Projeto de intervenção: educação nutricional para pacientes dialíticos com ingestão hídrica elevada

Abstract

Hemodialysis patients require a fluid-restricted diet. The high intake of water and other beverages for these patients can cause several problems to the body, such as sudden changes in blood pressure, cramps, acute lung edema and cardiovascular complications. It was identified that 34% of dialysis patients at Complexo Hospitalar São Francisco, a philanthropic hospital in Belo Horizonte (Minas Gerais), have high water consumption and are subject to adverse events generated by the condition. This project aims to contribute to the control of fluid intake by patients on Hemodialysis in the study setting. The actions will be planned according to the narrative review of the literature review of the last five years and will be carried out for all CHSF dialysis patients and their companions. Patients will be divided into two groups (patients with adequate GPID and patients with high GPID) and the approaches will be differentiated for each group. Educational actions will be carried out with hemodialysis patients and their companions. Verbal guidance, delivery of a booklet, panels, cooking workshops and approaches from the multidisciplinary team will occur systematically and will be evaluated throughout the entire project. In addition, a protocol will be drawn up at the end of the proposed period, summarizing the effective actions, with the purpose of guiding professionals in the identification and management of high water intake. Through this project, educational actions, which are generally impulsive, were planned and will be evaluated in a systematic way. It is expected not only the quantitative improvement in water intake, but also that patients feel more welcomed by the team and become able to make their own dietary choices consciously.