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Search Results: 1 - 10 of 23473 matches for " Francisco Cirera Segura "
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Valoración de la información sobre el trasplante renal que reciben los pacientes en los centros periféricos de hemodiálisis
Cirera Segura,Francisco; Reina Neyra,Macarena;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2005, DOI: 10.4321/S1139-13752005000100006
Abstract: health education in kidney patients is a priority for nephrology nursing, as the right information and psychological preparation is essential for the patient and their family to be able to adapt to the life changes that dialysis and transplant involve. our objective is to determine the knowledge of nursing personnel on transplants in the peripheral units and to evaluate in what way the information is given to patients. this is a descriptive study performed in 9 peripheral haemodialysis centres in the province of seville. to carry it out, surveys were drawn up for the nursing staff with a total 21 questions formed by 113 items, where aspects were evaluated such as the form of giving the patient information and knowledge in three sections: the waiting list, the transplant process and later self-care. sixty-two percent of the population answered the survey. among the results, we must highlight that under 50% of patients ask for information on the transplant. thirty-seven percent of those surveyed said that they had an information protocol and stressed the quality of the information on the transplant stage and later self-care. we conclude that the large part of nursing personnel in the peripheral units have broad information on kidney transplants, although in some aspects this information should be completed or updated.
Valoración de la información sobre el trasplante renal que reciben los pacientes en los centros periféricos de hemodiálisis Evaluation of the information on kidney transplants received by patients in peripheral haemodialysis units
Francisco Cirera Segura,Macarena Reina Neyra
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2005,
Abstract: La educación sanitaria al paciente renal es una prioridad para la enfermería nefrológica, ya que la adecuada información y preparación psicológica es indispensable para que el paciente y su familia sean capaces de adaptarse a los cambios de vida que suponen la diálisis y posteriormente el trasplante. Nuestro objetivo es determinar los conocimientos del personal de enfermería sobre el trasplante, en los centros periféricos y valorar de qué manera se da la información a los pacientes. Es un estudio descriptivo que se ha llevado a cabo en 9 centros periféricos de hemodiálisis en la provincia de Sevilla. Para ello se han elaborado unas encuestas dirigidas al personal de enfermería, que constan de un total de 21 preguntas, formadas por un total de 113 ítems, en las que se valoran aspectos como la forma de dar la información al paciente, y los conocimientos en tres apartados como son la lista de espera, el proceso del trasplante y los autocuidados tras el mismo. Han contestado a la encuesta un 62% de la población. De los resultados cabe destacar que menos del 50% de los pacientes solicitan información sobre el trasplante. Un 37% de las encuestadas afirman disponer de un protocolo de información, destaca la calidad de la información acerca de la etapa del trasplante y de los autocuidados tras el mismo. Concluimos que la mayor parte del personal de enfermería de los centros periféricos tiene amplia información sobre el trasplante renal, aunque en algunos aspectos, esta información debería completarse o actualizarse. Health education in kidney patients is a priority for nephrology nursing, as the right information and psychological preparation is essential for the patient and their family to be able to adapt to the life changes that dialysis and transplant involve. Our objective is to determine the knowledge of nursing personnel on transplants in the peripheral units and to evaluate in what way the information is given to patients. This is a descriptive study performed in 9 peripheral haemodialysis centres in the province of Seville. To carry it out, surveys were drawn up for the nursing staff with a total 21 questions formed by 113 items, where aspects were evaluated such as the form of giving the patient information and knowledge in three sections: the waiting list, the transplant process and later self-care. Sixty-two percent of the population answered the survey. Among the results, we must highlight that under 50% of patients ask for information on the transplant. Thirty-seven percent of those surveyed said that they had an information protocol and stressed
Estandarización de cuidados en el proceso de acogida al inicio del programa de hemodiálisis
Myriam Ruiz Montes,Francisco Cirera Segura
Enfermería Nefrológica , 2012,
Abstract:
Influencia de la carga inicial de glucosa sobre los pacientes en diálisis peritoneal
Cirera Segura,Francisco; Martín Espejo,Jesús Lucas;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2010, DOI: 10.4321/S1139-13752010000100006
Abstract: the aims of the study were to determine whether different glucose loads at the start of peritoneal dialysis could be negative for survival of the technique or of the patients, and to find out what factors affect them and how nursing staff can act in this regard. a retrospective study was carried out from 2004 to 2008. the sample comprised 63 patients, classified in 3 groups according to the glucose concentration. epidemiological, analytical, peritoneal transport and rinsing, comorbility and dialysis dose data were compiled. the results show that the three groups were differentiated by the total glucose weight (p=0.001), average concentration (p<0.001), serum albumin (p<0.05), and the dialysate/creatinine plasma quotient (p=0.036). there were 15 deaths, with no significant differences found for the survival of the patients between the groups (p=0.163), although first-year survival was 95.2%, 94.1% and 78.4%. the factors that influenced survival were age, cardiovascular disease, total kt/v, diuresis and albumin. failure of the technique occurred in 8 patients and there were no differences between the groups (p=0.769), nor any independent factors affecting the survival of the technique. in conclusion, we have been unable to prove that a higher initial glucose load affects the survival of the patients or of the technique.
