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Search Results: 1 - 10 of 329102 matches for " Jesús Lucas; Cirera Segura "
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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.
Formación proporcionada a los pacientes de diálisis peritoneal domiciliaria en Espa?a
Martín Espejo,Jesús Lucas; Cirera Segura,Francisco; Reina Neyra,Macarena;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2008, DOI: 10.4321/S1139-13752008000100003
Abstract: the aim of this work is to know the training programme for home peritoneal dialysis patients in spain. for the study a survey was designed with 50 closed questions and one open question. it was sent to 104 hospitals and participation of 78.84% was obtained (n=82). the average number of peritoneal dialysis patients in the centres surveyed was 27.6 patients: 15.8 patients on continuous ambulatory peritoneal dialysis and 11.8 on automated peritoneal dialysis. with the rest of the questions we investigated the teaching methodology used in the different units, the involvement of the family in the training plans, the basic knowledge imparted to the patient on chronic renal insufficiency, the activities necessary to carry out the treatment, the preparation provided so that they can deal with minor incidents and emergencies and to improve their quality of life. questions were asked about the training plan for self-sufficient patients who were on automated peritoneal dialysis and finally, a section was left for the different centres to add anything not included in the survey. with the results obtained we were able to conclude that 92.1% of the centres in spain have a training plan that can prepare patients or the informal carer to give the treatment in a safe way at home, provide them with basic knowledge on the illness and routine activities for the treatment, deal with incidents and emergencies and improve their quality of life while on dialysis.
Salud Percibida por los Pacientes en DPCA y DPA
Reina Neyra,Macarena; Cirera Segura,Francisco; Martín Espejo,Jesús Lucas;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2008, DOI: 10.4321/S1139-13752008000200005
Abstract: the quality of life related to health is a multidimensional concept that identifies the dimensions of health affected by chronic kidney disease and could be a useful tool to assess the impact of peritoneal dialysis. the utility of the sf-366v2 questionnaire in patients undergoing peritoneal dialysis is evaluated, and how demographic variables and the type of peritoneal dialysis affect the health perceived by these patients. transversal descriptive, multicentre study, with a sample of 89 patients on peritoneal dialysis. the average age was 60.31 years. in order to evaluate the perceived health, we used sf-36v2 and compared scores according to gender, age and type of treatment. women reflected lower scores: the 25-34 year-old age group had higher scores than older patients, although the scores of the latter were closer to the general population. no significant differences were found between types of treatment, even when the factors with the greatest influence on quality of life related to health were disregarded.
Formación proporcionada a los pacientes de diálisis peritoneal domiciliaria en Espa a Training provided to home peritoneal dialysis patients in Spain
Jesús Lucas Martín Espejo,Francisco Cirera Segura,Macarena Reina Neyra
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2008,
Abstract: El objetivo de este trabajo es conocer el programa de formación que reciben los pacientes en Diálisis Peritoneal Domiciliaria en Espa a. Para el estudio se dise ó una encuesta con 50 preguntas cerradas y una abierta. Se envió a 104 hospitales y se obtuvo una participación del 78,84% (n=82). La media de pacientes en Diálisis Peritoneal en los centros encuestados fue de 27,6 pacientes; en Diálisis Peritoneal Ambulatoria Continúa 15,8 pacientes y 11,8 en Diálisis Peritoneal Automatizada. Con el resto de las preguntas investigamos sobre la metodología de ense anza en las diferentes unidades, la implicación de la familia en los Planes de Formación, los conocimientos básicos que se daban al paciente sobre la insuficiencia renal crónica, las actividades necesarias para la realización del tratamiento, la preparación que se proporciona para que puedan solucionar peque as eventualidades o emergencias y para mejorar su calidad de vida. Se indagó sobre el Plan de Formación de pacientes autosuficientes que estuvieran en Diálisis Peritoneal Automatizada y por último, se dejó un apartado donde los diferentes centros a adieran aquello que no recogiera la encuesta. Con los resultados obtenidos pudimos concluir que en el 92,1% de los centros de Espa a existe un Plan de Formación que puede capacitar a los pacientes o al cuidador informal para realizar el tratamiento de forma segura en su domicilio, proporcionarle los conocimientos básicos sobre la enfermedad y las actividades rutinarias para el tratamiento, poder solventar eventualidades y emergencias, así como mejorar su calidad de vida estando en diálisis. The aim of this work is to know the training programme for Home Peritoneal Dialysis patients in Spain. For the study a survey was designed with 50 closed questions and one open question. It was sent to 104 hospitals and participation of 78.84% was obtained (n=82). The average number of Peritoneal Dialysis patients in the centres surveyed was 27.6 patients: 15.8 patients on Continuous Ambulatory Peritoneal Dialysis and 11.8 on Automated Peritoneal Dialysis. With the rest of the questions we investigated the teaching methodology used in the different units, the involvement of the family in the Training Plans, the basic knowledge imparted to the patient on chronic renal insufficiency, the activities necessary to carry out the treatment, the preparation provided so that they can deal with minor incidents and emergencies and to improve their quality of life. Questions were asked about the Training Plan for self-sufficient patients who were on Automated Peritoneal Dialysis
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