(magistrsko delo)
Renata Lošić (Author), Sebastjan Bevc (Mentor), Jožica Tomažič (Co-mentor)

Abstract

Uvod: Pri bolnikih s kroničnim srčnim popuščanjem je kronična ledvična okvara zelo pogosto prisotna. V zaključnem delu smo preučili vrednosti serumskega kreatinina in ocenili ledvično funkcijo z oceno glomerulne filtracije po Chronic Kidney Disease Epidemiology Collaboration enačbi pri bolnikih, ki se zdravijo v Ambulanti za srčno popuščanje. Namen zaključnega dela je bil ugotoviti, kolikšna je pogostost in katere stopnje je kronična ledvična bolezen pri bolnikih s kroničnim srčnim popuščanjem, ter njihovo poznavanje nefarmakoloških ukrepov za izboljšanje zdravja. Metode: Uporabili smo kvantitativno metodo raziskovanja. Za obdelavo in analizo podatkov smo uporabili računalniške programe Microsoft Word, Microsoft Excel in SPSS različica 20. Rezultati: V raziskavo smo vključili 85 bolnikov. Po pregledu vrednosti serumskega kreatinina smo ugotovili, da je imelo 30 % bolnikov povišano vrednost serumskega kreatinina. Glede na oceno glomerulne filtracije je imelo kronično ledvično bolezen 37,6 % bolnikov. Pri več kot dveh tretjinah (72,9 %) bolnikov je bilo prepoznano slabše delovanje ledvic. Ugotovili smo, da večina 97,6 % bolnikov dobro pozna nefarmakološke ukrepe. Razprava in sklep: Z oceno glomerulne filtracije lahko natančneje določimo stopnjo kronične ledvične bolezni in tako prepoznamo slabše delovanje ledvic. Bolniki z dobrim poznavanjem in upoštevanjem nefarmakoloških ukrepov že sami pripomorejo k ugodnemu vplivu na potek zdravljenja in kakovost življenja. Pomembno vlogo pri poznavanju nefarmakoloških ukrepov ima tudi medicinska sestra, saj v ambulanti prevzema aktivno in samostojno vlogo pri izvajanju zdravstveno vzgojnega svetovanja.

Keywords

srčno popuščanje;ledvična bolezen;glomerulna filtracija;bolniki;nefarmakološki ukrepi;poznavanje nefarmakoloških ukrepov;

Data

Language: Slovenian
Year of publishing:
Typology: 2.09 - Master's Thesis
Organization: UM - University of Maribor
Publisher: [R. Lošić]
UDC: 616.12-008.46:615.8(043.2)
COBISS: 90803459 Link will open in a new window
Views: 271
Downloads: 40
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Other data

Secondary language: English
Secondary title: Chronic kidney disease and knowledge of non- pharmacological measures of patients with chronic heart failure
Secondary abstract: Introduction: Patients with congestive heart failure (CHF) are more likely to have chronic kidney disease. The aim of the study was to assess the levels of serum creatinine in patients with CHF and the level of their kidney function using the Chronic Kidney Disease Epidemiology Collaboration equation (CKD-EPI). The purpose of this study was to determine the frequency and the level of kidney function in patients with CHF, who were treated in Congestive heart failure clinic. The study also researched the knowledge of non-pharmacological treatment in patients with CHF. Methods: The study was conducted using quantitative methodology of research. The data was analyzed and depicted using Microsoft Office software and IBM SPSS Statistics 20. Results : The study analysed and surveyed 85 patients. The results showed that 30 % of analysed patients had above recommended levels of serum creatinine. Using the assessment of glomerular filtration, 37.6 % patients had chronic kidney disease. More than two thirds of patients (72.9 %) had impaired kidney function. Almost all of the surveyed patients (97.6 %) had good knowledge of non-pharmacological treatment. Discussion and Conclusion: Glomerular filtration is a diagnostic measure that determines the stage of chronic kidney disease. Patients with good knowledge of nonpharmacological treatment can contribute to better health outcomes and quality of life. Nurses also have important role in managing patients with CHF. It is vital that nurses who work in Congestive heart failure clinics possess knowledge about nonpharmacological measures, because their role includes active and independent participation in a patient treatment.
Secondary keywords: congestive heart failure;kidney disease;glomerular filtration;patients;non-pharmacological treatment;knowledge of non-pharmacological treatment;Heart failure;Kidney diseases;Patients;Srčno popuščanje;Bolezni ledvic;Bolniki;
Type (COBISS): Master's thesis/paper
Thesis comment: Univ. v Mariboru, Fak. za zdravstvene vede
Pages: V, 40 str., 3 str. pril.
ID: 13008764