Síndrome metabólico en diálisis peritoneal
Cirera Segura,Francisco; Martín Espejo,Jesús Lucas;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011, DOI: 10.4321/S1139-13752011000400007
Abstract: introduction: metabolic syndrome is a combination of cardiovascular risk factors of metabolic origin. we set out to: ? determine the prevalence of metabolic syndrome in peritoneal dialysis and see how it evolved. ? evaluate its influence on mortality. ? review the nursing interventions aimed at preventing it. material and methods: a 5-year retrospective descriptive study was carried out. the metabolic syndrome diagnostic criteria classification proposed by ncep atp iii, modified by kam-tao li, was used. the other variables were obtained from the clinical history. results: the sample was made up of 53 patients with an average age of 62.02 years. the average time on dialysis was 28.02 months. the factors that describe metabolic syndrome in peritoneal dialysis were studied. they did not differ, except for glucaemia (p=0.012). the patients diagnosed with metabolic syndrome increased, without significance (p=0.18). the survival of patients with metabolic syndrome was lower, although without a significant difference (p=0.990). discussion: the role of nursing in the prevention and treatment of metabolic syndrome is fundamentally, as we can act on all the factors. the "knowledge deficit" should be assessed systematically in order to reinforce the intervention. we found the importance of establishing nursing diagnoses and re-assessing interventions designed to obtain the expected results. we have not managed to improve metabolic syndrome, which forces us to consider more effective actions, because ? we have a high percentage of patients with metabolic syndrome, which increases every year. ? they had lower survival, although the difference was not significant. ? we should correct nursing diagnoses and interventions.
Los Conocimientos de Enfermería como Instrumento para el Fomento de la Diálisis Peritoneal
Lucas Martín Espejo,Jesús; Cirera Segura,Francisco;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011, DOI: 10.4321/S1139-13752011000100002
Abstract: although it is proven that peritoneal dialysis, like haemodialysis, is an option for treating terminal chronic renal disease, it is used less. there has been considerable debate on the possible causes of its limited development in spain, and it has been suggested that the lack of promotion of peritoneal dialysis may be due to the fact that both doctors and nurses have insufficient information or training on this treatment option. we set ourselves the aim of identifying the degree of knowledge that nursing staff have of peritoneal dialysis, in order to take the necessary measures to promote this treatment and good practice. the sample was made up of a total of 66 nurses. to identify nursing staff's degree of knowledge of peritoneal dialysis, a questionnaire was designed. as a result we found that only 57.6% knew how to change a bag and 30.3% recognized how to handle a cycler. more than 86.4% knew how to recognize the symptoms of infection at the insertion point and peritoneal infection, but 55% would not know how to act in response to the most frequent complications in peritoneal dialysis. we have found that the general degree of knowledge of peritoneal dialysis is limited. we think that this can influence the promotion of and good practice in peritoneal dialysis, although 69.2% think that the results of this type of treatment for a standard patient are equal to or better than with haemodialysis.
