Browsing by Author "Mariño Paredes, Claudia Geilammy"

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    Factores psicosociales y adherencia al tratamiento en pacientes en Hemodiálisis
    (Universidad Tècnica de Ambato, Facultad de Jurisprudencia y Ciencias Sociales, Carrera de Trabajo Social, 2024-08) Mariño Paredes, Claudia Geilammy; Pino Loza, Eulalia Dolores
    Patients with Chronic kidney disease CKD, who receive hemodialysis treatment, face significant changes in several spheres of life that sometimes limit their adherence to treatment. Several factors converge in this process: psychological, social, economic, physical and environmental, among others. With the purpose of determining the incidence of psychosocial factors on treatment adherence in hemodialysis patients, an investigation with a quantitative approach was developed. The population consisted of 31 patients with CKD, who received hemodialysis therapy at the Clínica Integral Renal El Puyo “VIVENS”. To collect information, two instruments are applied: the WHOQOL-BREF Quality of Life Scale (version adapted by Murgieri et al., 2009) and theTreatment Adherence Evaluation Questionnaire (SMAN 0.0.), (adapted by Quiroz, 2012). All patients were classified into high (68%) and medium (32%) quality of life profiles, with dimensionsrelated to the environment and physical health being the psychosocial factors with the highest incidence in these profiles. In relation to adherence to hemodialysis treatment, the level of satisfactory adherence prevailed (81%), followed by the level of high adherence (16%), and the dimension related to the healthcare team was the best valued. Using the Pearson Correlation Coefficient (r= 0.732), the significant relationship between the psychosocial factors variables and adherence to hemodialysis treatment is demonstrated. It is concluded that a better behavior of psychosocial factors (higher quality of life), greater adherence to hemodialysis treatment. Professionals are advised to work under a transdisciplinary model whose main focus is to improvethe quality of life of patients, as well as to monitor the behavior of psychosocial factors, in order toidentify cases at risk of nonadherence to treatment and implement intervention strategies that provide emotional support and psychosocial support to patients. patients. and relatives; as well as promotion, prevention and health education actions and intervention in groups and families