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master's thesis
Analiza stanja uhranjenosti i unosa proteina prehranom u bolesnika na redovitoj hemodijalizi: rad s istraživanjem
Rijeka: University of Rijeka, Faculty of Health Studies, 2024. urn:nbn:hr:184:776367
Kraljić, Amra
University of Rijeka
Faculty of Health Studies

Institutional repository: Repository of the University of Rijeka, Faculty of Health Studies

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Kraljić, A. (2024). Analiza stanja uhranjenosti i unosa proteina prehranom u bolesnika na redovitoj hemodijalizi: rad s istraživanjem (Master's thesis). Rijeka: University of Rijeka, Faculty of Health Studies. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:776367

Kraljić, Amra. "Analiza stanja uhranjenosti i unosa proteina prehranom u bolesnika na redovitoj hemodijalizi: rad s istraživanjem." Master's thesis, University of Rijeka, Faculty of Health Studies, 2024. https://urn.nsk.hr/urn:nbn:hr:184:776367

Kraljić, Amra. "Analiza stanja uhranjenosti i unosa proteina prehranom u bolesnika na redovitoj hemodijalizi: rad s istraživanjem." Master's thesis, University of Rijeka, Faculty of Health Studies, 2024. https://urn.nsk.hr/urn:nbn:hr:184:776367

Kraljić, A. (2024). 'Analiza stanja uhranjenosti i unosa proteina prehranom u bolesnika na redovitoj hemodijalizi: rad s istraživanjem', Master's thesis, University of Rijeka, Faculty of Health Studies, accessed 25 December 2024, https://urn.nsk.hr/urn:nbn:hr:184:776367

Kraljić A. Analiza stanja uhranjenosti i unosa proteina prehranom u bolesnika na redovitoj hemodijalizi: rad s istraživanjem [Master's thesis]. Rijeka: University of Rijeka, Faculty of Health Studies; 2024 [cited 2024 December 25] Available at: https://urn.nsk.hr/urn:nbn:hr:184:776367

A. Kraljić, "Analiza stanja uhranjenosti i unosa proteina prehranom u bolesnika na redovitoj hemodijalizi: rad s istraživanjem", Master's thesis, University of Rijeka, Faculty of Health Studies, Rijeka, 2024. Available at: https://urn.nsk.hr/urn:nbn:hr:184:776367

Metadata
TitleAnaliza stanja uhranjenosti i unosa proteina prehranom u bolesnika na redovitoj hemodijalizi: rad s istraživanjem
Title (english)Analysis of nutritional status and food protein intake in patients on maintenance hemodialysis: research
AuthorAmra Kraljić
MentorBožidar Vujičić (mentor)
Committee memberSanjin Rački (predsjednik povjerenstva)
Committee memberIvan Bubić (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Health Studies
Rijeka
Defense date and country2024-09-11, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Nursing
Abstract
Uvod i cilj istraživanja: Kronična bubrežna bolest predstavlja značajan zdravstveni problem s visokom prevalencijom proteinsko-energetske pothranjenosti među bolesnicima na hemodijalizi (HD). Cilj ovog istraživanja bio je utvrditi stanje uhranjenosti i dnevni unos proteina prehranom u bolesnika na redovitoj hemodijalizi te analizirati učinak sestrinskog nutritivnog savjetovanja na stanje uhranjenosti i dnevni unos proteina prehranom. Materijali i metode: U istraživanje je uključeno 34 ispitanika, stariji od 18 godina, liječeni metodom HD tri puta tjedno s trajanjem postupka od četiri sata, u Zavodu za nefrologiju, dijalizu i transplantaciju bubrega Kliničkog bolničkog centra Rijeka. Podaci su prikupljani antropometrijskim mjerenjem, analizom laboratorijskih parametara, ispunjavanjem nutritivnih upitnika te analizom trodnevnog dnevnika prehrane. Dnevni unos proteina izračunat je iz trodnevnog dnevnika prehrane od strane bolničkog nutricioniste. Procjena stanja uhranjenosti i dnevnog unosa proteina vršeni su kroz dva mjerenja u razmaku od šest mjeseci. Rezultati: Rezultati istraživanja pokazali su da je većina ispitanika dobro uhranjena prema vrijednostima biokemijske analize krvi te anropometrijskih izmjera. Analiza trodnevnog dnevnika prehrane pokazala je da većina ispitanika (79%) ne unosi preporučeni dnevni udio proteina prehranom (≤1 g/kg/dan), čime ulaze u rizičnu skupinu za razvoj proteinsko-energetske pothranjenosti. Usporedba rezultata početnog mjerenja i mjerenja nakon šest mjeseci pokazala je sestrinsko nutritivno savjetovanje imalo učinka na pozitivan trend promjene stanja uhranjenosti ispitanika, ali bez statističke značajnosti. Statistička značajnost zabilježena je u dnevnom unosu proteina, gdje je udio ispitanika koji su unosili više od 1 g/kg/dan porastao sa 21% na 43% (p=0,000), što ukazuje na pozitivan učinak sestrinskog savjetovanja na dnevni unos proteina u ispitanika koji se liječe metodom HD. Zaključak: Kontinuirano sestrinsko nutritivno praćenje i sestrinske intervencije bitne su za prevenciju razvoja proteinsko-energetske pothranjenosti te značajno utječu na poboljšanje dnevnog unos proteina prehranom u ispitanika koji se liječe metodom HD.
Abstract (english)
Introduction and aim of the study: Chronic kidney disease represents a significant health issue with a high prevalence of protein-energy wasting (PEW) among patients on maintenance hemodialysis (HD). This study aimed to determine the nutritional status and daily protein intake in patients on maintenance HD and to analyse the effect of nursing nutritional counselling on these parameters. Materials and methods: 34 subjects over 18 years of age were included in the study and treated with HD three times a week with a procedure duration of four hours at the Department of Nephrology, Dialysis and Kidney Transplantation of the Clinical Hospital Center Rijeka. Data were collected by anthropometric measurements, analysis of laboratory parameters, filling in nutritional questionnaires and analysis of a three-day food diary. The hospital nutritionist calculated daily protein intake from a three-day food diary. Nutritional status and daily protein intake were assessed through two measurements six months apart. Results: The study results showed that most respondents were well-nourished according to the values of biochemical blood analysis and anthropometric measurements. The analysis of the three-day diet diary showed that most respondents (79%) do not consume the recommended daily portion of protein with food (≤1 g/kg/day), thus entering the risk group for the development of PEW. A comparison of the results of the initial measurement and the measurement after six months showed that nursing nutritional counselling influenced the positive trend of changes in the nutritional status of the subjects but without statistical significance. Statistical significance was recorded in the daily protein intake, where the proportion of respondents who consumed more than 1 g/kg/day increased from 21% to 43% (p=0.000), which indicates a positive effect of nursing counselling on the daily protein intake of the respondents treated with the HD method. Conclusion: Continuous nutritional monitoring and nursing interventions are essential for preventing the development of PEW and significantly affecting the improvement of daily protein intake in subjects on maintenance HD.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:776367
Study programmeTitle: Graduate university study of Nursing: Healthcare Management (Biomedicine and Healthcare; clinical medical sciences)
Study programme type: university
Study level: graduate
Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-08-26 19:58:39