in their singularities.
Final considerations:
the validated forms fill a gap by enabling the capture of human responses from people on hemodialysis and by subsidizing the planning of nursing care on a scientific basis.
Visualizações0Resumo
RESEARCHConstruction and validation of forms: systematization of the care of people under hemodialysis
Revista Brasileira de Enfermagem. 2018;71(2):379-390
01-01-2018DOI 10.1590/0034-7167-2015-0130
Visualizações0Ver maisABSTRACT
Objective:
create and validate forms to subsidize the systematization of nursing care with people on hemodialysis.
Method:
institutional case study to support the systematization of assistance from the construction of forms for data collection, diagnoses, interventions and nursing results, using cross-mapping, Risner's reasoning, Neuman's theory, taxonomies of diagnoses, interventions and nursing results with application in clinical practice and validation by focal group with specialist nurses.
Results:
18 people on hemodialysis and 7 nurses participated. Consensus content of form matter with specialist nurses in the area (Crombach 0.86). The papers captured 43 diagnoses, 26 interventions and 78 nursing results depicting human responses in their singularities.
Final considerations:
the validated forms fill a gap by enabling the capture of human responses from people on hemodialysis and by subsidizing the planning of nursing care on a scientific basis.
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RESEARCH
Hands hygiene and the use of gloves by nursing team in hemodialysis service
Revista Brasileira de Enfermagem. 2018;71(4):1963-1969
01-01-2018
Resumo
RESEARCHHands hygiene and the use of gloves by nursing team in hemodialysis service
Revista Brasileira de Enfermagem. 2018;71(4):1963-1969
01-01-2018DOI 10.1590/0034-7167-2017-0476
Visualizações0Ver maisABSTRACT
Objective:
to analyze the adhesion of the nursing team to the practice of hands hygiene (HH) and the use of latex gloves in a hemodialysis service.
Method:
this is a descriptive-exploratory study with a quantitative approach, performed between August and October 2016 in a hemodialysis service in the countryside of São Paulo State, Brazil, where the nursing team adhered to HH and the use of gloves. All ethical aspects have been contemplated.
Results:
there were 1090 opportunities for HH, with the adhesion rate being only 16.6%. Regarding the use of gloves, of the 510 opportunities observed, there was correct use in 45%, reuse in 25% and absence of latex gloves in 29% of the time.
Conclusion:
the rate of HH and adherence to gloves is far from ideal, contributing to the increased risk of infection for both the user and the professional.
Visualizações0Resumo
RESEARCHHands hygiene and the use of gloves by nursing team in hemodialysis service
Revista Brasileira de Enfermagem. 2018;71(4):1963-1969
01-01-2018DOI 10.1590/0034-7167-2017-0476
Visualizações0Ver maisABSTRACT
Objective:
to analyze the adhesion of the nursing team to the practice of hands hygiene (HH) and the use of latex gloves in a hemodialysis service.
Method:
this is a descriptive-exploratory study with a quantitative approach, performed between August and October 2016 in a hemodialysis service in the countryside of São Paulo State, Brazil, where the nursing team adhered to HH and the use of gloves. All ethical aspects have been contemplated.
Results:
there were 1090 opportunities for HH, with the adhesion rate being only 16.6%. Regarding the use of gloves, of the 510 opportunities observed, there was correct use in 45%, reuse in 25% and absence of latex gloves in 29% of the time.
Conclusion:
the rate of HH and adherence to gloves is far from ideal, contributing to the increased risk of infection for both the user and the professional.
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RESEARCH
Nursing diagnoses of patients with kidney disease undergoing hemodialysis: a cross-sectional study
Revista Brasileira de Enfermagem. 2018;71(4):2014-2020
01-01-2018
Resumo
RESEARCHNursing diagnoses of patients with kidney disease undergoing hemodialysis: a cross-sectional study
Revista Brasileira de Enfermagem. 2018;71(4):2014-2020
01-01-2018DOI 10.1590/0034-7167-2017-0225
Visualizações0ABSTRACT
Objective:
to identify Nursing Diagnoses of 5th stage chronic kidney disease patients undergoing hemodialysis.
Method:
cross-sectional, descriptive and quantitative study carried out with 151 patients undergoing hemodialysis in a clinic specialized in nephrology from the Northwest of the Paraná State. Nursing Diagnoses were determined through Nanda-I in which had the percentage greater than 50%. The analysis used was the simple statistics.
Results:
17 Nursing Diagnoses were identified, emphasizing the risks present in 100% of patients: risks for electrolyte imbalance; ineffective kidney perfusion; infection: vascular injuries, adverse response to the iodine-based contrast-enhanced and impaired urinary elimination.
