Relación entre estado nutricional y tiempo de hemodialis en pacientes de la clínica MENYDIAL. Riobamba 2013.

Abstract

This proposal was developed through a non-experimental and cross axis research, It aims to determine the relation between the nutritional fact and the time that a hemodialysis lasts in the patients of the “MENIDIAL” clinic in Riobamba along the 2013. A survey was elaborated with the following facts: sociodemographic, anthropometric, biochemical .clinical data, and the duration of a dialysis. It was applied to 177 patients. Anthropometric, biochemical data collection were analysed in a post-dialysis while the other data were collect during the treatment. The information was consolidated in a database in Excel them it was analyzed with the statistical program JMP 5.1; 59, 8 % and 40, 2 % of patient’s men and women, 17-86 aged. Time of a dialysis maximum and minimum 10 and 1 year. 31% of the patients who have been following the treatment for long time presented a moderate nutritional fact while the 69% were not long time thus they presented a slight nutritional facts .Most of the patients were losing weight, but according to the BMI (body mass index) there still were people with overweight thus patients with 3 years following the treatment showed a 27 % overweight, 6% obesity I and II. When analyzing the brachial perimeter 68% showed a wear in their energy protein reserves. Conferring to the body mass index 37% presented extra weight and the 9% presented a severe deficit. Biochemical analysis values: frequently hypokalemia, hyperphosphatemia, hyperuricemia, hypoalbuminemia, hypocalcaemia, and iron-deficiency anemia. It is common that the nutritional facts change after three years of dialysis in terms of deficit. It is recommended to elaborate a complete nutritional record in order to follow up to all patients who attend this clinic.