Proposed nursing intervention to address complications associated with chronic kidney disease (CKD)
Keywords:
chronic kidney disease, nephrology nursing, self-care, therapeutic education, hemodialysis, integrative review.Abstract
The objective was to examine, through an integrative review, nursing interventions aimed at addressing complications associated with chronic kidney disease (CKD). Scientific literature from the 2019–2023 five-year period was analyzed through thematic and narrative synthesis. Evidence focused on therapeutic education, self-management support and adherence, vascular access and dialysis preparation, exercise and rehabilitation, symptom management, organizational models, and clinical surveillance. Based on convergent evidence, a nursing proposal was structured around three components: assessment and surveillance; education and empowerment; and continuity of care. Heterogeneity of designs and outcomes precluded pooled effect estimation. The proposal organizes care components supported by the literature and requires prospective validation before independent clinical effectiveness can be claimed.
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