Title Izazovi stresa i zadovoljstvo kvalitetom života pacijenata na kroničnom programu hemodijalize Title (english) Challenges of stress and satisfaction with the quality of life of patients on a chronic hemodialysis program Author Sonja Kostel Mentor Ivo Dumić-Čule (mentor)Committee member Marijana Neuberg (predsjednik povjerenstva)Committee member Ivo Dumić-Čule (član povjerenstva)Committee member Irena Canjuga (član povjerenstva)Granter University North Defense date and country 2024-09-30, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Uvod i cilj: Hemodijaliza je postupak kojim se iz krvi bolesnika uklanja višak tekućine i otpadnih produkata metabolizma i vraća u tijelo bolesnika pročišćena krv. Razlikujemo tri različita krvožilna pristupa za hemodijalizu u koja ubrajamo arteriovensku fistulu, graft i centralni venski kateter. Uz kreiranje krvožilnog sustava, u tretman hemodijalize uključujemo i promjene u unosu hrane i tekućine, pojava mogućih komplikacija vezana uz tretman, promjene u obiteljskom i radnom statusu i prihvaćanje života sa tretmanom hemodijalize. Značajne promjene koje dolaze sa tretmanom hemodijalize mogu izazvati razne psihičke i fizičke stresore i mogu imati utjecaj na kvalitetu života. Cilj ovog istraživanja je saznati koji sve stresori utječu na život pacijenta na hemodijalizi i u kojoj mjeri te zadovoljstvo njihovom kvalitetom života.
Metode: Istraživanje je provedeno u Županijskoj bolnici Čakovec. U istraživanju je sudjelovalo 58 pacijenata od njih 74 pacijenata na kroničnom programu hemodijalize. Kreiran je anketni upitnik koji je dan pacijentima na ispunjavanje, metodom olovka-papir.
Rezultati: Istraživanje je pokazalo da su pacijenti u prosječnoj razini stresa označili da rijetko doživljavaju stres povezan sa ispitanim stresnim faktorima. U najvećoj mjeri stresa navode osjećaj umora, žeđi i održavanje idealne tjelesne težine, dok u najmanjoj mjeri navode kvar aparata za hemodijalizu i česte ubode zbog krvožilnog pristupa. Dio istraživanja zadovoljstva sa kvalitetom života prikazuje da su pacijenti prosječno zadovoljni sa kvalitetom života i da zadovoljstvo ne ovisi o dobi ispitanika.
Zaključak: Izazovi stresa i zadovoljstvo kvalitetom života pokazuju kvalitetu zdravstvene njege i pružanje edukacije zdravstvenog tima. Svaki pojedinac reagira na stresore različito. Medicinska sestra ili tehničar je prva osoba s kojom se pacijent susreće prilikom dolaska u prostorije za hemodijalizu i prisutna je uz pacijenta prilikom pružanja cijelog tretmana. Identificiranjem stresora i procjenom kvalitete života pacijenata, medicinske sestre i tehničari mogu značajno poboljšati ishode liječenja i kvalitetu zdravstvene njege. Ova saznanja omogućuju bolju prilagodbu njege potrebama pacijenata, što dovodi do većeg zadovoljstva pacijenata koji su na kroničnom programu hemodijalize.
Abstract (english) Introduction and goal: Hemodialysis is a procedure that removes excess fluid and metabolic waste products from the blood of patients, returning purified blood to the patient's body. There are three different vascular accesses for hemodialysis, which include arteriovenous fistula, graft, and central venous catheter. In addition to creating the vascular system, the treatment of hemodialysis involves changes in food and fluid intake, the occurrence of possible complications related to the treatment, changes in family and work status, and adapting to life with hemodialysis treatment. Significant changes associated with hemodialysis treatment can cause various psychological and physical stressors and may impact the quality of life. The aim of this research is to determine which stressors affect the lives of hemodialysis patients and to what extent, as well as their satisfaction with their quality of life.
Methods: The research was conducted at the County Hospital Čakovec. A total of 58 out of 74 patients on the chronic hemodialysis program participated in the study. A survey questionnaire was created and given to the patients to fill out using the pencil-and-paper method.
Results: The study showed that patients, on average, indicated that they rarely experience stress related to the examined stress factors. The highest levels of stress were reported as being caused by feelings of fatigue, thirst, and maintaining an ideal body weight, while the lowest levels of stress were reported for equipment failure during hemodialysis and frequent needle sticks due to vascular access. The portion of the study related to satisfaction with quality of life showed that patients are generally satisfied with their quality of life and that satisfaction does not depend on the age of the respondents.
Conclusion: The challenges of stress and satisfaction with quality of life reflect the quality of healthcare and the education provided by the healthcare team. Each individual reacts differently to stressors. The nurse or technician is the first person the patient meets when entering the hemodialysis unit and is present with the patient throughout the entire treatment process. By identifying stressors and assessing the quality of life of patients, nurses and technicians can significantly improve treatment outcomes and the quality of healthcare. This knowledge enables better adaptation of care to the needs of patients, leading to greater satisfaction for patients undergoing chronic hemodialysis.
Keywords
Arteriovenska fistula
centralni venski kateter
hemodijaliza
kvaliteta života
stres
Keywords (english)
Arteriovenous fistula
central venous catheter
hemodialysis
quality of life
stress
Language croatian URN:NBN urn:nbn:hr:122:882799 Study programme Title: Nursing Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2024-10-18 10:40:33
