Afectación Neuropsicológica de la Función Ejecutiva en Pacientes con Insuficiencia Renal Crónica
DOI:
https://doi.org/10.21615/cesp.11.2.7Palabras clave:
Insuficiencia Renal Crónica, Diálisis Peritoneal, Hemodiálisis, Neuropsicología, Función EjecutivaResumen
Objetivos: Analizar las diferencias en el rendimiento neuropsicológico de las funciones ejecutivas en pacientes tratados con Diálisis Peritoneal (DP) y Hemodiálisis (HD), además de valorar el nivel de afectación de las modalidades de tratamiento (DP vs HD) y las variables demográficas y clínicas sobre la respuesta cognitiva. Método: Estudio de corte transversal con muestreo no probabilístico que incluyó a 40 pacientes con insuficiencia renal crónica (IRC), divididos en dos grupos: 20 pacientes sometidos a diálisis peritoneal y 20 a hemodiálisis. Se utilizó una batería de pruebas neuropsicológicas que incluyeron El Test de Palabras y Colores de STROOP, la parte B del Trail Making Test (TMT), la Torre de Hanoi y el subtest de Dígitos Inversos de la Escala Wechsler; además de un cuestionario sobre variables clínicas y demográficas. Resultados: Se evidenciaron diferencias significativas en el número de errores del TMT B y el número de movimientos de la Torre de Hanoi, siendo los pacientes sometidos a DP quienes rindieron mejor que los pacientes sometidos a HD. Por otra parte, los años de escolaridad y la edad de los pacientes parecen tener un efecto significativo sobre el rendimiento en las pruebas neuropsicológicas utilizadas. Conclusiones: Los pacientes sometidos a diálisis peritoneal tienen un mejor rendimiento en pruebas de función ejecutiva, pero dicho rendimiento es modulado por los años de escolaridad y la edad. Se discute el papel de la escolarización y la edad sobre el rendimiento neuropsicológico y las posibles causas de las diferencias encontradas en los grupos evaluados.
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Derechos de autor 2018 Marcio Soto-Añari, Norman López, Raquel Aquino-Ayala, Lucia Denegri-Solís, Verónica Belón-Hercilla, Fernando-Robert Ferrel-Ortega, Nicole Caldichoury, Julia Hernández-Chamorro
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Revista CES Psicología ISSN 2011 3080
Facultad de Psicología, Universidad CES Primera edición 2008. Última actualización Mayo 29 de 2024. Todos los derechos reservados. Hecho el depósito legal que exige la ley.
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