Nurse's contributions in education and care management in conservative treatment in nephrology: integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i14.21824

Keywords:

Nursing Care; Conservative Treatment; Nursing; Renal Insufficiency, Chronic; Health education.

Abstract

Chronic Kidney Disease is a global public health problem, and its main factors are systemic arterial hypertension and secondly, diabetes mellitus associated or not with other factors such as alcoholism, smoking, and population aging. The aim of this study is to identify the scientific evidence on nurses' contributions to education and to managing the care of nephropathic clients undergoing conservative treatment. Methodology: this is an integrative review, whose method allows the analysis of multiple studies and, thus, the synthesis, which contributes to draw conclusions on a given theme. Results: the research was composed of nine articles, 2013 was the year that presented the highest number of publications including three articles, as for the country of origin, Brazil stands out with eight articles published and Revista RENE was the journal with the highest number of articles published. The fundamental role of nurses inserted in conservative treatment outpatient facilities stands out, which articulates with the other professional categories in search of better conditions and quality. It highlights a need to know the patient’s perspective in relation to chronic kidney disease, to better share the decisions to be made about treatment, support network and health professionals.

Author Biographies

Rafael Abrantes de Lima, Universidade Federal do Estado do Rio de Janeiro

Graduated in Nursing (2013), Specialist in Intensive Care from the State University of Rio de Janeiro. Specialist in Nephrology by HUPE / UERJ. Recently approved in the notice 01/2020 for Class 2021 for a master's degree in nursing in the Research Line: NURSING: KNOWLEDGE AND PRACTICES OF CARING AND BEING CAREFUL with the Institutional Research entitled: Proposition of the management function in daily nursing. I have worked as an audit nurse for the largest health plans in Brazil, I have worked as an assistant nurse in the most renowned public and private hospitals. Papers presented at national and international congresses. Author and developer of the blog http://ieerl.blogspot.com.br/. Clinical Research Assistant at D'OR Institute for Research and Teaching and FIOCRUZ. CEO of the Nursing Education Institute Rafael Lima

Tamires Zêba Guimarães, Universidade Federal do Estado do Rio de Janeiro

Nurse graduated from the Alfredo Pinto School of Nursing at the Federal University of the State of Rio de Janeiro (UNIRIO). Specialist in Internal Medicine and Surgery by the Graduate Program in the Nursing Residency Model at UNIRIO. Currently a student of the Academic Master's Degree in Nursing at the Graduate Program in Nursing (PPGEnf) at UNIRIO. Participating member of the Management, Teaching and Practices in Nursing Care Research Group linked to the Nursing Care and Experimentation Laboratory - LCEE at UNIRIO. Member of the Brazilian Association of Nursing/Section Rio de Janeiro (ABEn/RJ) . She was a scholarship holder of the Institutional Scientific Initiation Scholarship Program (PIBIC) at UNIRIO in the research project "Therapeutic Workshops and Nursing: Training and care in mental health". She was monitor of the discipline "Nursing in Care in Psychiatry", at EEAP of UNIRIO. She has technical training in surgical instrumentation from the Gonzaga da Costa Professional Training Center (2013), having completed an internship at the Hospital Municipal Souza Aguiar / RJ. .

Daniela de Oliveira Matias, Universidade Federal do Estado do Rio de Janeiro

Graduated in Nursing and Obstetrics from the Federal University of Rio de Janeiro (2004), specialist in Nephrology from the Universidade Gama Filho (2007). She is currently a statutory at Hospital Federal Cardoso Fontes, acts as lead nurse at the Intensive Care Center and civil nurse at Hospital Naval Marcílio Dias, in charge of the Dialysis sector. She has experience in the areas of Adult and Elderly Health and Women's Health with an emphasis on Nursing.

Letícia Lima Borges, Universidade Federal do Estado do Rio de Janeiro

Nurse graduated in Nursing and Obstetrics from the Federal University of Rio de Janeiro (UFRJ). Specialist in Nephrology Nursing from Universidade Gama Filho. She has professional experience in neonatology and aerospace nursing, working mainly in aeromedical transport and physiological training for airmen of the Brazilian Air Force.