Influencia de la carga inicial de glucosa sobre los pacientes en diálisis peritoneal Influence of the initial glucose load on patients undergoing peritoneal dialysis
Francisco Cirera Segura,Jesús Lucas Martín Espejo
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2010,
Abstract: Los objetivos del estudio fueron determinar si diferentes cargas de glucosa en el inicio de la diálisis peritoneal pueden ser negativas para la supervivencia de la técnica o de los pacientes y conocer qué factores les afectan y cómo puede actuar Enfermería al respecto. Se realizó un estudio retrospectivo desde 2004 a 2008. La muestra la constituyeron 63 pacientes, clasificados en 3 grupos según la concentración de glucosa. Se recogieron datos epidemiológicos, analíticos, transporte y aclaramiento peritoneal, comorbilidad y pauta de diálisis. Los resultados demuestran que los tres grupos se diferenciaban en el peso total de glucosa (p=0,001), en su concentración media (p<0,001), en la albúmina sérica (p<0,05), y el cociente dializado-plasma de creatinina (p=0,036). Tuvieron lugar 15 fallecimientos, no encontrando diferencias significativas para la supervivencia de los pacientes entre los grupos (p=0,163), aunque la supervivencia del primer a o fue del 95,2%, 94,1% y 78,4%. Los factores que influyeron en la supervivencia fueron la edad, la enfermedad cardiovascular, el Kt/V total, la diuresis y la albúmina. El fallo de la técnica tuvo lugar en 8 pacientes y no hubo diferencias entre los grupos (p=0,769), ni factores independientes que influyeran en la supervivencia de la técnica. Como conclusión, no hemos podido demostrar que una mayor carga de glucosa inicial, afecte a la supervivencia de los pacientes o a la técnica. The aims of the study were to determine whether different glucose loads at the start of peritoneal dialysis could be negative for survival of the technique or of the patients, and to find out what factors affect them and how nursing staff can act in this regard. A retrospective study was carried out from 2004 to 2008. The sample comprised 63 patients, classified in 3 groups according to the glucose concentration. Epidemiological, analytical, peritoneal transport and rinsing, comorbility and dialysis dose data were compiled. The results show that the three groups were differentiated by the total glucose weight (p=0.001), average concentration (p<0.001), serum albumin (p<0.05), and the dialysate/creatinine plasma quotient (p=0.036). There were 15 deaths, with no significant differences found for the survival of the patients between the groups (p=0.163), although first-year survival was 95.2%, 94.1% and 78.4%. The factors that influenced survival were age, cardiovascular disease, total Kt/V, diuresis and albumin. Failure of the technique occurred in 8 patients and there were no differences between the groups (p=0.769), nor any independent fact
Los Conocimientos de Enfermería como Instrumento para el Fomento de la Diálisis Peritoneal Nursing knowledge as an instrument for the promotion of peritoneal dialysis
Jesús Lucas Martín Espejo,Francisco Cirera Segura
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011,
Abstract: Si bien está probado que la diálisis peritoneal es una opción de tratamiento de la Enfermedad Renal Crónica Terminal al igual que la hemodiálisis, su uso es menor. Se ha debatido mucho sobre las posibles causas para su escaso desarrollo en Espa a, apuntándose que la falta de impulso de la diálisis peritoneal puede deberse a que tanto médicos como Enfermería, no tengan la suficiente información o formación sobre esta opción de tratamiento. Como objetivo nos propusimos identificar el grado de conocimiento sobre la diálisis peritoneal que tiene el personal de Enfermería, con el fin de tomar las medidas necesarias para el fomento y la buena práctica de este tratamiento. La muestra estaba constituida por un total de 66 enfermeros. Para identificar el grado de conocimiento de Enfermería sobre la diálisis peritoneal, se dise ó un cuestionario. Como resultado obtuvimos que sólo el 57,6% sabía realizar un cambio de bolsa y un 30,3% reconocieron manejar una cicladora. Más del 86,4% sabían reconocer los síntomas de infección de la inserción y la infección peritoneal, pero un 55% no sabría actuar ante las complicaciones más frecuentes en diálisis peritoneal. Hemos podido comprobar que el grado de conocimiento general sobre la diálisis peritoneal es limitado. Pensamos que esto puede influir en el fomento y la buena práctica de la diálisis peritoneal, a pesar que el 69,2% piensan que los resultados de esta modalidad de tratamiento para un paciente estándar son iguales o mejores que con la hemodiálisis. Although it is proven that peritoneal dialysis, like haemodialysis, is an option for treating Terminal Chronic Renal Disease, it is used less. There has been considerable debate on the possible causes of its limited development in Spain, and it has been suggested that the lack of promotion of peritoneal dialysis may be due to the fact that both doctors and nurses have insufficient information or training on this treatment option. We set ourselves the aim of identifying the degree of knowledge that Nursing staff have of peritoneal dialysis, in order to take the necessary measures to promote this treatment and good practice. The sample was made up of a total of 66 nurses. To identify Nursing staff's degree of knowledge of peritoneal dialysis, a questionnaire was designed. As a result we found that only 57.6% knew how to change a bag and 30.3% recognized how to handle a cycler. More than 86.4% knew how to recognize the symptoms of infection at the insertion point and peritoneal infection, but 55% would not know how to act in response to the most frequent complications in
