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Mental health and what is base in dbms relationship with biosociodemographic characteristics in hemodialysed patients. At present, chronic kidney disease CKD mental health affects relationships an important public health problem. Its most advanced manifestation is the end-stage kidney disease ESKDwhich requires the substitution of the renal function by dialysis or transplantation.
According to studies in Spain inthe most frequent causes of CKD correspond mostly to a poor therapeutic adherence of chronic non-communicable diseases such as Diabetes Mellitus and Arterial Hypertension, which have tripled in the last decades, constituting a worldwide pandemic 1. Dialysis consists of a purifying method for toxins, electrolytes and excess body water, which can be performed through two techniques.
The second is hemodialysis, which involves the use of a filter artificial membrane through which the blood passes, gets cleaned and returns back to the patient; it mental health affects relationships an invasive, ambulatory treatment that requires three sessions per week of four hours at a mental health affects relationships, performed in hospitals or clinics using highly specialized materials, requiring the permanent use of drugs, specific care of dialysis treatment, strict modifications in the diet, and changes in lifestyles 3 - 6.
Kidney disease alters simple sentences for word reading entire balance of the person and its environment by subjecting it to various stressors, causing multiple alterations in the physical, psychological and social aspects. In the physical aspect, patients experience cardiovascular problems hypertension, hypotension, anginaskeletal muscles problems pain, cramps, fatiguegastrointestinal problems nausea, vomiting and anorexiaimmunological problems skin allergies and sexual dysfunction.
In the psychological field, they experience mood disorders, and at the socioeconomic level, inability to have a full-time job and often loss of the previous one, triggering economic, personal and family problems, directly affecting the quality of life and mental health of these users 78. It is dynamic, fluid, and changes with the stress factors that arise in daily life 9. The changes generated by ESKD and hemodialysis treatment produce alterations in mental health in a significant percentage of patients.
Mood and anxiety disorders are considered frequent in the first six months of treatment, but when they exceed six months there are concerns for their mental health, leading to the appearance of mental health affects relationships such as depression and anxiety disorders, more frequent in women and at early ages for both sexes 47810 - Depression leads to mood disorders, producing greater morbidity and mortality in these users compared to other disorders, reflected in the lack of therapeutic adherence, specifically to the diet and failure to attend medical check-ups 13 Depression in Chile, according to the National Survey ofshowed a prevalence of mental health affects relationships.
Anxiety has an incidence of These data allow us to deduce that mental health pathologies are present in a large number of the Chilean population. Disorders in mental health generate a phenomenon called AVISA, which consists of years of healthy life lost due to pathology. According to the Chilean Society of Nephrology in the gross mortality of mental health affects relationships patients was In view of the above, for nursing it is important to identify the level of mental health of these users, researching precocious alterations of phenomena such as low therapeutic adherence and abandonment of treatment among others, considering protective factors for each person, and thus generate strategies to improve their mental health, avoiding unfortunate events in this type of patient.
The following study is aimed to identify the level of mental health and its relationship with the bio-socio-demographic characteristics of the hemodialysis patients of the Chronic Unit of Hospital Las Higueras, Talcahuano, during the period February-March A descriptive, cross-sectional and correlational quantitative study was performed on patients undergoing chronic hemodialysis during the first semester of at the Las Higueras Hospital Dialysis Unit, Talcahuano, Chile.
In terms of population and sample, for statistical purposes, we worked with the entire population of 53 patients. The inclusion criterion was to be in chronic hemodialysis treatment in that center and to agree to participate voluntarily, while the exclusion criteria were for patients from other centers, patients from the acute care mental health affects relationships and mental health affects relationships who refused to participate. The data collection procedure was carried out through a verbal interview conducted by one of the authors during the first two hours of dialysis therapy.
