Prevalencia del grado de dependencia funcional en pacientes con insuficiencia renal crónica en tratamiento hemodialítico en el hospital de especialidades Teodoro Maldonado Carbo en el periodo comprendido entre octubre del 2017 y febrero del 2018.

Abstract

Introduction: Hemodialysis is a vital and necessary treatment for stage 5 chronic kid-ney disease, which consists of a pump that acts as a kidney and filters the blood elim-inating unnecessary waste. Despite advances in technology and dialysis equipment, it remains an uncomfortable procedure that requires special attention from health pro-fessionals and associates to reduce the impact on the quality of life of hemodialysis patients. For health professionals it is important to know the quality of life of hemodi-alysis patients, especially the physical functional affectation, which can be assessed with different indices, of which Barthel is one of the most used scales. This index assesses the dependence of patients on activities of daily living and their results are based on the sum of their scores. Objectives: Determine the functional dependence in patients with chronic renal failure undergoing dialysis by evaluation of Barthel scale. Material and Method: The present prevalence or cross-sectional, observational and descriptive study, which includes patients older than 45 years with a diagnosis of Chronic Renal Insufficiency who come to the Dialysis Unit of the Teodoro Maldonado Carbo Specialty Hospital, with more than 6 months of hemodialysis treatment and who decide to participate voluntarily in this study, in the period between October 2017 to February 2018. Results: Our sample is 247 patients in which the largest age group was between 60-75 years with an average of 70.67 years, in which 48% (119) are female and 52% (119) are sex male. Of these patients 40% (100) are married, 22.4% (55) are widowers, 18.8% (46) are divorced, 18.4% (46) are single and 0.4% (1) have free union. In our study, 100% of the patients were undergoing hemodialysis in a period greater than 6 months, of which, a significant group of patients are in a degree of slight dependence with 33% (81), leaving in secondly, patients with an independent degree of 32% (79), a lower percentage found moderate and severe dependence with 17% (43.42) each, and total dependence with 1% (2). We found a relationship between the time of hemodialysis and the degree of dependence (p 0.032) with 95% confidence and regarding age it was possible to determine that there is statistical significance between the ages of the patients and the degree of dependence with a 95 % confidence and a value (p = 0.0005).