Manejo nutricional integral de pacientes con enfermedad renal crónica en la Clínica de hemodiálisis Dial-Ríos Vinces, Los Ríos 2017.

Abstract

This study is aimed at determining nutritional status patients with chronic kidney disease on hemodialysis treated at Dial-Ríos Vince’s clinic. A methodology with a quantitative, descriptive, analytical, observational and cross-sectional desing approach was used. The results are expressed in average values plus or minus standard deviation, percentages and p values. Pearson’s Chi-squared test was used to establish the degree of relationship between the variables of interest. The total population being studied was made up of all patients aged from 18 to 70 years with a diagnosis of chronic end-stage renal failure in a three-week treatment, considering inclusion and exclusion criteria, 53.6 % of the general population was at risk of malnutrition according to body mass index (BMI) values and biochemical values, a statistically significant difference was found in the indicators: Creatinine of 1.78 (p< 0.001), and Albumin 0.22 (p< 0.05) statistically significant relationship was found between the following values: Creatinine and Musculoskeletal Mass (p< 0.001), Creatinine and AMBc (p< 0.001) BMI and body fat mass (p< 0.001) and BMI and Musculoskeletal Mass (p< 0.05). It is a concluded in the present case study that there is a statistically significant relationship between body composition and the pre-dialysis creatinine, albumin and cholesterol levels, therefore, the proposed hypothesis is accepted, so it is recommended to carry out a comprehensive assessment of de nutritional status in which it is included not only anthropometric and biochemical parameters but also body composition to keep the patients under regular monitoring and observation.