Kognitivne sposobnosti bolnikov na hemodializnem zdravljenju

Katja Kurnik Mesarič (Author), Jernej Pajek (Author), Maja Bučar Pajek (Author), Jana Kodrič (Author), Špela Bogataj (Author)

Abstract

Zdravljenje s hemodializo prinaša v življenja bolnikov mnogo sprememb, zdravstvenih zapletov in zahtev po prilagajanju. Bolniki s kronično ledvično boleznijo imajo pogosto težave tudi s kognitivnim delovanjem, ki se z napredovanjem bolezni poglabljajo. Namen naše raziskave je bil oceniti kognitivne sposobnosti bolnikov na hemodializnem zdravljenju. V raziskavo je bilo vključenih 44 udeležencev iz programa kronične hemodialize v dializnem centru Kliničnega oddelka za nefrologijo Univerzitetnega kliničnega centra Ljubljana. Kognitivne sposobnosti udeležencev smo ocenili s testno baterijo preizkusov, v katero je bil vključen presejalni preizkus za ocenjevanje splošnega kognitivnega delovanja, preizkusi ocenjevanja pozornosti (hitrosti odzivanja, selektivne pozornosti in deljene pozornosti), hitrosti procesiranja in izvršilnih sposobnosti. Rezultati so pokazali, da ima več kot polovica bolnikov v vzorcu težave s kognitivnimi sposobnostmi (52 % posameznikov je pri presejalnem preizkusu splošnih kognitivnih sposobnosti doseglo rezultat, nižji od mejne vrednosti), oškodovano hitrost odzivanja je imelo 35 % bolnikov, psihomotorična hitrost in izvršilne sposobnosti so bile znižane v posameznih starostnih skupinah udeležencev. Ugotovitve so skladne z raziskavami iz tujine, ki prav tako ugotavljajo težave s kognitivnimi sposobnostmi pri bolnikih, ki se zdravijo s hemodializo. Rezultati raziskave predstavljajo izhodišče za razvoj in preverjanje učinkovitosti ukrepov za preprečevanje kognitivnega upada pri bolnikih na hemodializnem zdravljenju.

Keywords

kognitivne sposobnosti;hemodializno zdravljenje;kronična ledvična bolezen;

Data

Language:	Slovenian
Year of publishing:	2025
Typology:	1.01 - Original Scientific Article
Organization:	UL FŠ - Faculty of Sport
UDC:	159.95:616.61-085
COBISS:	230893571
ISSN:	2350-5141
Views:	104
Downloads:	15
Average score:	0 (0 votes)
Metadata:

Other data

Secondary language:	English
Secondary title:	Cognitive abilities of patients on hemodialysis treatment
Secondary abstract:	Hemodialysis treatment brings many changes, health complications, and adjustment requirements in patients’ lives. Patients with chronic kidney disease often also have cognitive problems that worsen as the disease progresses. The aim of our study was to assess the cognitive abilities of hemodialysis patients. The study included 44 participants of the chronic hemodialysis program at the Dialysis Centre of the Clinical Department of Nephrology at the University Medical Centre Ljubljana. Participants’ cognitive abilities were assessed with a battery of tests including a screening test to assess general cognitive functioning, test to assess attention (reaction speed, selective attention, and divided attention), processing speed, and executive abilities. The results showed that more than half of the patients in our sample experienced problems with general cognitive abilities (52% of individuals scored below the cut-off), 35 % of the patients had impaired alertness and psychomotor speed, and executive abilities were impaired in some of the age and education groups of the patients in the sample. The results are consistent with studies from abroad that have also found cognitive problems in patients undergoing hemodialysis treatment. The results of this study provide a starting point for developing and testing the effectiveness of interventions to prevent cognitive decline in this population.
Secondary keywords:	cognitive abilities;hemodialysis;chronic kidney disease;
Type (COBISS):	Article
Pages:	str. 1-11
Issue:	ǂLetn. ǂ34
Chronology:	2025
DOI:	10.20419/2025.34.602
ID:	26187221