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Adesão ao Regime Medicamentoso na Pessoa em Hemodiálise e com Sintomas Depressivos.
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| 6.3 MB | Adobe PDF |
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Abstract(s)
Ao longo dos últimos anos, tem se verificado um aumento do número de pessoas com Doença Renal Crónica por todo o mundo. Este facto poderá estar relacionado com a alta prevalência de doenças crónicas e com o envelhecimento da população em geral, decorrente do aumento da esperança média de vida.
É no estádio 5 da Doença Renal Crónica que surge a necessidade de realização de um tratamento de substituição da função renal, que na maioria das vezes é a hemodiálise. Um dos pilares de adesão terapêutica nos tratamentos de hemodiálise é a adesão medicamentosa. A não adesão à medicação interfere direta e negativamente nos resultados de saúde destas pessoas, comprometendo a qualidade do tratamento e de vida.
No caso da pessoa com doença renal crónica terminal, em programa regular de hemodiálise, a sintomatologia depressiva, é uma condição bastante comum, gerando consequências graves na adesão ao regime medicamentoso.
Na literatura vários estudos apresentam como fator de não adesão medicamentosa, os sintomas e o humor depressivos e/ou a mesmo a depressão. Sendo assim é fundamental atuar e contribuir para a melhoria da adesão medicamentosa, garantindo estabilidade da qualidade de vida, redução do impacto da patologia, redução das taxas de hospitalização e de mortalidade, bem como, a redução significativa de custos na área da saúde.
Este relatório tem como objetivo a descrição das atividades desenvolvidas para a aquisição das competências de Enfermeiro Especialista em Enfermagem Médico-Cirúrgica na área de enfermagem à pessoa em situação crónica, bem como, partilhar a pesquisa resultante da Revisão Integrativa da Literatura com o tema Adesão ao Regime Medicamentoso na Pessoa em Hemodiálise com Sintomas Depressivos.
Over the past few years, there has been an increase in the number of people with Chronic Kidney Disease across the world. This fact may be related to the high prevalence of chronic diseases and the aging of the population in general, caused by the increase in average life expectancy. It is in stage 5 of Chronic Kidney Disease that the need for kidney function replacement treatment arises, which in most cases is hemodialysis. One of the pillars of therapeutic adherence in hemodialysis treatments is medication adherence. Non-adherence to medication interferes directly and negatively with the health outcomes of these people, compromising the quality of treatment and life. In the case of people with end-stage chronic kidney disease on a regular hemodialysis program, depressive symptoms are a very common condition, which generates serious consequences for adherence to the medication regimen. In the literature, several studies present depressive symptoms, depressive mood and/or depression as a factor in medication non-adherence, making it essential to act and contribute to improving medication adherence, ensuring stable quality of life, reducing the impact of the pathology, reduction in hospitalization and mortality rates, as well as a significant reduction in healthcare costs. This report aims to describe the activities developed to acquire the skills of Specialist Nurse in Medical-Surgical Nursing in the area of nursing for people with chronic conditions, as well as to share the research carried out on the Integrative Literature Review with the theme Adhesion to the Medication Regimen in People on Hemodialysis with Depressive Symptoms.
Over the past few years, there has been an increase in the number of people with Chronic Kidney Disease across the world. This fact may be related to the high prevalence of chronic diseases and the aging of the population in general, caused by the increase in average life expectancy. It is in stage 5 of Chronic Kidney Disease that the need for kidney function replacement treatment arises, which in most cases is hemodialysis. One of the pillars of therapeutic adherence in hemodialysis treatments is medication adherence. Non-adherence to medication interferes directly and negatively with the health outcomes of these people, compromising the quality of treatment and life. In the case of people with end-stage chronic kidney disease on a regular hemodialysis program, depressive symptoms are a very common condition, which generates serious consequences for adherence to the medication regimen. In the literature, several studies present depressive symptoms, depressive mood and/or depression as a factor in medication non-adherence, making it essential to act and contribute to improving medication adherence, ensuring stable quality of life, reducing the impact of the pathology, reduction in hospitalization and mortality rates, as well as a significant reduction in healthcare costs. This report aims to describe the activities developed to acquire the skills of Specialist Nurse in Medical-Surgical Nursing in the area of nursing for people with chronic conditions, as well as to share the research carried out on the Integrative Literature Review with the theme Adhesion to the Medication Regimen in People on Hemodialysis with Depressive Symptoms.
Description
Keywords
Doença crónica Cuidados de enfermagem Hemodiálise Depressão Adesão à medicação