Vanessa Peres Cardoso Pimentel, Universidade Federal do Estado do Rio de Janeiro

Graduated in Nursing from Centro Universitário Estácio do Ceará (2015). Specialization in Public Health with emphasis on Family Health (2017). Specialization in Pediatric and Neonatal Nursing (2018). Post-Graduate Student in Health Management and Teaching in Health Sciences.(2020\2021) Master's Student in Nursing at the Federal University of the State of Rio de Janeiro. Currently, working at Hospital de Clínicas in São Gonçalo in the Adult Intensive Care Unit; Hospital Infantil Darcy Sarmanho Vargas, active in the Pediatric Intensive Care Unit (COVID-19); Trainer at CERJCOOP - Nursing Cooperative of the State of Rio de Janeiro.

Izabella Andrade da Rocha, Universidade do Estado do Rio de Janeiro

Graduated in Nursing (2013), Nursing Specialist in Nephrology by HUPE/UERJ. She acted as a teacher nurse for a technical course. Acting as a clinical nurse in the best and most renowned public and private hospitals. Papers presented at national and international congresses.

Gicélia Lombardo Pereira, Universidade Federal do Estado do Rio de Janeiro

PhD in Science, Graduate Program in Nursing and Bioscience, Federal University of the State of Rio de Janeiro - UNIRIO - 2016. Master in Nursing at Alfredo Pinto Nursing School - UNIRIO - 1997; Graduation in Nursing and Obstetrics from Universidade Gama Filho - 1982; Coordinator of the Post-Graduate Course at the Specialization Level, in the form of in-service training for nurses, in the Residency Model, between 2004 and 2020. Associate Professor, Department of Medical-Surgical Nursing - EEAP/UNIRIO8; Retired nurse at the Municipal Health Department of Rio de Janeiro in 2013. Coordinates the Research Project "The impact of a Postgraduate Nursing Course in the Residency Models"; Coordinates the Research Project "Simulation as a teaching strategy for Graduate Nursing Students - Residence"; Participates in the Research Project "Proposition of the management function in the daily life of nursing: the practice of the management function from the theoretical framework learned in undergraduate nursing education", under the coordination of Prof. Dr. Beatriz Gerbassi Costa Aguiar; Member of the Study Group "Laboratory of Care and Experimentation in Nursing", coordinated by Profª. Dr. Nébia Maria Almeida de Figueiredo; Member of the Laboratory for Economic Evaluation and Health Technology, under the coordination of Prof. Dr. Roberto Carlos Lyra da Silva; Member of the Extension Project "The performance and teaching of REIKI as integrative and complementary practices: a holistic vision for Nursing, coordinated by Prof. Dr. Vera Lúcia Freitas. Identification ORCID 0000-0002-4032-2093.

Beatriz Gerbassi Costa Aguiar, Universidade Federal do Estado do Rio de Janeiro

PhD in Nursing-Area of ​​Concentration: Nursing in the Brazilian Social Context-Anna Nery Nursing School-Federal University of Rio de Janeiro-2002; Specialization in Health Service Research-National Public Health School - ENSP/ Oswaldo Cruz Foundation-FIOCRUZ 19991; Master's Degree in Nursing-Alfredo Pinto Nursing School - Federal University of the State of Rio de Janeiro -UNRIO 1985; Specialization in Introduction to Health Education-ENSP/ FIOCRUZ 1978; Specialization in Public Health ? ENSP /FIOCRUZ 1975. Member of the Brazilian Academy of Hospital Administration. Nurse of the Nosocomial Infection Control Commission of the Hospital de Ipanema of the National Institute of Medical Assistance of Social Security-INAMPS 1971 to 1980; Consultant of the Hospital Infection Control Commission of the National Cancer Institute /MS 1981/83; Director of the Administration Division of the Hospital de Ipanema ? INAMPS 1989/90; Director of the Nursing Division of the Hospital de Ipanema/ INAMPS 1991; Assistant to the Director of the Phillipe Phinnel Psychiatric Institute / MS 1993; Assistant at the Administration Division of the Rio de Janeiro State Center of the Ministry of Health-1995/96; Associate Professor I of the Medical-Surgical Nursing Department at Alfredo Pinto Nursing School ? Federal University of the State of Rio de Janeiro - public tender in 1994. Director of the Alfredo Pinto School of Nursing - Federal University of Rio de Janeiro, elected 2005-2009. Founding member and first President of the Grupo Tordesillas Nursing Program 2005-2009.

Brenda Maia do Nascimento, Universidade Federal do Estado do Rio de Janeiro

Nurse graduated from the University Veiga de Almeida (UVA). Specialist in High Complexity. She is currently a Nursing Resident at the Federal University of the State of Rio de Janeiro (UNIRIO). Participating member of the Center for Research in Adult and Elderly Care - PENSAI / Study Group Management, teaching and practices in nursing care at UNIRIO. Master's student in Economic and Health Technology Assessment under the SUS at UNIRIO. Experience in the field of Nursing, with an emphasis on Nursing in Adult and Elderly Health and Intensive Care.

