Publications by authors named "Guillermo Pedreira Robles"

The KATITA-25 (Kidney AlloTransplant Immunosuppressive Therapy Adherence) Questionnaire is a multidimensional self-administered scale developed in Brazilian Portuguese that measures the predisposition for non-adherence to immunosuppressive medication in candidate patients for kidney transplantation, in the pre-transplant setting. The aim of this study was the cross-cultural validation of the Spanish version of the KATITA-25 scale. The translation/back-translation method was used, followed by cognitive interviews and a pre-test.

View Article and Find Full Text PDF
Article Synopsis
  • Kidney transplantation should be delayed for patients with active infections, as these must be treated first; this study aims to assess the prevalence of tropical and imported infections among KT candidates from endemic regions.
  • Conducted in 2021, the study analyzed sociodemographic, clinical data, and specific infection tests in 67 transplantation candidates from various regions, finding a significant number needing referral to infectious disease specialists.
  • The findings revealed low overall prevalence of tropical infections except for strongyloidiasis and latent tuberculosis, highlighting the importance of proactive screening and treatment to prevent complications for those undergoing kidney transplantation.*
View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates the impact of socioeconomic and cultural factors on the selection of renal replacement therapy (RRT) in patients with advanced chronic kidney disease (ACKD) in Spain, highlighting the potential for unnoticed inequities in healthcare decision-making.
  • - A retrospective analysis of 673 patients revealed that those with higher socioeconomic status, Spanish nationality, and lower language barriers were more likely to choose peritoneal dialysis (PD) over hemodialysis (HD).
  • - The findings emphasize that non-medical barriers, rather than medical characteristics like age or sex, significantly influence patients' choices of RRT methods, suggesting areas for improvement in equitable healthcare access.
View Article and Find Full Text PDF

This qualitative study aimed to explore the experiences of 11 adults with chronic kidney disease (CKD) undergoing evaluation for kidney transplant (KT) and examine the role played by the nurse in the process. Employing a descriptive phenomenology approach, semi-structured interviews were conducted between October 2022 and July 2023. Thematic analysis, facilitated by Atlas.

View Article and Find Full Text PDF

Background: The organisational care needs involved in accessing kidney transplant have not been described in the literature and therefore a detailed analysis thereof could help to establish a framework (including appropriate timing, investment, and costs) for the management of this population. The main objective of this study is to analyse the profile and care needs of kidney transplant candidates in a tertiary hospital and the direct costs of studying them.

Methods: A descriptive, cross-sectional study was conducted using data on a range of variables (sociodemographic and clinical characteristics, study duration, and investment in visits and supplementary tests) from 489 kidney transplant candidates evaluated in 2020.

View Article and Find Full Text PDF

Background: During the COVID-19 pandemic, decentralised clinical trials incorporated self-monitoring, self-reporting, and telenursing tools to address health literacy and health empowerment of patients enrolled in clinical trials. We aimed to determine the impact of an educational intervention using telenursing consultations on health literacy, health empowerment, and health-related quality of life in cancer patients enrolled in clinical trials by measuring the level of satisfaction with the care received and assessing the views of healthcare professionals concerning the advanced practice nurse (APN) role in oncology clinical trials.

Methods: In this pilot analytical, descriptive, longitudinal, quasi-experimental, and pre-post test study, an educational intervention was conducted by 5 visits with an APN using synchronous teleconsultation in patients starting cancer treatment for the first time in a clinical trial (n = 60), and health professionals working with the APN (n = 31).

View Article and Find Full Text PDF
Article Synopsis
  • The study aims to analyze the care provided to kidney transplant candidates and highlight the specialized role of nurses in this process.
  • A scoping review of literature from 2001 to 2021 identified 49 relevant studies, focusing on physical needs, psychological aspects, education, and the role of nurses.
  • The findings emphasized the importance of comprehensive nursing assessments that address physical, psychosocial, and adherence factors, leading to the development of a nursing care map for improving patient outcomes in kidney transplantation.
View Article and Find Full Text PDF

Objectives: To explore the presence of specialist outpatient nursing activity in care for kidney transplant recipients in Spain and to determine the level of competence development of this activity according to the Advanced Practice Nurse model.

Design: Descriptive, cross-sectional study.

Participants And Measurements: All outpatient nurses specialising in renal transplantation in the 39 transplant hospitals in Spain were included.

View Article and Find Full Text PDF

Background: Waiting time for kidney transplants (KT) is an important health determinant for patients with chronic kidney disease (CKD). During this time, ongoing evaluation and participation is necessary in order to guarantee the quality and suitability of the proposed treatment. There is no existing literature on the potential impact of inclusion of an Advanced Practice Nurse (APN) role in the hospital setting on care for CKD patients who are candidates for KT.

View Article and Find Full Text PDF

Objective: People with Kidney Transplantation require immunosuppressant treatments and this classifies them as a population at risk for virus and/or bacterial infections. The objective of the study was to describe the follow-up of transplanted people with suspected COVID19 infection.

Methods: Descriptive, cross-sectional, observational study with prospective follow-up carried out between March and June 2020.

View Article and Find Full Text PDF

Introduction: Plastic cannulas (PC) have shown efficacy in haemodialysis (HD) and are presented as a positive innovation for patients and vascular access survival.

Objective: To analyse Spanish HD nurses' experience of using PC.

Design: Cross-sectional observational study.

View Article and Find Full Text PDF

Background: Knowledge of traditional and complementary medicine (TCM) and its use by patients are essential for patient safety.

Aims: To examine knowledge of TCM among practitioners in a nephrology unit and their advice to patients.

Methods: This was a descriptive, observational, cross-sectional study.

View Article and Find Full Text PDF

Background: Changes in body image are a recurring theme in the literature on chronic kidney disease (CKD). There is insufficient evidence identifying nurses' perceptions of this topic.

Objective: To explore nurses' perceptions of changes in the bodies of persons with CKD.

View Article and Find Full Text PDF

Hemodialysis (HD) has a significant impact on health-related quality of life (HRQoL). We performed an observational study to assess the mental and physical status of 41 patients on chronic HD treatment. We planned and launched a program of recreational and therapeutic intradialysis activities to reduce patients' boredom due to inactivity.

View Article and Find Full Text PDF

Background: Peritoneal fluid flows such as small-pore ultrafiltration and free water transport can now be calculated by means of the modified peritoneal equilibration test (PET). To calculate peritoneal fluid absorption, volume markers have been used, but that method is not easily applicable in clinical practice. Alternatively, absorption can be estimated using the personal dialysis capacity test.

View Article and Find Full Text PDF