Adaptation Level: Role and Interdependence of patients with continuous ambulatory peritoneal dialysis

Main Article Content

Martha Cecilia Ramírez-Ochoa
María de Lourdes García-Campos
María De los Ángeles Alarcón-Rosales

Keywords

Patient Education, Nursing, Patient Care, Chronic Renal Insufficiency, Continuous Ambulatory Peritoneal Dialysis, Nurse-Patient Relations, Patient Satisfaction

Abstract

Introduction: The Continuos Ambulatory Peritoneal Dialysis (CAPD) is one of the renal substitute treatments (RST) with

higher demand in patients with renal chronic insufficiency. This study is sustained in the Model of Adjustment of Callista Roy.

Objective: To describe the adjustment level (AL) in the different ways of performing the role (RM) and interdependence (ID) in patients with CAPD, in the city of Durango.

Methodology: Descriptive-transversal study. Twenty five (25) persons older than 20 years who were in IMSS (Durango)

were studied. The RM and ID were measured with an instrument developed for this purpose called "reliability level of 0.8701, obtained by Cronbach alpha in the MDR and of 0.9274 in ID.

Results: Age 61.9±13.6 years, 52% was men, education 4.6±2.7 years; median of time of treatment was 11 monthsdiagnosis 32 months. 55% of the participants presented compensatory AL in the RM and 60% had an integrated AL in ID. It was also observed that 100% of the studied subjects lived with their relatives.

Discussion: It was observed that the CAPD, as focal stimulus, imposes modifications in the adjustment.

Conclusions: The persons presented RM and ID in adaptation compensatory levels and integrated

respectively. It is important that the professional nurses strengthen the positive stimuli and control, eliminate, or avoid the negative ones to guarantee an ideal health state in persons with CAPD.

Abstract 0 | PDF (Spanish) Downloads 0

References

García MJ, et. al. Malignización precoz de la enfermedad renal quística adquirida. Nefrol. 1994;14(6):711-14.

 

 Zabat E. Cuando el paciente necesita diálisis peritoneal. Nursing. 2004;22(3):28-29.

 

Sánchez-Espinosa A, García-Campos ML. Nivel de desarrollo de la Agencia de Autocuidado del Paciente con Diálisis Peritoneal.  Des Cient Enferm. 2004;12(6):164-66.

 

Ostiquin MR, Salazar BC. Rol funcional de la adolescente después del nacimiento del primer hijo. Des Cient Enferm. 1999; 7(10):302-305.

 

Ruiz VRM, Ruiz BLE, Quintero VD, Jurado CS. El autoconcepto en pacientes con insuficiencia renal crónica. Nutrición Clínica. 2003;6(3):220-26.

 

 

Ruiz VRM, Ruiz BLE, Quintero VD, Jurado CS. El autoconcepto en pacientes con insuficiencia renal crónica. Nutr Clín. 2003;6(3):220-26.

 

Roy C, Andrews H. The Roy adaptation model. 2nd ed. Stamford, CT: Appleton & Lange, 1999. p. 37-50, 430-452, 512-518.

 

Nuwayhid KA. Role function: theory and development. En: Roy C Introduction to nursing: an adaptation model. 2nd Ed. Englewood Cliffs,N.J: Prentice-Hall, 1984.p.285-305.

 

Parsons T, Shils E. Toward a general theory of action. Boston: Harvard University Press, 1951.

 

Hernández-Sampieri R, et al. Metodología de la investigación. 3ª. ed. McGraw-Hill, Mexico: 2003. p.352-356.

 

Lazcano-Ortiz MM, et al. Diabetes mellitus II: evolución y adaptación al rol social. Des Cient Enferm. 2002;10(5):134-137.

 

Font A. Calidad de vida: modelo de toma de decisiones compartidas  oncólogo-paciente. En: Gil F. Manual de psico-oncología. Madrid: 2000.p.64-66.

 

Trejo- García CA. Tesis: Factores condicionantes básicos y el nivel de déficit de autocuidado de los pacientes con diálisis peritoneal continua ambulatoria. Universidad Autónoma de Guanajuato. México: 2004.p.46-47.

 

Caporale B. Aspectos  psicológicos en el Paciente con Diálisis Peritoneal  Continua Ambulatoria. 2000. p.22-27.

 

Romero R., Ibáñez E, Monsalve V. La terapia psicológica: adyuvante en enfermas con cáncer de mama: un estudio preliminar. En: Gil F. Manual de psico-oncología. Madrid: Nova Sidonia Oncología. 2000. p.115-118.