Conclusion:
the main diagnoses listed reflect the more frequent risks that patients undergoing hemodialysis are exposed to. Being aware of these risks allows the nursing planning with early interventions, in order to prevent complications related to the disease and to promote best life conditions.
Palavras-chave: Chronic Kidney DiseaseKidney DialysisNursing DiagnosisNursing ProcessesRenal Replacement TherapyVer maisVisualizações0Resumo
RESEARCHNursing diagnoses of patients with kidney disease undergoing hemodialysis: a cross-sectional study
Revista Brasileira de Enfermagem. 2018;71(4):2014-2020
01-01-2018DOI 10.1590/0034-7167-2017-0225
Visualizações0ABSTRACT
Objective:
to identify Nursing Diagnoses of 5th stage chronic kidney disease patients undergoing hemodialysis.
Method:
cross-sectional, descriptive and quantitative study carried out with 151 patients undergoing hemodialysis in a clinic specialized in nephrology from the Northwest of the Paraná State. Nursing Diagnoses were determined through Nanda-I in which had the percentage greater than 50%. The analysis used was the simple statistics.
Results:
17 Nursing Diagnoses were identified, emphasizing the risks present in 100% of patients: risks for electrolyte imbalance; ineffective kidney perfusion; infection: vascular injuries, adverse response to the iodine-based contrast-enhanced and impaired urinary elimination.
Conclusion:
the main diagnoses listed reflect the more frequent risks that patients undergoing hemodialysis are exposed to. Being aware of these risks allows the nursing planning with early interventions, in order to prevent complications related to the disease and to promote best life conditions.
Palavras-chave: Chronic Kidney DiseaseKidney DialysisNursing DiagnosisNursing ProcessesRenal Replacement TherapyVer mais
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RESEARCH
The body marked by the arteriovenous fistula: a phenomenological point of view
Revista Brasileira de Enfermagem. 2018;71(6):2869-2875
01-01-2018
Resumo
RESEARCHThe body marked by the arteriovenous fistula: a phenomenological point of view
Revista Brasileira de Enfermagem. 2018;71(6):2869-2875
01-01-2018DOI 10.1590/0034-7167-2017-0898
Visualizações0Ver maisABSTRACT
Objective:
To understand the experience of people with chronic kidney disease using arteriovenous fistula.
Method:
Qualitative and exploratory study based on Social Phenomenology, conducted on 30 adults undergoing hemodialysis by using the fistula, interviewed in 2017. The interviews were analyzed according to the empirical-comprehensive model proposed by Amedeo Giorgi.
Results:
We found the categories “The changed body aesthetics”; “The perception of the other about my body”; and “The fistula as an inseparable condition for life maintenance.”
Final considerations:
The experience of people using fistula showed that this venous access leaves marks that change the body aesthetics, making the body imperfect. Such changes cause low self-esteem and attract the look of the other, causing embarrassment in those who have the body changed. Thus, they react by camouflaging the fistula, without which there is no life. This perception arises from the fear that works as a catalyst for self-care.
Visualizações0Resumo
RESEARCHThe body marked by the arteriovenous fistula: a phenomenological point of view
Revista Brasileira de Enfermagem. 2018;71(6):2869-2875
01-01-2018DOI 10.1590/0034-7167-2017-0898
Visualizações0Ver maisABSTRACT
Objective:
To understand the experience of people with chronic kidney disease using arteriovenous fistula.
Method:
Qualitative and exploratory study based on Social Phenomenology, conducted on 30 adults undergoing hemodialysis by using the fistula, interviewed in 2017. The interviews were analyzed according to the empirical-comprehensive model proposed by Amedeo Giorgi.
Results:
We found the categories “The changed body aesthetics”; “The perception of the other about my body”; and “The fistula as an inseparable condition for life maintenance.”
Final considerations:
The experience of people using fistula showed that this venous access leaves marks that change the body aesthetics, making the body imperfect. Such changes cause low self-esteem and attract the look of the other, causing embarrassment in those who have the body changed. Thus, they react by camouflaging the fistula, without which there is no life. This perception arises from the fear that works as a catalyst for self-care.
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RESEARCH
Validation of the adherence questionnaire for Brazilian chronic kidney disease patients under hemodialysis
Revista Brasileira de Enfermagem. 2017;70(3):558-565
01-01-2017
Resumo
RESEARCHValidation of the adherence questionnaire for Brazilian chronic kidney disease patients under hemodialysis
Revista Brasileira de Enfermagem. 2017;70(3):558-565
01-01-2017DOI 10.1590/0034-7167-2016-0437
Visualizações0ABSTRACT
Objective:
To validate the evaluation questionnaire on adherence of chronic kidney disease (CKD) patients under hemodialysis.
