Academic literature on the topic 'Chronic renal failure Treatment Moral and ethical aspects'

Objective: to present the scientific production on quality of life, some historical, ethical, legal and emotional involving the transplantation of organs and tissues. Methods: this is a descriptive and exploratory study that it was sought in Medline, Scielo and Lilacs, involving adults, to search using the following descriptors depression, quality of life, transplantation of kidney and chronic disease as well as consultation on text books and articles cited in the references obtained in the review. Results: the scientific production presented had two relevant aspects: the significant technological and evolution and policies concerned with the transplantation of organs and tissues in Brazil and the evidence of an insignificant value people give to emotional and social aspects in patient’s life quality. It was also observed a disproportional between the number of viable organs and the crescent waiting list, related to the failure in the notification of cases of cerebral deaths and to the failure in approaching the families to donate the organs of their family member. Conclusion: Despite the also technological development of dialysis treatment, renal transplantation has been described as the best option in order to provide better quality of life for chronic kidney patient. But it is valid to emphasize that, like any treatment, the transplant has implications that need to be clarified in order to avoid future frustrations and complications or emotional and psychological. Descriptors: depression; quality of life; organ transplantation; chronic disease.

Introducción: La hemodiálisis es el método más común para tratar la insuficiencia renal crónica; sin embargo, el régimen terapéutico, junto con la evolución de la enfermedad y sus complicaciones, se han relacionado con la presencia de alteraciones psicológicas como ansiedad y depresión. Objetivo: Identificar la presencia de ansiedad y depresión y su nivel de severidad en pacientes con hemodiálisis del Hospital General Ambato. Método: Estudio cuantitativo, descriptivo, de campo y corte transversal, con un universo de 50 pacientes del servicio de hemodiálisis del Hospital General Ambato que dieron su consentimiento a participar, el instrumento empleado para la recolección de los datos fue la escala de ansiedad y depresión de Goldberg siendo procesada en el programa SPSS versión 24. Finalmente se tomó en cuenta los aspectos éticos descritos en la Declaración de Helsinki y los principios bioéticos de beneficencia, no maleficencia, de justicia y autonomía. Resultados: La mayor incidencia de pacientes son de sexo masculino (60%), casados (62%), de 60 a 69 años (34%) que llevan más de 2 años en tratamiento (64%) y con diabetes mellitus (38%) como patología crónica asociada. Los 50 pacientes (100%) presentaron ansiedad predominando el nivel leve (50%), seguido del moderado (36%) y severo (14%) y 49 (98%) pacientes presentaron depresión: leve (56%) seguido del moderado (32%) y severo (10%). Solo 1 paciente no presentó depresión ocupando el 2%. Conclusiones: Existe predominio del nivel leve de depresión en los pacientes con hemodiálisis. En este sentido se evaluó la necesidad de apoyo psicológico. Palabras clave: ansiedad, depresión, hemodiálisis, apoyo psicológico. ABSTRACT Introduction: Hemodialysis is the most common method of treating chronic kidney failure; however, the therapeutic regimen, together with the evolution of the disease and its complications, have been related to the presence of psychological alterations such as anxiety and depression. Objective: To identify the presence of anxiety and depression and their level of severity in patients with hemodialysis at Hospital General Ambato. Method: Quantitative, descriptive, field and cross-sectional study, with a universe of 50 patients from the hemodialysis service of the Hospital General Ambato who gave their consent to participate, the instrument used for data collection was the Goldberg anxiety and depression scale being processed in the SPSS version 18 program. Finally, the ethical aspects described in the Declaration of Helsinki and the bioethical principles of beneficence, non-maleficence, justice and autonomy were taken into account. Results: The highest incidence of patients are men (60%), married people (62%), 60 to 69 year old (34%), who have been in treatment for more than 2 years (64%), and with diabetes mellitus (38%) as an associated chronic pathology. All 50 patients (100%) presented anxiety, predominates the mild level (50%), followed by moderate (36%) and severe (14%) and 49 (98%) patients presented depression: mild (56%) followed by moderate (32%) and severe (10%).Only 1 patient did not present depression occupying 2%. Conclusions: There is a predominance of the mild level of depression in hemodialysis patients. In this case, the need for psychological support was evaluated. Keywords: anxiety, depression, hemodialysis, psychological support.

Objetivo: avaliar associação entre características sociodemográficas, complicações decorrentes da doença renal crônica,hemodiálise, adesão à terapêutica e indicativos de depressão com dimensões da qualidade de vida relacionadas à saúdeem pacientes com insuficiência renal submetidos ao tratamento hemodialítico. Método: pesquisa transversal, com 183pacientes das unidades renais região Noroeste e Missões, Rio Grande do Sul. Utilizou-se questionário sociodemográfico e clínico, Kidney Disease and Quality of Life Short-Form, Inventário de Depressão de Beck e Teste de Morisky-Green. Aanálise ocorrerá com estatística descritiva, analítica e inferencial. Respeitados preceitos éticos de pesquisa com pessoas.Resultados Esperados: identificar associação entre características individuais, complicações, adesão à terapêutica edepressão com escores diminuídos de qualidade de vida e mobilizar a assistência multiprofissional direcionada a essesaspectos e determinantes para promover vida de qualidade a essa população.Palavras-chave: Doença Renal Crônica; Depressão; Qualidade de Vida; Enfermagem; Adesão à Medicação. ABSTRACTObjective: to evaluate the association between sociodemographic characteristics, complications resulting from chronickidney disease, hemodialysis, adherence to therapy and indicative of depression with health-related quality of life dimensions in patients with renal failure undergoing hemodialysis treatment. Method: cross-sectional study, with 183 patientsfrom the kidney care units of the Northwest region and Missões, Rio Grande do Sul, Brazil. A sociodemographic andclinical questionnaire was used, Kidney Disease and Quality of Life Short-Form, Beck Depression Inventory and Morisky-Green Test. The analysis will take place with descriptive, analytical and inferential statistics. Respectful ethical precepts of research with people. Expected Results: identify association between individual characteristics, complications,adherence to therapy and depression with diminished quality of life scores and mobilize multiprofessional care directedto these aspects and determinants to promote quality life for this population.Keywords: Chronic Renal Insufficiency; Depression; Quality of Life; Nursing; Medication Adherence.