Prevalencia de los síntomas y sufrimiento en pacientes con enfermedad renal crónica avanzada en tratamiento de hemodiálisis

Abstract

Abstract: Objective: To determine the prevalence and intensity of symptoms and suffering inpatients with advanced chronic kidney disease undergoing hemodialysis treatment in the city of Loja.Methodology: It is a longitudinal, prospective and observational study. Sociodemographic data was collected and the ESAS-r tools (Edmonton Symptom Assessment System Revised) and Distress Thermometer were used to determine the symptomatic burden and suffering respectively in the patients of the Nefroloja Renal Unit in the period March-June 2019. It was analyzed the information with the SPSS program using percentages, means, medians and statistical tests of Chi Square.Results: There is a high symptomatic burden and suffering and its intensity increases with the passage of time. The median symptomatic burden rises from 6.7 to 8.6 symptoms two months apart, allthese of mild intensity, including pain, fatigue, depression, anxiety, drowsiness, feeling of well-being, difficulty sleeping and pruritus. Suffering is present in 63.7% of patients, with practical, emotional and physical problems of mild intensity.