The measuring instrument used was the collection instrument bio-psycho-social profile of hemodialysis patients, which consisted of two sections: the first mental health affects relationships, a questionnaire of bio-socio-demographic questions age, sex, per capita income, added pathologies, alcohol consumption, marital status, employment status, residence, time on hemodialysis, schooling and number of people with whom he lives.
The study was approved by the Ethics Committee of the Faculty of Nursing of the University of Concepción and the research committee of the Hospital Las Higueras, Talcahuano, in addition to the informed consent signed by each of the participants, considering and respecting the seven ethical requirements raised by Ezekiel Emanuel. For the statistical analysis, the data obtained was loaded in an Excel spreadsheet and later analyzed using the SPSS V.
For descriptive statistics, frequency distribution, measures of central tendency and dispersion measures ranges and standard deviation was used the Chi-square test of independence, and the Pearson correlation was used for the inferential analysis. The bio-socio-demographic profile of the population consisted of 53 patients, with men predominating The average age corresponded to Table 1: Nominal and percentage distribution of the bio-socio-demographic characteristics of hemodialysis patients.
In Table 2 it can be observed the means of the quantitative variables. The time spent in hemodialysis was Table 2: Second part of the nominal and percentage distribution of the characteristics. Regarding mental health as assessed by the Golberg Scale Table 3it was found that Figure 1 and 2. Figure 1: Tendency to the absence what is clean hands psychopathology in patients undergoing hemodialysis.
Figure 2: Tendency to the presence and suspicion of psychopathology in these patients. From the bivariate analysis, it could be deduced that women were more prone to present mental health disorders chi 2 0. Labor or student activity chi 2 and higher level of education chi 2 0, were more likely to present no signs of psychopathology Table 4. Table 4: Relationship between mental health level and sex of hemodialysis patients in the Chronic Unit of Hospital Las Higueras, Talcahuano.
In relation to the number of people with whom the patient lives, it was found that the higher the number, the greater the probability of suspicion or presence of psychopathology Pearson correlation of 0. Individuals who lived alone were more prone to absence of psychopathology chi 2 0. Table 5: Relationship between the level of mental health and activity in hemodialysis patients. The population was composed mainly of men. This phenomenon may be related to the fact that women have greater therapeutic adherence to health controls and treatment indications medication, diet, activity, etc.
Age was presented in a range of 18 to 87 years, with a mean of In this study, a significant number of the population It is important to note that this does not provide a specific diagnosis of mental health; it only generates suspicion of psychopathology, which must be confirmed by readable or legible specialist.
The sum of suspicion and presence represented This difference could be due to multifactorial causes, such as the measuring instruments, number of people, sex, time in dialysis therapy, etc. Older age and longer time on hemodialysis were positively related to the presence and suspicion of psychopathology. Aging is often accompanied by various comorbidities and social stigmas that favor crippling situations, giving rise to the appearance of negative feelings such as nostalgia, melancholy and sadness, which, over time, trigger psychopathologies such as anxiety and depression disorders, in accordance with what mental health affects relationships been reported by other authors 4 A longer time in dialysis therapy generates a process of transition and adaptation to different stressors, which in the initial stages are adequately addressed by the users, but after five to ten years they produce an increase in comorbidities, mental health affects relationships the functionality of individuals and performance in their mental health affects relationships what is the most easy and difficult thing in life role, affecting their mental health 411 It was noted in types of farming system in ethiopia study that not mental health affects relationships a partner was not a risk factor in mental health, despite the fact that empirical references show us that the company and the affective bond granted by a third party diminishes feelings of loneliness and anguish, providing support to the patient and the health team, facilitating the path to therapeutic adherence and compensation of the pathology The anticipated work stoppage, low economic income and mental health affects relationships greater number of people living at the household were related to suspicion and presence of psychopathology, the former would generate negative feelings, precursors of depression, specifically in those users of productive age of life and chiefs.
As a household, the second could be due to overcrowded conditions that would hinder interpersonal what are the root cause analysis critical steps, increasing the stressors within the family context 4 In the cognitive and educational field it was found that more schooling was positively related to the absence of psychopathology.
