Efecto de una intervención educativa sanitaria sobre el estado clínico y nutricional de adultos con enfermedad renal crónica atendidos en una clínica de IV en Barranquilla. Septiembre – Noviembre de 2024
datacite.rights | http://purl.org/coar/access_right/c_f1cf | |
dc.contributor.advisor | Navarro Quiroz, Elkin | |
dc.contributor.advisor | Pinillos Patiño, Yisel | |
dc.contributor.author | Coronado Mercado, Diana Carolina | |
dc.date.accessioned | 2025-06-26T21:41:36Z | |
dc.date.available | 2025-06-26T21:41:36Z | |
dc.date.issued | 2025 | |
dc.description.abstract | Objetivo: Establecer los efectos de una intervención educativa sanitaria sobre el estado clínico y nutricional de adultos con enfermedad renal crónica atendidos en una clínica de cuarto nivel de Barranquilla. Método: Se diseñó un estudio cuasiexperimental pre-post sin grupo control, con enfoque cuantitativo, realizado entre septiembre y noviembre de 2024. Se incluyeron 32 pacientes con ERC en estadio V, seleccionados por conveniencia. La intervención consistió en tres sesiones educativas individualizadas centradas en el manejo dietético de fósforo, potasio, sodio y líquidos, complementadas con materiales impresos. Se evaluaron conocimientos alimentarios, parámetros bioquímicos (creatinina, fósforo, sodio, potasio) y antropométricos (peso, talla, IMC) antes y después de la intervención. Resultados: Se observó una mejora significativa en el nivel de conocimientos sobre hábitos alimentarios. A nivel bioquímico, se encontraron cambios estadísticamente significativos en los niveles de creatinina, sodio y albúmina. Sin embargo, no se detectaron cambios significativos en los niveles séricos de fósforo y potasio durante el periodo de estudio Conclusión: Una intervención educativa sanitaria personalizada, basada en guías clínicas y adaptada al contexto local, puede mejorar de forma significativa el estado clínico y nutricional de pacientes con ERC terminal. Este modelo es replicable y aporta evidencia útil para programas de educación en salud pública orientados al manejo integral de la ERC en Colombia. | spa |
dc.description.abstract | Objective: To determine the effects of a health education intervention on the clinical and nutritional status of adults with chronic kidney disease treated at a fourth-level clinic in Barranquilla. Method: A pre-post quasi-experimental study without a control group and with a quantitative approach was conducted between September and November 2024. Thirty-two patients with stage V CKD were included, selected by convenience sampling. The intervention consisted of three individualized educational sessions focused on dietary management of phosphorus, potassium, sodium, and fluids, complemented by printed materials. Dietary knowledge, biochemical parameters (creatinine, phosphorus, sodium, potassium), and anthropometric measures (weight, height, BMI) were evaluated before and after the intervention. Results: A significant improvement was observed in knowledge about dietary habits. At the biochemical level, statistically significant changes were found in creatinine, sodium, and albumin levels. However, no significant changes were observed in serum phosphorus and potassium levels during the study period. Conclusion: A personalized health education intervention, based on clinical guidelines and adapted to the local context, can significantly improve the clinical and nutritional status of patients with end-stage CKD. This model is replicable and provides valuable evidence for public health education programs aimed at the comprehensive management of CKD in Colombia. | eng |
dc.format.mimetype | ||
dc.identifier.uri | https://hdl.handle.net/20.500.12442/16758 | |
dc.language.iso | spa | |
dc.publisher | Ediciones Universidad Simón Bolívar | spa |
dc.publisher | Facultad de Ciencias de la Salud | spa |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | eng |
dc.rights.accessrights | info:eu-repo/semantics/embargoedAccess | |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.subject | Enfermedad renal crónica | spa |
dc.subject | Intervención educativa | spa |
dc.subject | Nutrición clínica | spa |
dc.subject | Salud pública | spa |
