Sociodemographic and clinical characteristics of patients in hemodialysis therapy
DOI:
https://doi.org/10.17267/2317-3378rec.2022.e4639Keywords:
Chronic Kidney Failure, Hemodialysis, Arteriovenous fistulaAbstract
OBJECTIVE: To describe the sociodemographic and clinical characteristics of patients with Chronic Kidney Disease (CKD) undergoing hemodialysis and to analyze pain in the application of the Buttonhole technique. METHOD: A quantitative descriptive study, carried out in a private nephrology service, using a semi-structured interview for sociodemographic health characterization and self-perception of health about CKD, hemodialysis treatment, and the Buttonhole technique, with a sample selected by convenience. RESULTS: The mean age of the 26 study participants was 60 years (±13.5), with a predominance of males (73.1%). Regarding previous diseases, 84.6% had arterial hypertension, and 38.5% had diabetes. As for the assessment of health status, 54.4% reported good or very good, however, 69.2% and 65.4% reported it as worse or much worse when compared to people of the same age group and concerning the previous year, respectively. Among the participants, 23 (88.5%) had an arteriovenous fistula and, among these, 9 (39.1%) underwent the Buttonhole technique, and 55.6% had a score for pain related to AVF puncture of up to 2. CONCLUSION: This study presented a predominantly male, hypertensive, and diabetic sample. Patients undergoing the Buttonhole technique had a score of up to 2 for puncture pain, demonstrating that the implementation of the technique in this population can contribute to improvements in treatment.
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(1) World Health Organization. Noncommunicable Diseases Progress Monitor 2020 [Internet]. Geneva: WHO; 2017. Available from: https://www.who.int/publications/i/item/9789240000490
(2) Piccoli C, Zonta FNS, Costa LD, Menetrier JV, Roque MS, Oliveira EM, et al. Epidemiological and clinical profile of accompanied patients in a model program for attention to chronic conditions. Cienc Cuid Saude. 2020;19:e50327. https://doi.org/10.4025/ciencuidsaude.v19i0.50327
(3) Souza Júnior EV, Costa EL, Matos RA, Cruz JS, Maia TF, Nunes GA, et al. Morbidity-mortality epidemiology and public costs of kidney failure. Rev Enferm UFPE. 2019;13(3):647-54. https://doi.org/10.5205/1981-8963-v13i3a236395p647-654-2019
(4) Lise F, Santos BP, Neutzling A, Milbrath VM, Schwartz E. Prevalence of hospitalizations and infant mortality for renal insufficiency in Brazil. Rev Enferm UFPE [Internet]. 2017;11(suppl 8):3295-302. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/110196
(5) Romagnani P, Remuzzi G, Glassock R, Levin A, Jager KJ, Tonelli M, et al. Chronic kidney disease. Nat Rev Dis Primers. 2017;3:17088. https://doi.org/10.1038/nrdp.2017.88
(6) Daugirdas JT, Blake PG, Ing TS. Manual de Diálise. 5th ed. Rio de Janeiro: Guanabara Koogan; 2016. p. 688.
(7) Nerbass FB, Lima HN, Thomé FS, Vieira Neto OM, Lugon JR, Sesso R. Brazilian Dialysis Survey 2020. J Bras Nefrol. 2022;44(3):349-357. http://dx.doi.org/10.1590/2175-8239-JBN-2021-0198
(8) Castro MCM, Carlquist FTY, Silva CF, Xagoraris M, Centeno JR, Souza JAC. Vascular access cannulation in hemodialysis patients: a technical approach. J Bras Nefrol. 2020;42(1):38-46. https://doi.org/10.1590/2175-8239-jbn-2019-0031
(9) Fernandes AR, Hartwig SV, Silva EC, Alencar BT. Identification of arteriovenous fistula and its complications by the entry services nurses of Cáceres-MT. Rev. APS. 2018;21(3):408-417. https://doi.org/10.34019/1809-8363.2018.v21.16503
(10) Pueyo CG, Navarrete IG, Mejía CM, Blanco MG, García-Ciaño XV, Vaca JR, et al. Vascular access puncture in haemodialysis is a necessity. The Buttonhole method is an option. Rev Soc Esp Enferm Nefrol [Internet]. 2011;14(1):30-36. Available from: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1139-13752011000100005&lng=es.
(11) Fortunato JGS, Furtado MS, Hirabae LFA, Oliveira JA. Scales of pain in critically ill patient: an integrative review. Rev HUPE. 2013;12(3):110-117. https://doi.org/10.12957/rhupe.2013.7538
(12) Galante NZ, Yamamoto A, Rabelo LL, Monterio DP, Azevedo LSF. Buttonhole: an old technique rediscovered. J Bras Nefrol. 2011;33(1):93-95. https://doi.org/10.1590/S0101-28002011000100016
(13) Garcia LHC, Cardoso NO, Bernardi CMCN. Self-care and Men’s Diseases: An integrative national review. Revista Psicologia e Saúde. 2019;11(3):19-33. http://dx.doi.org/10.20435/pssa.v11i3.933
(14) Organização Pan-americana da Saúde, Organização Mundial da Saúde. Editorial: a importância de abordar a masculinidade e a saúde dos homens para avançar rumo à saúde universal e à igualdade de gênero [Internet]. OPAS; 2019. Available from: https://www.paho.org/pt/noticias/25-2-2019-editorial-importancia-abordar-masculinidade-e-saude-dos-homens-para-avancar-rumo
(15) Ministério da Saúde (Brasil), Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas. Política Nacional de Atenção Integral à Saúde do Homem: Princípios e Diretrizes [Internet]. Brasília: Ministério da Saúde; 2018. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_atencao_homem.pdf
(16) Garcia PRS, Souza EF, Oliveira PJM (2022). Quality of life of patients with chronic kidney disease on hemodialysis on North of Mato Grosso. Sci Elec Arch. 2022:15(8):36-43. https://doi.org/10.36560/15820221567
(17) Picolli AP, Nascimento MM, Riella MC. Prevalence of chronic kidney disease in a population in southern Brazil (Pro-Renal study). J Bras Nefrol. 2017;39(4):384-390. http://dx.doi.org/10.5935/0101-2800.20170070
(18) Dantas RTS, Silva SG, Ferreira FT, Lima FS, Lima AGT. Health assessment of diabetic patients and risk for developing chronic kidney disease. Rev Multi Saúde [Internet]. 2020;1(2):52. Available from: https://editoraime.com.br/revistas/index.php/rems/article/view/234
(19) Fielding C, Bramley L, Stalker C, Brand S, Tolf S, Buchanan H. Patients’ experiences of cannulation of arteriovenous access for haemodialysis: A qualitative systematic review. J Vasc Access. 2022. https://doi.org/10.1177/11297298211067630
(20) Duarte MPC, Miranda FAN, Isoldi DMR, Silva GWS, Silva FS, Simpson CA. The buttonhole technique in patients submitted to hemodialytic treatment. J res fundam care. 2018;10(2):358-67. https://doi.org/10.9789/2175-5361.2018.v10i2.358-367
(21) Assis BB, Neves KC, Ribeiro WA, Fassarella BPA, Silva BB, Evangelista DS, et al. Assistance of nurses and their team to perform button punch in arteriovenous fistula. Res Soc Dev. 2020;9(9):e220996763. https://doi.org/10.33448/rsd-v9i9.6763
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Copyright (c) 2022 Clarice Santana Milagres, Juliana Furlan Ravagnani, Aline Scharr Rodrigues
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
