20.500.12556/ReVIS-12861 Pacientova ocena zdravstvene obravnave po transplantaciji ledvice Patients Evaluation of Helathcare After Kidney Transplantation Izhodišča: Transplantacija ledvice je najuspešnejša oblika zdravljenja končne ledvične odpovedi, saj pacientom omogoča daljše preživetje in boljšo kakovost življenja kot dializa. Po presaditvi se pacienti soočajo z izzivi, povezanimi z življenjem z novo ledvico, dolgotrajnim jemanjem imunosupresivnih zdravil ter potrebo po kontinuirani zdravstveni obravnavi. Namen raziskave je bil oceniti, kako pacienti doživljajo zdravstveno obravnavo po transplantaciji ledvice, ter prepoznati dejavnike, ki prispevajo k uspešnemu okrevanju. Metode: Raziskava je temeljila na kvalitativnem pristopu. Podatke smo zbrali s polstrukturiranimi intervjuji pri osmih transplantiranih pacientih. Odgovore smo analizirali s pomočjo tematskega kodiranja in ugotovitve primerjali z obstoječo literaturo. Rezultati: Udeleženci so zdravstveno obravnavo večinoma ocenili kot zadovoljivo, posebej v transplantacijski ambulanti. Izpostavili pa so pomanjkljivosti v komunikaciji, prenosu informacij in usklajevanju med različnimi ravnmi zdravstvenega sistema. Kot ključne dejavnike okrevanja so navedli podporo svojcev, strokovnost zdravstvenega osebja in lastno motivacijo. Poročali so o telesnih in psihičnih izboljšavah, a tudi o stranskih učinkih imunosupresivne terapije, ki vplivajo na vsakdan in samopodobo. Razprava: Raziskava potrjuje, da pacienti prepoznavajo pomen kontinuirane podpore, jasne komunikacije in enotnih navodil zdravstvenih delavcev. Največ zaupanja uživa transplantacijska ambulanta, medtem ko primarna in sekundarna raven oskrbe ostajata šibkejši. Za dolgoročno izboljšanje obravnave so ključne večja koordinacija med izvajalci, večja dostopnost informacij in okrepljena psihosocialna podpora. Background: Kidney transplantation is the most effective treatment for end-stage renal disease, providing patients with longer survival and better quality of life than dialysis. After transplantation, patients face challenges related to lifelong immunosuppressive therapy and the need for continuous healthcare. The aim of this study was to evaluate how patients perceive healthcare after kidney transplantation and to identify key factors contributing to recovery. Methods: The study was based on a qualitative approach. Data were collected through semi-structured interviews with eight kidney transplant recipients. The responses were analyzed using thematic coding and compared with existing literature. Results: Participants assessed healthcare as mostly satisfactory, especially in the transplant clinic, but noted shortcomings in communication, information transfer, and coordination across healthcare levels. Recovery was supported by family, healthcare professionals’ competence, and patients’ own motivation. Physical and psychological improvements were reported, along with side effects of immunosuppressive therapy affecting daily life. Discussion: Patients emphasized the importance of continuous support, clear communication, and consistent guidance. While the transplant clinic was highly valued, primary and secondary care were perceived as weaker. Long-term improvements require stronger coordination, better access to information, and additional psychosocial support. Transplantacija ledvice zdravstvena obravnava imunosupresivna terapija pacientova ocena kakovost življenja. Kidney transplantation healthcare evaluation immunosuppressive therapy patient evaluation quality of life. true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-12-19 19:45:27 2025-12-19 19:45:27 2026-02-04 11:04:16 0000-00-00 00:00:00 2025 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 24827 266873603 DIP_Sodic_Silvija_2025.pdf DIP_Sodic_Silvija_2025.pdf 1 24DA57E0C8AF2723252BF9E25F3A2396 e26a9faff495f58d8228e912df87db8a91f164e1e5c9d319ffe8b1bcf2689162 e2d98e40-dd0a-11f0-94a7-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=15150 Univerza v Novem mestu - Fakulteta za zdravstvene vede 0 0 0