Abordaje nutricional de los pacientes con tratamiento de hemodiálisis dentro de Reynadial escenarios y desafíos

Abstract

Hemodialysis is an extracorporeal treatment that attempts to fulfill kidney functions in the body. During the hemodialysis process, various metabolic alterations occur that are closely related to nutritional status. The objective of this work is to evaluate the factors that influence the nutritional deterioration of adult patients in REYNADIAL through the application of VGS screening, nutritional surveys, dynamometry and electrical bioimpedance. For the development of a nutritional guide and execution of interactive workshops using the developed guide as the main means. 40 adult patients currently being treated at REYNADIAL were taken into consideration, aged between 27 and 59 years, without distinction of sex. The results obtained showed that 37.5% of the patients evaluated presented risk of malnutrition according to the VGS screening. Likewise, a state of dynapenia was determined in 80%, finally 80% presented electrolyte alterations and 62.5% a high level of body water. In conclusion, the values obtained in the results are related to poor adherence to the nutritional recommendations provided in the dialysis center, so it is necessary to change the strategy in the way they are taught. Keywords: Hemodialysis, nutritional status, dietary restrictions, electrolyte alterations, muscle strength.