Title Zdravstvena njega bolesnika na peritonejskoj dijalizi Title (english) Health care of patients on peritoneal dialysis Author Laura Medved Mentor Melita Sajko (mentor)Committee member Melita Sajko (predsjednik povjerenstva)Committee member Zoran Peršec (član povjerenstva)Committee member Jurica Veronek (član povjerenstva)Granter University North Defense date and country 2021-09-03, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Bubrezi predstavljaju vitalne organe čovjeka čija je zadaća osim stvaranja mokraće, regulacija
kiselosti, eliminacija otpadnih produkata iz tijela te izlučivanje hormona. Kronična bubrežna bolest
stanje je koje ometa rad bubrega te samim time i njihovu funkciju što naposlijetku dovodi do njihova
zatajenja. Kronično zatajenje bubrega stanje je koje obilježava nepopravljivo oštećenje funkcije
bubrega koje zahtjeva specifičnu terapiju poput transplantacije bubrega, hemodijalize te peritonejske
dijalize. Peritonejska dijaliza obuhvaća metodu čija je zadaća nadomjestiti bubrežnu funkciju, a
temelji se na prijenosu tvari i vode putem membrane peritoneuma koja dijeli dva prostora ispunjena
tekućinom. Iako predstavlja kvalitetnu i ekonomički povoljnu metodu liječenja još uvijek nije
dovoljno zastupljena. Glavna uloga peritonejske dijalize je uklanjanje štetnih produkata iz krvi. Dvije
su osnovne vrste peritonejske dijalize, a obuhvaćaju kontinuiranu ambulantnu peritonejsku dijalizu te
automatiziranu peritonejsku dijalizu. Kako bi se tijekom liječenja izbjegle moguće komplikacije od
iznimne je važnosti kvalitetna edukacija bolesnika koju provodi visokoeducirana medicinska
sestra/tehničar. Edukaciju je potrebno započeti što ranije kako bi se bolesnika što kvalitetnije
pripremilo te kako bi se postigli željeni rezultati. Da bi se izbjegle komplikacije poput straha i
depresije potrebna je stalna motivacija i nadzor bolesnika. Osim psihičke pripreme i edukacije sestra
obavlja i fizičku pripremu bolesnika za postavljanje katetera te kasnije provodi njegu katetera i educira
bolesnika o rukovanju s kateterom. Obzirom da je njega bolesnika na peritonejskoj dijalizi zahtjevna,
potrebno je poticati bolesnika na suradljivost te također educirati članove obitelji kako bi i oni bili
uključeni u skrb za bolesnika te kako bi se očuvala kvaliteta života. Cilj ovog rada bio je opisati
peritonejsku dijalizu te uzroke koji dovode do liječenja, važnost medicinske sestre/tehničara u
provođenju peritonejske dijalize, koja je njihova uloga u zbrinjavanju bolesnika, svrha edukacije te
prikaz planova zdravstvene njege bolesnika na peritonejskoj dijalizi.
Abstract (english) Kidneys are vital organs whose task, in addition to creating urine, is acidity regulation,
elimination of waste products from the body and hormone secretion. Chronic kidney disease is a
condition that interferes with kidney function which ultimately leads to their failure. Chronic renal
failure is a condition characterized by irreversible impairment of renal function that requires specific
therapy such as kidney transplantation, hemodialysis or peritoneal dialysis. Peritoneal dialysis is a
method whose task is to replace renal function, and is based on the transfer of substances and water
across the peritoneal membrane that divides two fluid-filled spaces. Although it represents quality and
cost-effective method of treatment, it is still not sufficiently represented. The main role of peritoneal
dialysis is to remove harmful products from the blood. There are two basic types of peritoneal dialysis,
and they include continuous ambulatory peritoneal dialysis and automated peritoneal dialysis. In order
to avoid possible complications during treatment, quality patient education by a highly educated nurse
/ technician is extremely important. Education needs to start as soon as possible in order to prepare
patients and to achieve best results. To avoid complications such as fear and depression, constant
motivation and supervision of the patient is required. In addition to mental preparation and education,
nurses also perform physical preparation of the patient for catheter placement, and later does catheter
care and educates the patient on catheter handling. Since peritoneal dialysis care is demanding, it is
necessary to encourage the patient to cooperate and also to educate family members so that they are
involved in patient care and to preserve the quality of life. The aim of this study was to describe
peritoneal dialysis and causes that lead to treatment, the importance of nurses / technicians in
conducting peritoneal dialysis, what is their role in patient care, the purpose of education and
presentation of health care plans for patients on peritoneal dialysis.
Keywords
kronična bubrežna bolest
zatajenje bubrega
peritonejska dijaliza
medicinska sestra/tehničar
edukacija
zdravstvena njega
Keywords (english)
chronic kidney disease
renal failure
peritoneal dialysis
nurse / technician
education
health care
Language croatian URN:NBN urn:nbn:hr:122:021137 Study programme Title: Nursing Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2022-01-10 13:29:23
