Actuación de enfermería ante un paciente con infección aguda por el virus de la hepatitis C en hemodiálisis en tratamiento con antivirales de acción directa

Introduccion When a patient with chronic kidney disease (CKD) reaches the final stages, in which he or she needs renal replacement therapy, one of the widely used options is haemodialysis. This treatment, which is ambulatory in specialised centres, usually takes 4 hours in average, 3 times per week1,2. Patients on haemodialysis: education and entertainment needs Not only for the kidney disease but also for the dialysis treatment, patients on haemodialysis present numerous needs, which must be addressed by the nursing staff and include: difficulty in adhering to the renal diet, lack of knowledge, problems of social isolation and leisure or entertainment needs during the duration of the dialysis, amongst others, according to the literature cited3,4. The renal diet applies different restrictions and adjustments of macronutrients, of which the restriction of water intake is foremost, to avoid fluid overload and pulmonary edema which are lifethreatening factors; an increase of daily proteins, to avoid malnutrition, such as different ions, emphasis on sodium restrictions; potassium restriction, as an excess will cause a lifethreatening emergency; and phosphorus for its severe consequences on the renal patients’ morbidity and mortality1,5,6. Nevertheless, in spite of that proper adherence to the renal diet will increase the benefits of the renal therapy and decrease the health-system costs linked to a higher morbidity, the fact is that the diet adherence is at 50% in developed countries7 , thus proving the importance of promoting the nurse’s educational function as long as possible8. Considering the lack of knowledge on the health condition faced by patients and regardless of the ailments they are suffering from, new technologies are taking a stronger stance as sources of information that can help the patients get more empowered in relation to their health: the concept Health 2.0 has appeared. Different websites, blogs, apps, or educational games instruct, teach or advise patients about different illnesses, even though there are cases where the evidence on which the information is based, is questionable. In the case of renal patients, there is a wide range of games, blogs and apps that can be useful9,10.