Síndrome metabólico en diálisis peritoneal Metabolic syndrome in peritoneal dialysis
Francisco Cirera Segura,Jesús Lucas Martín Espejo
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011,
Abstract: Introducción: El síndrome metabólico es una agrupación de factores de riesgo cardiovascular de origen metabólico. Nos planteamos: Determinar la prevalencia del síndrome metabólico en diálisis peritoneal y ver su evolución. Valorar su influencia sobre la mortalidad. Revisar las intervenciones de Enfermería destinadas a prevenirlo. Material y Métodos: Se realizó un estudio descriptivo retrospectivo de 5 a os. Se utilizó la clasificación de criterios diagnósticos del síndrome metabólico propuesta por NCEP ATP III, modificada por Kam-Tao Li. El resto de las variables se recogieron de la historia clínica. Resultados: La muestra la compusieron 53 pacientes con una edad media de 62,02 a os. El tiempo medio en diálisis peritoneal fue de 28,02 meses. Se estudiaron los factores que describen el síndrome metabólico en diálisis peritoneal. No difirieron salvo en la glucemia (p=0,012). Los pacientes diagnosticados de síndrome metabólico aumentaron, sin significación (p=0,18). La supervivencia de los pacientes con síndrome metabólico fue menor aunque sin diferencia significativa (p=0,990). Discusión: El papel de Enfermería en la prevención y tratamiento de síndrome metabólico es fundamental, ya que podemos actuar sobre todos los factores. El "Déficit de Conocimientos" debe evaluarse de forma sistemática para reforzar las intervenciones. Comprobamos la importancia de establecer diagnósticos de Enfermería y reevaluar intervenciones dise adas para obtener los resultados esperados. No hemos conseguido mejorar el síndrome metabólico lo que nos obliga a plantearnos actuaciones más efectivas, ya que: Tenemos un elevado porcentaje de pacientes con síndrome metabólico que aumenta al a o. Tuvieron menor supervivencia, aunque sin significación. Debemos corregir los diagnósticos e intervenciones de Enfermería. Introduction: Metabolic syndrome is a combination of cardiovascular risk factors of metabolic origin. We set out to: Determine the prevalence of metabolic syndrome in peritoneal dialysis and see how it evolved. Evaluate its influence on mortality. Review the Nursing interventions aimed at preventing it. Material and Methods: A 5-year retrospective descriptive study was carried out. The metabolic syndrome diagnostic criteria classification proposed by NCEP ATP III, modified by Kam-Tao Li, was used. The other variables were obtained from the clinical history. Results: The sample was made up of 53 patients with an average age of 62.02 years. The average time on dialysis was 28.02 months. The factors that describe metabolic syndrome in peritoneal dialysis were
Dise?o de una guía informativa para los pacientes en diálisis susceptibles de ser trasplantados
Cirera Segura,Francisco; Reina Neyra,Esperanza Macarena; Martín Espejo,Jesús Lucas;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2006, DOI: 10.4321/S1139-13752006000100004
Abstract: a guide has been designed with basic information on the kidney transplant process that patients on dialysis need to know. to prepare this guide, we started by compiling the questions raised by the dialysis patients we work with on a daily basis. the guide contains information on the entire transplant process, from the steps required to be included on the waiting list, to self-care after the transplant, comparing it to a journey, with the following sections: ? prologue and index ? introduction ? the waiting list: "how to obtain your ticket". this section sets out the prior steps to get on the waiting list for a kidney transplant. ? kidney transplant: "a new passenger". this section covers the time spent in hospital in the kidney transplant process. ? self-care: "the journey continues". this section educates the patient by giving recommendations and measures to promote health after the transplant. ? contact numbers, question forms, medication and constants. the guide is entitled "information on kidney transplants: patient's manual" and its purpose is to improve renal patients' information about the transplant, and provide nursing with a working tool to unify criteria, thus improving the quality of care we offer to our patients.
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