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Title:POMEN PRILAGODLJIVOSTI PROCESA ZDRAVSTVENE NEGE ZA KAKOVOSTNO OBRAVNAVO HEMODIALIZNEGA PACIENTA
Authors:ID Draškovič, Iza (Author)
ID Laznik, Gorazd (Mentor) More about this mentor... New window
Files:.pdf 3813$$dip_draskovic_iza_2025.pdf.pdf (1,14 MB)
MD5: 88CE7C1EA9E3290055741E43964098ED
 
Language:Slovenian
Work type:Bachelor thesis/paper
Organization:UNM FZV - University of Novo mesto - Faculty of Health Sciences
Abstract:Teoretična izhodišča: Hemodializa je oblika dialize, pri kateri se kri prečisti. Čiščenje poteka s po-močjo hemodializatorja oziroma umetne ledvice. Hemodializa poteka tako, da se kri črpa iz telesa v hemodializator. Tukaj se kri prefiltrira skozi polprepustno membrano in na ta način se odstranjujejo odpadne snovi in odvečna tekočina. Po tem postopku se očiščena kri vrne nazaj v telo. Običajno se izvaja trikrat na teden oziroma glede na potrebe pacienta. Največji pomen izvajanja hemodialize je celotni proces zdravstvene nege pri obravnavi dializnega pacienta. Pred začetkom same dialize mora-mo izbrati pravilen žilni dostop, hkrati skrbeti za preprečevanje okužb, da ne pride do morebitnih za-pletov. Skozi sam postopek spremljamo vitalne funkcije pacienta, obvladujemo elektrolitsko ravnovesje in tekočine. Za izvedbo same hemodialize je pomembno sodelovanje z različnimi strokovnjaki, ki pri-pomorejo k uspešnemu zdravljenju. Ne smemo pa pozabiti na samega pacienta, ki ga pravilno izobra-žujemo o sami bolezni, nudimo pomoč pri načrtovanju prehrane in pri tem vključimo tudi družino. Za uspešno zdravljenje pacientu nudimo psihološko podporo. Namen raziskave je ugotoviti pomen prila-godljivosti procesa zdravstvene nege za kakovostno obravnavo hemodializnega pacienta. Metoda: Uporabili smo kvalitativni raziskovalni pristop in deskriptivno metodo dela. Za potrebe empiričnega dela so bili zbrani, analizirani in sintetizirani primarni podatki in sekundarni viri. Primarno zbiranje podatkov je temeljilo na sestavljeni predlogi za polstrukturirani intervju, raziskava pa je pote-kala v mesecu februarju 2025. Rezultati: Izbran je bil namenski vzorec, intervjuvali smo šest diplomiranih medicinskih sester, ki svoje delo opravljajo na oddelku za hemodializo. Diplomirane medicinske sestre so se v intervjujih strinjale, da so temelji kakovosti zdravljenja individualna oskrba, varnostna in psihosocialna podpora ter fizična in psihološka zaščita pacienta. Intervjuvanke postavljajo pacienta v središče zdravstvene obravnave in hkrati poudarjajo pomembnost dodatnega usposabljanja zaposlenih. Izjemno pomemben pa jim je ce-lotni pristop k pacientu, ki vključuje vse psihosocialne in življenjske dejavnike. Razprava: Ugotovili smo, da na pacientovo zadovoljstvo vplivajo individualizirana zdravstvena nega, stalno spremljanje pacientovega stanja, zagotavljanje varnega okolja in učinkovita komunikacija. Kako-vostna obravnava je tesno povezana s strokovnim izobraževanjem zdravstvenega osebja, spodbujanje pacientov v procesu odločanja in sodelovanje v zdravstvenih timih. Boljši rezultat zdravljenja nam kaže stalno prilagoditev negovalnih ukrepov pacienta ter prilagoditev parametrov, ki vključujejo prehrano ter psihološko in socialno podporo. Sodelovanje na sestankih, razdelitve vlog timu in učinkovita komu-nikacija kažejo kakovostni proces zdravljenja pacienta.
Keywords:kronična ledvična bolezen, hemodializa, diplomirana medicinska sestra, življenje s hemodializo, proces zdravstvene nege pacienta
Year of publishing:2025
PID:20.500.12556/ReVIS-12139 New window
Publication date in ReVIS:05.09.2025
Views:147
Downloads:9
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Secondary language

Language:English
Title:THE IMPORTANCE OF ADAPTABILITY OF THE NURSING CARE PROCESS FOR THE QUALITY TREATMENT OF THE HEMODIALYSIS PATIENT
Abstract:Theoretical Background: Haemodialysis is a form of dialysis in which the blood is purified. The purification is done with the help of a haemodialyser, or artificial kidney. Haemodialysis is carried out by pumping blood from the body into a haemodialyser. Here, the blood is filtered through a semi-permeable membrane and waste substances and excess fluid are removed. After this process, the pu-rified blood is returned to the body. It is usually carried out three times a week or according to the patient's needs. The most important aspect of haemodialysis is the overall nursing process in the ma-nagement of the dialysis patient. Before starting dialysis itself, we need to choose the correct vascular access, while taking care to prevent infections so that no complications can arise. Throughout the pro-cedure, we monitor the patient's vital functions, manage electrolyte balance and fluids. For the haemo-dialysis itself, it is important to collaborate with different specialists to help ensure a successful treat-ment. We must not forget the patient himself, who is properly educated about the disease itself, as-sisted in planning his diet, and the family is also involved. We provide psychological support for the patient to ensure a successful treatment. The aim of this study is to determine the importance of the adaptability of the nursing process for the quality management of the haemodialysis patient. Methods: We used a qualitative research approach and a descriptive method. Primary data and secondary sources were collected, analysed and synthesised for the empirical work. Primary data col-lection was based on a constructed semi-structured interview template and the survey took place in February 2025. Results: A purposive sample was selected and six registered nurses working in the haemodialysis department were interviewed. In the interviews, the graduate nurses agreed that the cornerstones of quality treatment are individualised care, safety and psychosocial support, and physical and psychologi-cal protection of the patient. The interviewees put the patient at the centre of the care and at the same time stressed the importance of additional training for the staff. However, the whole approach to the patient, which includes all psychosocial and life factors, is extremely important to them. Discussion: We found that patient satisfaction is influenced by individualised care, continuous moni-toring of the patient's condition, the provision of a safe environment and effective communication. Quality care is closely linked to professional education of healthcare staff, encouraging patients in the decision-making process and participation in healthcare teams. A better treatment outcome is indica-ted by a continuous adaptation of the patient's care measures and the adjustment of parameters inc-luding nutrition, psychological and social support. Participation in meetings, distribution of roles to the team and effective communication, shows the quality of the patient's treatment process.
Keywords:chronic kidney disease, haemodialysis, registered nurse, living with haemodialysis, patient care process


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