dc.subject | Hemodiálisis | spa |
dc.subject | Colombia | spa |
dc.subject.keywords | Chronic kidney disease | eng |
dc.subject.keywords | Educational intervention | eng |
dc.subject.keywords | Clinical nutrition | eng |
dc.subject.keywords | Public health | eng |
dc.subject.keywords | Hemodialysis | eng |
dc.title | Efecto de una intervención educativa sanitaria sobre el estado clínico y nutricional de adultos con enfermedad renal crónica atendidos en una clínica de IV en Barranquilla. Septiembre – Noviembre de 2024 | spa |
dc.type.driver | info:eu-repo/semantics/masterThesis | |
dc.type.spa | Trabajo de grado máster | |
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dcterms.references | Stages of kidney disease - Kidney Research UK, fecha de acceso: abril 6, 2025, https://www.kidneyresearchuk.org/kidney-health-information/stages-of-kidney disease | eng |
dcterms.references | Stages of kidney disease (CKD) - American Kidney Fund, fecha de acceso: abril 6, 2025, https://www.kidneyfund.org/all-about-kidneys/stages-kidney-disease | eng |
dcterms.references | Role of composite objective nutritional indexes in patients with chronic kidney disease, fecha de acceso: abril 6, 2025, https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2024.1349876/full | eng |
dcterms.references | Associations of Diet with Albuminuria and Kidney Function Decline - PMC, fecha de acceso: abril 6, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC2863979/ | eng |
dcterms.references | Kidney-Friendly Protein Foods for Keeping Albumin Up - DaVita, fecha de acceso: abril 6, 2025, https://www.davita.com/diet-nutrition/articles/advice/15-kidney friendly-protein-foods-for-keeping-a | eng |
dcterms.references | Diet and Proteinuria: State of Art - MDPI, fecha de acceso: abril 6, 2025, https://www.mdpi.com/1422-0067/24/1/44 | eng |
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dcterms.references | Effect of diet protein restriction on progression of chronic kidney disease: A systematic review and meta-analysis - PMC, fecha de acceso: abril 6, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC6221301/ | eng |
dcterms.references | Effectiveness of Nutritional Education for Hemodialysis Patients with Chronic Kidney Disease: A Systematic Review and Meta - Journal of Health and Rehabilitation Research, fecha de acceso: abril 6, 2025, https://jhrlmc.com/index.php/home/article/download/1324/1218 | eng |
dcterms.references | Dietary interventions for adults with chronic kidney disease - PMC - PubMed Central, fecha de acceso: abril 6, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC6478277/ | eng |
dcterms.references | Effects of dietary interventions for metabolic acidosis in chronic kidney disease: a systematic review and meta-analysis | Nephrology Dialysis Transplantation | Oxford Academic, fecha de acceso: abril 6, 2025, https://academic.oup.com/ndt/advance article/doi/10.1093/ndt/gfae200/775824 | eng |
dcterms.references | Assessment of Effectiveness of Nutritional Education Interventions for Patients with Chronic Kidney Disease Undergoing Hemodialysis: A Systematic Review and Meta Analysis - ResearchGate, fecha de acceso: abril 6, 2025, https://www.researchgate.net/publication/383030715_Assessment_of_Effectivenes s_of_Nutritional_Education_Interventions_for_Patients_with_Chronic_Kidney_Dise ase_Undergoing_Hemodialysis_A_Systematic_Review_and_Meta-Analysis | eng |
dcterms.references | Sodium (Salt) Tips for people with Chronic Kidney Disease (CKD) | NHS Lanarkshire, fecha de acceso: abril 6, 2025, https://www.nhslanarkshire.scot.nhs.uk/patient information-leaflets/nutrition-dietetics/pil-saltsd-0285 | eng |
dcterms.references | Population Kidney Health. A New Paradigm for Chronic Kidney Disease Management - PMC - PubMed Central, fecha de acceso: abril 6, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC8297314/ | eng |
oaire.version | info:eu-repo/semantics/acceptedVersion | |
sb.investigacion | Investigación fundamental y aplicada en salud pública | spa |
sb.programa | Maestría en Salud Pública | spa |
sb.sede | Sede Barranquilla | spa |
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