Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse.

Maria De Nazaré De Souza Ribeiro,Cleisiane Xavier Diniz,Fátima Helena Do Espírito Santo,Helen Cristine Albuquerque Bezerra,Luiz Dos Santos,Bruna Da Silva Simões

doi:10.1590/0034-7167-2020-0392

Abstract

to identify feelings, experiences, and expectations of kidney transplant patients, generated from the diagnosis of chronic renal disease until the post-transplant period, highlighting the challenges for nurses to incorporate individualized care to cope throughout the disease process. qualitative, descriptive research, carried with seven kidney transplant patients, in the city of Manaus, State of Amazonas. The data analysis followed the methodological referential of Bardin's content analysis. the diagnosis of the disease was experienced negatively, and hemodialysis was described as an imprisonment and health decline. The transplant meant an improvement in quality of life. The main difficulties were lack of a specialized hospital and low immunity. the nurses' approach of chronic renal patient and with the renal transplantation favored the discovery of solutions facing the demands of the disease and allowed greater capacity to implement individualized care, surrounding a relationship of trust and respect.

Highlights

Chronic non-communicable or chronic diseases (NCD) are responsible for more than half of causes of death worldwide, affecting approximately 35 million people each year
Among NCDs are included chronic renal disease (CKD), which affects about 5% to 10% of the world’s population and whose occurrence has been increasing in Brazil, being associated, most of all, to the high number of people with hypertension and diabetes mellitus, as well as the aging population[1,2,3]
This research was submitted to and approved by the Research Ethics Committee (CEP) of the State University of Amazonas (UEA) and complied with the ethical principles involving studies with human beings determined in Resolution 466/12 of the National Health Council

Summary

Introduction

Chronic non-communicable or chronic diseases (NCD) are responsible for more than half of causes of death worldwide, affecting approximately 35 million people each year. Considered a public health problem, CKD is characterized by an insidious, irreversible, and progressive pathological process of renal function loss. Among the treatment modalities for CKD, the kidney transplant is the best therapeutic modality and, in certain cases, it may represent the only way for the individual to survive[4,5]. This procedure causes an important stress load, several psychological, existential, affective, relational and social changes, both for the individual and for those who participate in his or her life context[3]

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Conclusion