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

Abstract

Abstract: A cross-sectional, prospective, observational study was conducted, which allowed determining the symptomatic load and level of suffering of patients with advanced chronic kidney disease on hemodialysis in two centers of Loja during the months of March to June 2019, for this purpose they were used two tools, ESAS-r and the scale of the distress thermometer. With a sample of 124 patients between the two centers, it was obtained by ESAS-r that these patients have an average symptomatic load of 7; In addition, its most prevalent symptoms are: 92.5% non-well-being, 83.1% pain, 79.2% anorexia, 75.8% fatigue, 69.4% itching and depression in 66.9%. With the distress thermometer, the prevalence of suffering was identified, where physical problems were the most intense 72.6%, continuing with emotional 64.5% and practical in 48.4%, with family members having the least presence in 21.8%. With this we propose to the dialysis centers to include palliative care programs to reduce the suffering of their patients.