References

Abreu, P. F. & Moura, L. R. R. (2018). Epidemiologia da doença renal crônica. In L. R. R. Moura, M. A. R. Alves, D. R. Santos & R. P. Filho (Ed.), Tratado de Nefrologia (1ª ed., v.2, pp. 911). Atheneu.

Bardin, L. (2011). Análise de conteúdo (1a ed.). São Paulo: Almedina.

Bica, M. C., Cremonese, L., Barreto, C. M. Rodrigues, A. L. M. & Alves, F. Q. (2020). Gerenciamento do cuidado em estratégias saúde da família na percepção de enfermeiros. Rev Enferm UFSM, 10(e74), 1-18. https://doi.org/10.5902/2179769242518.

Brasil. (1986). Lei n. 7.498, de 25 de junho de 1986. Dispõe sobre a regulamentação do exercício da enfermagem, e dá outras providências. http://www.planalto.gov.br/ccivil_03/leis/l7498.htm.

Cardoso, V., Trevisan, I., Cicolella, D. A., & Waterkemper, R. (2019). Revisão sistemática de métodos mistos: método de pesquisa para a incorporação de evidências na enfermagem. Texto & Contexto – Enfermagem, 28(e20170279), 1-12. https://dx.doi.org/10.1590/1980-265X-TCE-2017-0279.

Castro, M. C. M. (2019). Tratamento conservador de paciente com doença renal crônica que renuncia à diálise. Braz J Nephrol, 41(1), 95-102. https://dx.doi.org/10.1590/2175-8239-JBN-2018-0028.

Centre for Evidence-Based Medicine. (2009). Oxford Centre for Evidence-Based Medicine: levels of evidence (march 2009). CEBM. https://www.cebm.ox.ac.uk/resources/levels-of-evidence/oxford-centre-for-evidence-based-medicine-levels-of-evidence-march-2009.

Conselho Federal de Enfermagem. Resolução COFEN n. 159, de 19 de abril de 1993. Dispõe sobre a consulta de enfermagem. http://www.cofen.gov.br/ resoluocofen1591993_4241.html.

Figueiredo, A. E. B., Ceccon, R. F., & Figueiredo, J. H. C. (2021). Doenças crônicas não transmissíveis e suas implicações na vida de idosos dependentes. Ciên. Saúde Colet, 26(01), 77-88. https://doi.org/10.1590/1413-81232020261.33882020.

Gil, A. C. (2008). Métodos e técnicas de pesquisa social (6a ed.). São Paulo: Atlas.

Gomes, A. F., Yoshimura, B. K., Souza, H. F., Lima, N. R., Paula, S. A., & Marques, M. V. (2021). A importância da consulta de enfermagem cardiológica na prevenção de doenças e promoção de saúde. Saúde Coletiva, 11(63), 5466–5475. https://doi.org/10.36489/saudecoletiva.2021v11i63p5466-5475.

Gurgel, M. G. I., Alves, M. D. S., Moura, E. R. F., Pinheiro, P. N. C., Rêgo, R. M. V., & Passos, M. L. L. (2011). Promoção da saúde no contexto da estratégia saúde da família: concepções e práticas da enfermeira. Esc. Anna Nery, 15(3), 610-615. https://doi.org/10.1590/S1414-81452011000300024.

Horta, H. H. L., & Lopes, M. L. (2017). Complicações decorrentes do tratamento dialítico: contribuição do enfermeiro no cuidado e educação ao paciente. Revista Enfermagem Contemporânea, (6)2, 221-227. https://doi.org/10.17267/2317-3378rec.v6i2.1457.

Jacobi, C. S., Beuter, M., Maldaner, C. N., Roso, C. C., Pauletto, M. R., & Girardon-Perlini, N. M. O. (2013). O cuidado de idosos com nefropatia diabética em tratamento conservador. Rev Rene, 14(4), 765-773. http://www.periodicos.ufc.br/rene/article/view/3541/2781.

Júnior, A. R. C., Abreu, L. D. P., Araújo, A. F., Torres, R. A. M., & Silva, M. R. F. (2019). Consulta de enfermagem no cuidado ambulatorial às juventudes. Rev Enferm UFPE on line, 13(4), 1157-1166. https://doi.org/10.5205/1981-8963-v13i04a239115p1157-1166-2019.

