Trabalho de Conclusão de Curso - Graduação

Caracterização do perfil clínico e nutricional de pacientes renais em tratamento hemodialítico em Belém, Pará

Introduction: Changes in dietary patterns in recent decades have resulted in an increase in the occurrence of noncommunicable chronic diseases (NCDs). Among the main ones, chronic kidney disease (CKD) stands out, as it is associated with the high morbidity and mortality rate. Hemod...

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Autor principal: GONÇALVES, Alicia Gleides Fontes
Outros Autores: SANTOS, Emily de Cássia Cruz dos
Grau: Trabalho de Conclusão de Curso - Graduação
Publicado em: 2023
Assuntos:
Acesso em linha: https://bdm.ufpa.br:8443/jspui/handle/prefix/5172
Resumo:
Introduction: Changes in dietary patterns in recent decades have resulted in an increase in the occurrence of noncommunicable chronic diseases (NCDs). Among the main ones, chronic kidney disease (CKD) stands out, as it is associated with the high morbidity and mortality rate. Hemodialysis is the most effective treatment for its management, however it has many nutritional consequences, since nutrition is one of the most important multiprofessional areas for the care of these patients and the association between several parameters is necessary for the correct nutritional diagnosis. Methodology: Descriptive cross­-sectional study conducted with 50 patients of both sexes undergoing treatment at the Gaspar Viana Clinical Hospital Foundation (FHCGV). The inclusion criterion was to present physical and mental aptitude and signed the consent form for participation in the study. sociodemographic, biochemical, anthropometric and clinical data were collected using a questionnaire prepared by the research team. Dietary analysis was performed using a 24-­hour recall. Data collection occurred only after the approval of this project by the ethics committee under opinion No. 2,970,945. Results: There was a prevalence of mature adults with equivalent gender differences, who presented precarious socioeconomic conditions. The most frequent comorbidities were in this order: SAH and DM. Regarding BMI, eutrophic patients prevailed and CB showed alteration of protein reserves. The biochemical parameters showed alterations in relation to the references for this population. It was verified that the creatinine, hemoglobin, serum calcium and hematocrit values are below the reference values, while the values of urea after hemodialysis, serum potassium, ferritin and glycemia, above the reference values. Dietary findings showed changes mainly in potassium and calcium consumption, which were below the recommended. Conclusion: The results of this study are relevant for the scientific community and health team, especially for nutritionists because they highlight the main changes present in this population. In addition, this study proves that there is not a single parameter that provides complete results regarding nutritional status, so it is necessary to associate several indicators for a correct diagnosis and nutritional intervention.