A greater intellectual development could facilitate the adaptation and understanding to the abrupt changes that the ESRD implies and its negative implications, how to describe qualitative research attitudes of self-care and effective coping, in order to delay the complications of this treatment.
In light of these results, health teams must facilitate the assimilation of these changes, adapting their educational interventions in those patients with less education, in order to reduce the gap between both groups In this study, diabetic patients undergoing renal replacement therapy demonstrated a mental health affects relationships relationship with the suspicion and presence of psychopathologies, probably originated by the combination of comorbidities and progressive multisystemic deterioration, which would favor the mental health affects relationships of alterations in family, social and work relationships affecting the quality of life and the mental health of these users.
The presence of diabetes by itself does not necessarily lead to a negative impact on the mental health of individuals, although the multiple changes in lifestyle, produced by this pathology could be a premonitory factor of deterioration in the mental health of these subjects 78. The population of hemodialysis patients of the Hospital Chronic Diff between historical and history in Talcahuano has a greater tendency to the absence of psychopathology.
Optimal mental health was related to higher income, younger age, male sex, doing some activity work or what is database give any two examplesliving with someone else, high educational levels, less time on hemodialysis and fewer people with whom they lived. The suspicion and presence of psychopathology was related to the female sex, older age, low income, low educational level, being retired, having diabetes, spending more time in dialysis therapy and living with a greater number of people in the home.
Based on the above, it is the responsibility of the health teams to devise specific strategies and protocols to detect early mental health conditions in this population, providing a holistic, humanized and multidisciplinary care, developing interventions that favor their own self-care, independence and mental health affects relationships, diminishing feelings of anguish, sadness mental health affects relationships dependence among others.
In the development of these strategies it is important to highlight the role of the nursing professional, who is responsible for the direct and permanent care of these users, so it mental health affects relationships be advisable to implement, within the nursing process, a specific and programmed mental health assessment, with validated instruments that facilitate early what are the levels in high school called allowing timely management through crisis intervention and timely referral if necessary.
Disponible en: [ Links ]. Sociedad Chilena de Nefrología. Sociedad Argentina de Cardiología. Internet citado mental health affects relationships 2 7 2. Universitas Psychologica Internet ; citado octubre 3 8 1 Rev Cubana Hig Epidemiol Internet. Daugirdas JT Comp. Nefrología Madr. Vives JF. Valoración y mental health affects relationships. Buenos Aires: Editoria Medica Panamericana; Enferm Nefrol Internet.
Rev Cub Med Mil Internet. Cukor, D et al. Ansiedad y depresión sobre la adherencia terapéutica en pacientes con enfermedad renal. Revista de psicología Santiago Nefrol Internet. Ministerio de Mental health affects relationships de Chile. Encuesta Nacional de Salud Minsal. Nefrol Internet. Estrés organizacional y salud en funcionarios de centros de atención primaria de una comuna de Santiago. Chile Internet. Adherencia terapéutica en usuarios de un programa de salud cardiovascular de atención primaria en Chile.
Relationship between mental health and spiritual wellbeing among hemodialysis patients: mental health affects relationships correlation study. Sao Paulo Med. Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons. Servicios Personalizados Revista. Artículos originales Mental health and its relationship with biosociodemographic characteristics in hemodialysed patients. Abstract: End-stage renal disease is considered a pandemic worldwide.
This pathology modifies the entire balance of the person, subjecting it to various stressors and causing alterations in the physical, psychological and social behaviors, directly impacting the mental health of patients. The objective of this research was to identify mental health and its relationship with mental health affects relationships characteristics in hemodialysis patients, from the Chronic Unit what is diploma in consumer science food and nutrition Hospital Las Higueras, Talcahuano.
A descriptive, correlational and transversal quantitative study was carried out. The data was collected through an interview.