Kamar, F. B., Tam-Tham, H., & Thomas, C. (2017). A Description of Advanced Chronic Kidney Disease Patients in a Major Urban Center Receiving Conservative Care. Canadian Journal of Kidney Health and Disease, 4, 1-7. https://doi.org/10.1177/2054358117718538.

Ladin, K., Pandya, R., Kannam, A., Loke, R., Oskoui, T., D Perrone, R., Meyer, K. B., Weiner, D. E., & Wong, J. B. (2018). Discussing Conservative Management With Older Patients With CKD: An Interview Study of Nephrologists. Am J Kidney Dis., 71(5), 627-635. https://doi.org/10.1053/j.ajkd.2017.11.011.

Lima, M. A., Sousa, G. R., Sousa, A. M., Felipe, G. F., Oliveira, A. S. S. & Formiga, L. M. F. (2014). Educação em saúde para pacientes em hemodiálise. Rev Enferm UFPE on line, 8(6), 1510-1515. https://doi.org/10.5205/1981-8963-v8i6a9839p1510-1515-2014.

Lins, S. M. S. B., Tavares, J. M. A. B., Silva, F. V. C., Campos, T. S., Lima, V. K., Broca, P., Rocha, R. G, & Pereira E. P. (2017, junho). Implantação da consulta de enfermagem no ambulatório de atendimento ao paciente renal em tratamento conservador. Anais do primeiro encontro internacional do processo de enfermagem: o raciocínio clínico de enfermagem e a era digital, Campinas, SP, Brasil, 1. https://proceedings.science/enipe/papers/implantacao-da-consulta-de-enfermagem-no-ambulatorio-de-atendimento-ao-paciente-renal-em-tratamento-conservador-.

Luciano, E. P., Luconi, P. S., Sesso, R. C., Melaragno, C. S., Abreu, P. F., Reis, S. F. S., Furtado, R. M. S., & Ruivo, G. F. (2012). Estudo prospectivo de 2151 pacientes com doença renal crônica em tratamento conservador com abordagem multidisciplinar no Vale do Paraíba, SP. Braz J Nephrol, 34(3), 226-234. https://doi.org/10.5935/0101-2800.20120003.

Madeiro, A. C., Machado, P. D. L. C., Bonfim, I. M., Braqueais, A. R., & Lima F. E. T. Adesão de portadores de insuficiência renal crônica ao tratamento de hemodiálise. Acta Paul Enferm, 23(4), 546-551. https://doi.org/10.1590/S0103-21002010000400016.

Maldaner, C. R., Beuter, M., Brondani, C. M., Budo, M. L. D., & Paulleto, M.R. (2008). Fatores que influenciam a adesão ao tratamento na doença crônica: o doente em terapia hemodialítica. Rev Gaúcha Enferm, 29(4), 647-53. https://seer.ufrgs.br/rgenf/article/download/7638/4693.

Medeiros, M. C. W. C., & Sá, M. P. C. (2011). Adesão dos portadores de doença renal crônica ao tratamento conservador. Rev Rene, 12(1), 65-72. http://www.periodicos.ufc.br/rene/article/view/4135/3217.

Meira, A. S., Batista, M. A., Pereira, R. M. P., Rodrigues, R. A. P., Fhon, J. R. S., & Kusumota L. (2016). Fragilidade em idosos com doença renal crônica em tratamento conservador. Rev Rene, 17(3), 386-392. http://dx.doi.org/10.15253/2175-6783.2016000300012.

Menezes, H. F., Rosas, A. M. M. T. F., Camacho, A. C. L. F., Souza, F. S., Rodrigues, B. M. R. D., & Silva, R. A. R. (2018). Significado das ações educativas na consulta de enfermagem para clientes renais crônicos e familiares. Rev Enferm UERJ, 26, e31921. http://dx.doi.org/10.12957/reuerj.2018.31921.

Menezes, H. F., Camacho, A. C. L. F., Lins, S. M. S. B., Campos, T. S., Lima, F. R., Jales, A. K. F. A., & Silva, R. A. R. (2020). Termos da linguagem especializada de enfermagem para pacientes renais crônicos em tratamento conservador. Rev Bras Enferm, 73(Suppl6), e20190820. http://dx.doi.org/10.1590/0034-7167-2019-0820.