Method:
We verified the following psychometric properties of the instrument: reliability (stability and internal consistency) and validity (face, content, and construct).
Results:
The intraclass correlation coefficient reached a value of 0.98 for the adherence questions and 0.91 for the perception questions. Regarding the kappa of the 14 questions examined, 12 had a value > 0.8, whereas the Cronbach's alpha had a value of 0.57. Experts ensured the face and content validity of the instrument, giving it an overall content validity index of 0.96. Construct validity, analyzed by Mann-Whitney test, was achieved as all domains showed a significant association with p<0.01.
Conclusion:
We verified, by the presented results, that the instrument has been validated for use in Brazil.
Palavras-chave: Chronic Kidney DiseaseKidney DialysisMedication AdherenceNursing in NephrologyPatient CooperationVer maisVisualizações0Resumo
RESEARCHValidation of the adherence questionnaire for Brazilian chronic kidney disease patients under hemodialysis
Revista Brasileira de Enfermagem. 2017;70(3):558-565
01-01-2017DOI 10.1590/0034-7167-2016-0437
Visualizações0ABSTRACT
Objective:
To validate the evaluation questionnaire on adherence of chronic kidney disease (CKD) patients under hemodialysis.
Method:
We verified the following psychometric properties of the instrument: reliability (stability and internal consistency) and validity (face, content, and construct).
Results:
The intraclass correlation coefficient reached a value of 0.98 for the adherence questions and 0.91 for the perception questions. Regarding the kappa of the 14 questions examined, 12 had a value > 0.8, whereas the Cronbach's alpha had a value of 0.57. Experts ensured the face and content validity of the instrument, giving it an overall content validity index of 0.96. Construct validity, analyzed by Mann-Whitney test, was achieved as all domains showed a significant association with p<0.01.
Conclusion:
We verified, by the presented results, that the instrument has been validated for use in Brazil.
Palavras-chave: Chronic Kidney DiseaseKidney DialysisMedication AdherenceNursing in NephrologyPatient CooperationVer mais
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RESEARCH
Nursing diagnosis in older adults with chronic kidney disease on hemodialysis
Revista Brasileira de Enfermagem. 2017;70(4):800-805
01-01-2017
Resumo
RESEARCHNursing diagnosis in older adults with chronic kidney disease on hemodialysis
Revista Brasileira de Enfermagem. 2017;70(4):800-805
01-01-2017DOI 10.1590/0034-7167-2017-0117
Visualizações0Ver maisABSTRACT
Objective:
To identify the main nursing diagnoses (NSs) in older adult patients under hemodialysis treatment.
Method:
Exploratory research using case studies in data collection performed by interview and physical examination of older adults, in the first semester of 2016. Were included twenty-eight older adults undergoing chronic hemodialysis treatment who met the selection criteria. The analysis followed two steps (RISNER, 1990): Phase I - Data analysis and synthesis; and Phase II - Establishment of nursing diagnoses using the taxonomy of NANDA-I (2015).
Results:
The total of NSs was 110, averaging 3.9 per patient. It was listed seven different NSs, and both the Risk of infection and the Volume of excessive liquids appeared on all patients (28; 100%), and risk of electrolyte imbalance, in 26 (96.8%) older adults, being considered as main NSs.
Conclusion:
Such results can help systematize the care of older people who are undergoing hemodialysis treatment.
Visualizações0Resumo
RESEARCHNursing diagnosis in older adults with chronic kidney disease on hemodialysis
Revista Brasileira de Enfermagem. 2017;70(4):800-805
01-01-2017DOI 10.1590/0034-7167-2017-0117
Visualizações0Ver maisABSTRACT
Objective:
To identify the main nursing diagnoses (NSs) in older adult patients under hemodialysis treatment.
Method:
Exploratory research using case studies in data collection performed by interview and physical examination of older adults, in the first semester of 2016. Were included twenty-eight older adults undergoing chronic hemodialysis treatment who met the selection criteria. The analysis followed two steps (RISNER, 1990): Phase I - Data analysis and synthesis; and Phase II - Establishment of nursing diagnoses using the taxonomy of NANDA-I (2015).
Results:
The total of NSs was 110, averaging 3.9 per patient. It was listed seven different NSs, and both the Risk of infection and the Volume of excessive liquids appeared on all patients (28; 100%), and risk of electrolyte imbalance, in 26 (96.8%) older adults, being considered as main NSs.
Conclusion:
Such results can help systematize the care of older people who are undergoing hemodialysis treatment.
Kidney Dialysis Archives - Revista Brasileira de Enfermagem
