Pacientų, gydomų hemodialize, fiziologinių ir psichosocialinių veiksnių vertinimas

Sabalytė, Aušra

Dspace pagrindinis
→
Studentų baigiamieji darbai - Studijų programos
→
bendrosios praktikos slauga
→
Peržiūrėti elementą

Pacientų, gydomų hemodialize, fiziologinių ir psichosocialinių veiksnių vertinimas

Sabalytė, Aušra

URI: http://dspace.kaunokolegija.lt//handle/123456789/1411

Data: 2019-04-08

Santrauka:

Įvertinti pacientų, gydomų hemodialize fiziologinius ir psichosocialinius veiksnius

Description:

Relevance of work. Chronic kidney diseases are more and more often acknowledged as a public health problem in Lithuania. Hemodialysis saves lives to patients with severe chronic kidney diseases, however, this method affects both physical and mental patients‘ health heavily, specifically it is common at the beginning of treatment with hemodialysis when life rhythm, capacity for work as well as normal nutrition are disturbed, it is common for patients to be affected by bad mood, worrying and depression. Despite great achievements in the area of medicine and in diagnostics, alternative kidney therapy contributed to patients’ survival rate, however, patients having hemodialysis are attributed to people who need special care, and high standards are raised to treatment, nursing and care. The aim of the work: to assess problems of physiological and psychosocial factors among hemodialysis patients. Objectives of the work: 1. To overlook conception of alternative kidney therapy. 2. To distinguish aspects of nurse‘s professional activity. 3. To disclose physiological problems of patients having hemodialysis. 4. To determine problems of psychosocial factors among hemodialysis patients. Results of the research: principal methods of alternative kidney therapy are hemodialysis, peritoneal dialysis and kidney transplantation. The most significant professional aspects for nurses when caring for patients having hemodialysis are to understand the main principles of HD, to perform procedure in a professional way, to control complications arising to vital functions, to observe changes in patients’ moods – occurrences of suspicion, worrying and fear. The principal aspect of nursing is to help a patient to maintain and regain independence, selfsufficiency, also, to cooperate with specialists of different health areas. Conclusions of the research: received results of the research revealed that problems named by the majority of the respondents and related to patient‘s health are: insomnia, fatigue, general weakness, changes in ABP, accompanying diseases, correction of amount of liquids and nutrition regimen. Problems mostly disturbing in social environment: precise agenda, limited free time with a family, problem of going on holidays, decreased possibilities to work and worsened financial state. A third of patients are in need of physiotherapist‘s, dietologist‘s, psychologist‘s and social worker‘s help. Problems concerning transport, arrival to the centre of hemodialysis as well as family and friends support press these patients least. Results of the research have also disclosed that patients who failed to follow doctor‘s recommendations thoroughly, i.e. limitations of liquids and diets, a third of these patients had bad quality of sleep, felt bigger fatigue, did not trust in their physical capacities, had bad mood and often felt fear, distrust and mood changes

Rodyti visą įrašą