Metzger, M., Yoder, J., Fitzgibbon, K., Blackhall, L., & Abdel-Rahman, E. (2021). Nephrology and Palliative Care Collaboration in the Care of Patients With Advanced Kidney Disease: Results of a Clinician Survey. Kidney Med, 3(3), 368-377. https://doi.org/10.1016/j.xkme.2021.01.008.

Ministério da Saúde. (2001). Hipertensão arterial sistêmica (HAS) e Diabetes mellitus (DM): protocolo. Brasília: Ministério da Saúde. https://bvsms.saude.gov.br/bvs/publicacoes/cd05_06.pdf.

Ministério da Saúde. (2020). Plano de ações estratégicas para o enfrentamento das doenças crônicas e agravos não transmissíveis no Brasil. https://antigo.saude.gov.br/images/pdf/2020/October/01/Plano-DANT-vers--o-Consulta-p--blica.pdf.

Ministério da Saúde. (2014a). Diretrizes clínicas para o cuidado ao paciente com doença renal crônica – DRC no sistema único de saúde. https://portalarquivos2.saude.gov.br/images/pdf/2014/marco/24/diretriz-cl--nica-drc-versao-final.pdf.

Ministério da Saúde. (2014b). Estratégias para o cuidado da pessoa com doença crônica. Brasília: Ministério da Saúde. https://bvsms.saude.gov.br/bvs/publicacoes/estrategias_cuidado_pessoa_doenca_cronica_cab35.pdf.

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., &The PRISMA Group. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. Plos Medicine, 6(7), e100097. https://doi.org/10.1371/journal.pmed.1000097.

Neves, P. D. M. M., Sesso, R. C. C., Thomé, F. S., Lugon, J. R, & Nasciment, M. M. (2020). Censo Brasileiro de Diálise: análise de dados da década 2009-2018. Braz J Nephrol, 42(2), 191-200. https://doi.org/10.1590/2175-8239-JBN-2019-0234.

Rezende, A. D. (2008). Planejamento estratégico para organizações privadas e públicas: guia prático para elaboração do projeto de plano de negócios. Rio de Janeiro: Brasport.

Ribeiro, W. A., Andrade, M., Fassarella, B. P. A., Santana, P. P. C., Costa, P. A. F. S., & Morais, M. C. (2018). Enfermeiro protagonista na educação em saúde para o autocuidado de pacientes com doenças renal crônica. Revisa Pró-univerSUS, 09(2), 60-65. http://editora.universidadedevassouras.edu.br/index.php/RPU/article/view/1378/1037

Roso, C. C., Beuter, M., Bruinsma, J. L., Silva, J. H., Timm, A. M. B. & Pauletto, M. R. (2013a). Aspectos clínicos das pessoas com insuficiência renal crônica em tratamento conservador. Rev Rene, 14(6), 1201-1208. http://www.periodicos.ufc.br/rene/article/view/3742/2962.

Roso, C. C., Beuter, M., Kruse, M. H. L., Girardon-Pelini, N. M. O., Jacobi, C. S., & Cordeiro, F. R. (2013b). O cuidado de si de pessoas em tratamento conservador da insuficiência renal crônica. Texto Contexto Enferm, 22(3), 739-745. https://doi.org/10.1590/S0104-07072013000300021.

Saeed, F., Adams, H., & Epsten, R. M. (2020). Matters of Life and Death: Why Do Older Patients Choose Conservative Management? Am J Nephrol, 51(1), 35-42. https://doi.org/10.1159/000504692.

Sarmento, L. R., Fernandes, P. F. C. B. C., Pontes, M. X., Correia, D. B. S., Chaves, V. C. B, Carvalho, C. F. A., Arnaud, T. L., Santos, M. H. S., Barreto, L. C. B., & Moliterno, L. A. A. (2018). Prevalência das causas primárias de doença renal crônica terminal (DRCT) validadas clinicamente em uma capital do Nordeste brasileiro. J. Braz Nephrol, 40(2), 130-135. https://doi.org/10.1590/2175-8239-JBN-3781.

Santos, I., Rocha, R.P.F., & Berardinelli, L.M.M. (2011) Necessidades de orientação de enfermagem para o autocuidado de clientes em terapia de hemodiálise. Rev. Bras. Enferm., 64(2), 335-342. https://doi.org/10.1590/S0034-71672011000200018.

