Publication: Evaluación de una intervención de Enfermería para prevenir la
coagulación del circuito extracorpóreo en hemodiálisis
Authors
Tobo Medina, Natalia
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info:eu-repo/semantics/article
Description
Abstract
La coagulación en el circuito extracorpóreo es una de las complicaciones de la hemodiálisis. Para
reducir su ocurrencia se requiere el diseño y estandarización de la intervención de enfermería,
adicional a la anticoagulación farmacológica.
Objetivo: Evaluar la efectividad de una intervención de enfermería para prevenir la coagulación en el
circuito extracorpóreo en hemodiálisis.
Métodos: Estudio cuasi experimental en grupos no concurrentes en 20 individuos seleccionados
aleatoriamente. Se hicieron 120 observaciones, 60 con el protocolo institucional y 60 con el plan de
intervención. Se empleó porcentajes, media, desviación estándar, t-Student y la prueba de los signos
de Wilcoxon. Se aceptó significancia estadística p≤0.05.
Resultados: Hubo diferencias significativas en la disminución de la coagulación en el circuito
extracorpóreo entre las sesiones sin y con la intervención, p≤0.05. La cámara arterial fue la de mayor
número de eventos, 58% sin intervención, vs. 6.6% con intervención. Le siguió la cámara venosa con
35% vs. 3.3%.
Conclusión: Los resultados apoyan la efectividad del plan propuesto, sugiriendo la importancia de
esas acciones y su estandarización para aportar una mejor calidad de la terapia.
ABSTRACT Background: The coagulation of the out-of-body circuit is one of the complications in hemodialysis. In order to reduce its appearance it is required, besides the anticoagulation, the design and standardization of the nursing intervention. Objective: Evaluate the effectiveness of the nursing care program to prevent the coagulation of extracorporeal circulation during the hemodialysis. Methods: Twenty patients selected at random were studied through an almost experimental study in non-recurring groups. 120 observations were made. Were used: percentages, average frequencies, the standard deviation (DE), the t-Student and the Wilcoxon signed- ranks test. Statistical significance was accepted for p≤0.05. Results: The results support the hypothesis about the effectiveness. Significant differences were observed in the decrease coagulation of extracorporeal circulation, among the sessions with and without the application of the care program. The arterial chamber showed the highest number of events with 58% without intervention, versus 6.6% with intervention. Secondly, the vein chamber with 35% vs. 3.3%. Conclusion: The effectiveness of the program proposed in the prevention and decrease of the coagulation extracorporeal circulation, was proved; suggesting the importance for this kind of interventions to be standardized in the kidney units in order to provide a better quality therapy and a better life quality of the patient.
ABSTRACT Background: The coagulation of the out-of-body circuit is one of the complications in hemodialysis. In order to reduce its appearance it is required, besides the anticoagulation, the design and standardization of the nursing intervention. Objective: Evaluate the effectiveness of the nursing care program to prevent the coagulation of extracorporeal circulation during the hemodialysis. Methods: Twenty patients selected at random were studied through an almost experimental study in non-recurring groups. 120 observations were made. Were used: percentages, average frequencies, the standard deviation (DE), the t-Student and the Wilcoxon signed- ranks test. Statistical significance was accepted for p≤0.05. Results: The results support the hypothesis about the effectiveness. Significant differences were observed in the decrease coagulation of extracorporeal circulation, among the sessions with and without the application of the care program. The arterial chamber showed the highest number of events with 58% without intervention, versus 6.6% with intervention. Secondly, the vein chamber with 35% vs. 3.3%. Conclusion: The effectiveness of the program proposed in the prevention and decrease of the coagulation extracorporeal circulation, was proved; suggesting the importance for this kind of interventions to be standardized in the kidney units in order to provide a better quality therapy and a better life quality of the patient.
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