Análisis del impacto de los valores personales en la elección del Tratamiento Sustitutivo Renal

espanolUna de las actividades que se realizan en el proceso educativo con herramientas de ayuda a la toma de decision (HATD) es ayudarles a explorar sus valores mediante las “tarjetas de valores”. El objetivo del estudio fue, conocer los valores de las personas con Enfermedad Renal Cronica en la eleccion de modalidad de Tratamiento Sustitutivo Renal y analizar si existia relacion entre los mensajes de las tarjetas y la modalidad de tratamiento. Estudio retrospectivo. Se incluyeron 281 pacientes que pasaron por el proceso de educacion con HATD entre los anos 2011-2016. Los datos se obtuvieron de los registros de enfermeria de la historia clinica. Se estudiaron variables demograficas, tarjetas de valores y eleccion de tratamiento. La muestra fue de 281 pacientes. Las 3 tarjetas que obtuvieron un mayor porcentaje de eleccion fueron, Personal sanitario responsable del tratamiento (14,20%), Ser independiente (13,65%), Impacto para la familia (13,30%); segun la modalidad de tratamiento elegida, HD: Impacto para la familia (15,94%), Personal sanitario responsable del tratamiento (15,58%), Ser independiente (13,04%). DP: Ser independiente (18,95%), Personal sanitario responsable del tratamiento (15,26%), Impacto para la familia (14,21%). Tratamiento medico conservador: Ser independiente (25,2%), Autonomia e Impacto para la familia (12,5%). Trasplante de donante vivo: Personal sanitario responsable tratamiento (30%), Ser independiente (30%), Autonomia (10%). Podemos concluir que la mayoria de los mensajes de las tarjetas, parecen estar en concordancia con la modalidad elegida. No hay valores propios de una modalidad de tratamiento sustitutivo renal sino personas con diferentes valores que marcan la toma de decision. EnglishOne of the activities carried out in the educational process with decision support tools (HATD) is to help patients explore their values through “value cards”. The aim of the study was to know the personal values of Chronic Kidney Disease patients in the choice of Renal Replacement Treatment modality and to analyze if there was a relationship between the messages of the cards and the modality of treatment. Retrospective study. We included 281 patients who went through the education process with HATD between the years 2011-2016. Data were obtained from nursing records in the medical history. Demographic variables, stock cards and treatment choice were studied. The sample was 281 patients. The three cards that obtained a higher percentage of selection were: health personnel responsible for treatment (14.20%), independent (13.65%) and impact for the family (13.30%). According to the modality of treatment chosen, for hemodialysis patients were: impact for the family (15.94%), health personnel responsible for treatment (15.58%) and independent (13.04%); while for peritoneal dialysis patients, they were: independent (18.95%), health personnel responsible for treatment (15.26%) and impact for the family (14.21%). For those with conservative medical treatment, they were: independent (25.2%), autonomy and impact for the family (12.5%); and for those with live donor transplantation: health personnel responsible for treatment (30%), independent (30%) and autonomy (10%). We can conclude that most of the messages on the cards appear to be in accordance with the modality of treatment. There are no values of a modality of renal replacement therapy, but people with different values that influence in the decision making.