Saupe, R., Cutolo, L. R. A., Wendhausen, A. L. P., & Benito, G. A. V. (205). Competência dos profissionais da saúde para o trabalho interdisciplinar. Comunic. Saúde, Educ., 9(18), 521-36. http://www.proexcel.fiocruz.br/inalteraveis/Gestao%20e%20seus%20componentes/transdiscipl%20no%20traba%20de%20saude.pdf.

Siewert, J. S., Rodrigues, D. B., de Malfussi, L. B. H., Andrade, S. R. & Erdmann, A. L. (2017). Gestão do cuidado integral em enfermagem: reflexões sob a perspectiva do pensamento complexo. Reme, 21(e1047), 1-5. http://www.dx.doi.org/10.5935/1415-2762.20170057.

Silva, B. A. B., Pereira, F. A. R., Oliveira, L. F. A., Lara, S. H. O., Bressan, V. R., & Goyatá, S. L. T. (2021). Contribuições da terapia comunitária integrativa na promoção da saúde: revisão integrativa. R. pesq.: cuid. fundam. Online, 13, 843-848. https://doi.org/10.9789/2175-5361.rpcfo.v13.9238

Silva, J. R. R., Luz, G. O. A., Silva, S. M. B., Medeiros, L. K. A., Junior, J. L. S. & Santos, I. C. R. V. (2019). Letramento funcional em saúde e o conhecimento dos doentes renais crônicos em tratamento conservador. Rev Bras Promoç Saúde, 32, 9470. https://periodicos.unifor.br/RBPS/article/view/9470.

Silveira, L. M. C., & Ribeiro, V. M. B. (2005). Grupo de adesão ao tratamento: espaço de “ensinagem” para profissionais de saúde e pacientes. Interface: Comunicação, Saúde, Educação, 9(16), 91- 104. https://doi.org/10.1590/S1414-32832005000100008.

Susanto, C., Kooman, J., Courtens, A. M., & Konings, C. J. A. M. (2018). Conservative care as a treatment option for patients aged 75 years and older with CKD stage V: a National survey in the Netherlands. European Geriatric Medicine, 9(2), 235-242. https://doi.org/10.1007/s41999-018-0031-9.

Tam-Tham, H., Hemmelgarn, B. R., Campbell, D. J. T., Thomas, C. M., Fruetel, K., Quinn, R. R., & King-Shier, K. M. (2016). Primary care physicians' perceived barriers, facilitators and strategies to enhance conservative care for older adults with chronic kidney disease: a qualitative descriptive study. Nephrol Dial Transplant, 31(11), 1864-1870. https://doi.org/10.1093/ndt/gfv408.

Tam-Tham, H., King-Shier, K. M., Thomas, C. M., Quinn, R. R., Fruetel, K., Davison, S. N., & Hemmelgarn, B. N. (2016). Prevalence of Barriers and Facilitators to Enhancing Conservative Kidney Management for Older Adults in the Primary Care Setting. Clin J Am Soc Nephrol, 11(11), 2012-2021. https://doi.org/10.2215/cjn.04510416.

Teruel, J. L., Vion, V. B., Couto, A. G., Gorrín, M. R., Fernández-Lucas, M., Mendiola, N. R., & Quereda, C. (2015). Elección de tratamiento conservador en la enfermedad renal crónica. Nefrologia, 35(3), 273-279. https://doi.org/10.1016/j.nefro.2015.05.005.

Vignoto, S., Freitas, H. M. R., & Schumacher, B. (2020). Percepções dos pacientes com insuficiência renal crônica em hemodiálise com relação às mudanças dos hábitos de vida. Redes - Revista Interdisciplinar Do IELUSC, 1(3), 157-168. http://revistaredes.ielusc.br/index.php/revistaredes/article/view/97.

World Health Organization. (2019). Global action plan for the prevention and control of noncommunicable diseases 2013-2020. http://apps.who.int/iris/bitstream/10665/94384/1/9789241506236_eng.pdf.

Published

13/11/2021

How to Cite

LIMA, R. A. de .; GUIMARÃES, T. Z. .; MATIAS, D. de O. .; BORGES, L. L. .; PIMENTEL, V. P. C. .; ROCHA, I. A. da .; PEREIRA, G. L. .; AGUIAR, B. G. C. .; NASCIMENTO, B. M. do . Nurse’s contributions in education and care management in conservative treatment in nephrology: integrative review. Research, Society and Development, [S. l.], v. 10, n. 14, p. e136101421824, 2021. DOI: 10.33448/rsd-v10i14.21824. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/21824. Acesso em: 12 nov. 2024.

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Health Sciences