Impacto de la intervención de enfermería en el autocuidado de pacientes con enfermedad renal crónica avanzada

Introduction: Patients with advanced chronic kidney disease have a severely affected quality of life, which can often imply the risk of death. Objective: To evaluate the impact of the nursing intervention in the self-care of patients with advanced chronic kidney disease in a public hospital. Material and Methods: Pre-experimental longitudi-nal and prospective study. The sample included 60 patients with stages 3b, 4 and 5 of chronic kidney disease. Three types of previously validated questionnaires were applied before and after the nursing intervention, which consisted of three educational sessions and outpatient counseling.The three dimensions that were taken for the research were: knowledge about the disease, self-care and pharmacological adherence. For data analysis, the Wilcoxon test was used in knowledge; in self-care, the Student's t test, and the Mcnemar test to measure ad-herence. For the processing of results, the SPSS v.20 software was used.ce. SPSS v.20 software was used to process the results. Results: After the intervention, knowledge about self-care increased to 71.7%, in relation to the pre-in-tervention moment. Likewise, the level of self-care increased after the intervention to 72%. Regarding tho-se people who showed adherence to pharmacological treatment, before the intervention they were 5%, and later the percentage increased to 65%. Conclusion: The nursing intervention based on educational and counseling activities produces a positive impact on the self-care of patients with advanced chronic kidney disease.