Alterações cardiovasculares e pulmonares em pacientes submetidos à hemodiálise [Cardiovascular and pulmonary changes in patients undergoing hemodialysis] [Alteraciones cardiovasculares y pulmonares en pacientes sometidos a hemodiálisis]
DOI:
https://doi.org/10.12957/reuerj.2016.8634Keywords:
Enfermagem, insuficiência renal crônica, sistema cardiovascular, sistema respiratórioAbstract
Objetivo: identificar alterações cardiovasculares e pulmonares em pacientes em hemodiálise, correlacionando-as aos aspectos socioeconômicos.Método: estudo transversal, realizado em um hospital universitário e em uma clínica de hemodiálise do Nordestedo Brasil, entre os meses de dezembro de 2012 a abril de 2013. A coleta de dados deu-se por meio da entrevista e exame físico. Paraanálise utilizou-se a estatística descritiva e inferencial por meio dos testes de Qui-quadrado e U de Mann-Whitney. Houve aprovaçãopelo Comitê de Ética em Pesquisa, com parecer nº 148.428. Resultados: as alterações cardiovasculares mais frequentes foram: edema,mudança na pressão arterial, pressão venosa central e refluxo hepatojugular positivo. As alterações pulmonares foram: congestãopulmonar e ruídos respiratórios adventícios. As variáveis dispneia e mudança do padrão respiratório apresentaram associaçãoestatisticamente significativa com renda familiar. Conclusão: as alterações cardiovasculares e pulmonares são frequentes na clientelapesquisada e esses problemas podem sofrer influências de dados socioeconômicos.
ABSTRACT
Objective: to identify cardiovascular and pulmonary changes in hemodialysis patients and correlate them with socioeconomic features.Method: this cross-sectional study was conducted at a university hospital and a dialysis clinic in Northeast Brazil. Data was collectedbetween December 2012 and April 2013 by interview and physical examination. Chi-square and Mann-Whitney tests were used. Thestudy was approved by the research ethics committee (Opinion No. 148 428). Results: the most frequent cardiovascular changes werein edema, blood pressure, central venous pressure and positive hepatojugular reflux. Pulmonary changes were pulmonary congestionand adventitious breath sounds. The variables dyspnea and altered breathing patterns showed statistically significant associationswith family income. Conclusion: cardiovascular and pulmonary changes are frequent in the study clientele and these problems maybe influenced by socioeconomic particulars.
RESUMEN
Objetivo: identificar las alteraciones cardiovasculares y pulmonares en pacientes en hemodiálisis y correlacionarlas a los aspectossocioeconómicos. Método: estudio transversal, realizado en un hospital universitario y en una clínica de hemodiálisis en el Norestede Brasil, entre diciembre de 2012 y abril de 2013. La recolección de datos se efectuó a través de entrevistas y exámenes físicos. Parael análisis se ha utilizado la estadística descriptiva e inferencial por medio de las pruebas chi-cuadrado y U de Mann-Whitney. Esteestudio fue aprobado por el Comité de Ética en Investigación, opiniónn nº148 428. Resultados: las alteracioneos cardiovasculares másfrecuentes fueron: edema, cambios en la presión arterial, presión venosa central y reflujo hepatoyugular positivo. Las alteracionespulmonares fueron: congestión pulmonar y ruidos respiratorios adventicios. Las variables disnea y cambio del patrón respiratoriomostraron asociación estadísticamente significativa con los ingresos familiares. Conclusión: las alteraciones cardiovasculares y pulmonaresson frecuentes en la clientela investigada y estos problemas pueden ser influenciados por datos socioeconómicos.
Published
How to Cite
Issue
Section
License
When publishing in Revista Enfermagem UERJ, the authors declare that the work is their exclusive authorship and therefore assume full responsibility for its content.
Authors retain copyright to their article and agree to license their work using a Creative Commons Attribution International Public License (CC BY), thereby accepting the terms and conditions of this license (https://creativecommons.org/licenses/by/4.0/legalcode.en), which allows material created by the author to be distributed, copied and displayed by third parties. The original work must be cited and present a link to the article available on the website of the journal in which it was published.
The Copyright of the articles published in Revista Enfermagem UERJ belongs to their respective author(s), with the rights of first publication assigned to Revista Enfermagem UERJ, with the work simultaneously licensed under a Creative Commons License CC BY, which allows sharing of work with recognition of authorship and initial publication in this journal.
The authors grant Revista Enfermagem UERJ the right of first publication, to identify themselves as the original publisher of the work and grant the magazine a license of non-exclusive rights to use the work in the following ways:
- Sell and/or distribute the work in printed copies and/or electronic format;
- Distribute parts and/or the work as a whole with the aim of promoting the magazine through the internet and other digital and printed media;
- Record and playback work in any format, including digital media.
In line with the journal's policies, each published article will be assigned a Creative Commons Attribution (CC BY) license.
