{"id":25,"date":"2013-04-24T16:59:40","date_gmt":"2013-04-24T14:59:40","guid":{"rendered":"http:\/\/ca.2zap.net\/?p=25"},"modified":"2013-04-24T16:59:40","modified_gmt":"2013-04-24T14:59:40","slug":"le-barriere-al-trattamento-nutrizionale-dei-pazienti-con-insufficienza-renale-cronica","status":"publish","type":"post","link":"https:\/\/dietistaottonello.it\/dietistaottonello\/le-barriere-al-trattamento-nutrizionale-dei-pazienti-con-insufficienza-renale-cronica\/","title":{"rendered":"Barriere al trattamento nutrizionale in pazienti con Insufficienza Renale Cronica"},"content":{"rendered":"<h2 style=\"text-align: justify;\"><span style=\"color: #000000;\"><strong>ABSTRACT<\/strong><\/span><\/h2>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">Il trattamento dietetico riveste un ruolo cruciale in tutte le fasi evolutive dell\u2019IRC:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">&#8211; Rappresenta la base della terapia conservativa;<a href=\"https:\/\/dietistaottonello.it\/dietistaottonello\/wp-content\/uploads\/2013\/07\/Reni1.jpg\"><span style=\"color: #000000;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-182 alignright\" style=\"width: 193px; height: 167px;\" alt=\"Reni1\" src=\"https:\/\/dietistaottonello.it\/dietistaottonello\/wp-content\/uploads\/2013\/07\/Reni1.jpg\" width=\"185\" height=\"161\" \/><\/span><\/a><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">&#8211; E&#8217;\u00a0d\u2019ausilio durante la terapia sostitutiva e il trapianto poich\u00e9 permette di controllare le alterazioni metaboliche dovute ai vari stadi della patologia;<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">&#8211; Permette di\u00a0mantenere un buono stato nutrizionale.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">In quest\u2019ambito il problema della compliance \u00e8 centrale ed \u00e8 di fondamentale importanza individuare e abbattere le barriere proprie di tutte le figure coinvolte nel processo di cura (paziente, operatori sanitari, figure di supporto).<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">Il nefrologo e gli altri operatori sanitari, agendo all\u2019interno di un team multidisciplinare fortemente motivato, sono responsabili di questo processo attraverso l\u2019applicazione e la diffusione di strumenti specifici riguardanti l\u2019assistenza e la motivazione dei pazienti, la condivisione delle informazioni ad essi relative e l\u2019organizzazione delle strutture.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">Il dietista con formazione ed esperienza specifica in ambito nefrologico \u00e8 una figura essenziale in quanto \u00e8 il professionista deputato a condurre il trattamento nutrizionale e che si occupa dell\u2019attuazione di tutte le attivit\u00e0 educative e di sostegno alla compliance.<strong>\u00a0<\/strong><\/span><\/p>\n<h6 style=\"text-align: justify;\"><\/h6>\n<h2 style=\"text-align: justify;\"><span style=\"color: #000000;\"><strong>BIBLIOGRAFIA<\/strong><\/span><\/h2>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">1) Fantuzzi A. L., Gennari A, Pasticci F., et al. \u201cGruppo di lavoro ANDID Malattie Renali\u201d. Ruolo del dietista nella gestione nutrizionale del paziente con malattia renale cronica.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">2) Clinical Practice Guidelines for Nutrition in Chronic Renal Failure. K\/DOQI, National Kidney Foundation. Am J Kidney Dis 2000; 35:S1-140.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">3) De Santo NG., Perna A., Cirillo M. Low protein diets are mainstay for management of chronic kidney disease. Front Biosci (Schol Ed) 2011; Jun 1;3: 1432-42.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">4) Christensen A. J. Current Perspective in Psycology. Yale 2004.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">5) Wagner EH., Davis C., Schaefer J., et al. A survey of leading chronic disease management programs: are they consistent with the literature? Manag Care Q. 1999; 7:56-66.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">6) Fouque D., Laville M. Low Protein diets for chronic kidney disease in non diabetic adults (Rewiew). 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