Estado nutricional en pacientes con insuficiencia renal crónica en tratamiento hemodiálisis del servicio de medicina interna del Hospital Provincial General Docente de Riobamba. 2015.

Abstract

Research design not Experimental ,descriptive type cross for rating the State of nutrition in the patients with Chronic Renal Failure undergoing hemodialysis of the service of medicine internal in the Hospital Provincial General Docente de Riobamba, through a survey General ,it was identified characteristics level of social inclusion, nutritional status and dietary behavior. Nutritional status was determined by parameters Anthropometric such as (weight, size, brachial circumference and fat mass), in addition to biochemical parameters such as (albumin, cholesterol, hemoglobin). The food consumption was determined by reminder 24 hours made the day before to hemodialysis and day of hemodialysis .The main results indicated that 55% of patients have a normal nutritional status, low weight 25% (20% mild:5% severe) 15% of patients was also found with some degree of overweight, obesity. In terms of biochemical parameters results showed, albumin 50% of the patients presented severe depletion, cholesterol 70% Deficit moderately, hemoglobin 55% with slight depletion .With regard to determining food it was observed that the diet pre-hemodialysis 75% of patients cover their nutritional needs, of energy and macronutrients, while the diet day hemodialysis 81% of patients does not cover their nutritional needs of energy and macronutrients. It can be concluded that 55% of patients have a normal nutritional state , under weight 25% (20% mild: 5% severe) ,50% presented severe depletion in terms of biochemical parameters, which predisposes them to suffer from protein-calorie malnutrition was the diet pre-hemodialysis is more balanced and gives greater amount of macronutrients and energy compared to the diet the day of hemodialysis.