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Kognitivne sposobnosti bolnikov na hemodializnem zdravljenju
ID Kurnik Mesarič, Katja (Author), ID Pajek, Jernej (Author), ID Pajek, Maja (Author), ID Kodrič, Jana (Author), ID Bogataj, Špela (Author)

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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.

Language:Slovenian
Keywords:kognitivne sposobnosti, hemodializno zdravljenje, kronična ledvična bolezen
Work type:Article
Typology:1.01 - Original Scientific Article
Organization:FF - Faculty of Arts
MF - Faculty of Medicine
FŠ - Faculty of Sport
Publication status:Published
Publication version:Version of Record
Year:2025
Number of pages:Str. 1-11
Numbering:Letn. 34
PID:20.500.12556/RUL-168286 This link opens in a new window
UDC:159.95:616.61-085
ISSN on article:2350-5141
DOI:10.20419/2025.34.602 This link opens in a new window
COBISS.SI-ID:230893571 This link opens in a new window
Publication date in RUL:08.04.2025
Views:779
Downloads:196
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Record is a part of a journal

Title:Psihološka obzorja : slovenska znanstveno-strokovna psihološka revija
Publisher:Društvo psihologov Slovenije, Društvo psihologov Slovenije, Društvo psihologov Slovenije, Založba Univerze v Ljubljani
ISSN:2350-5141
COBISS.SI-ID:271603200 This link opens in a new window

Licences

License:CC BY-SA 4.0, Creative Commons Attribution-ShareAlike 4.0 International
Link:http://creativecommons.org/licenses/by-sa/4.0/
Description:This Creative Commons license is very similar to the regular Attribution license, but requires the release of all derivative works under this same license.

Secondary language

Language:English
Title:Cognitive abilities of patients on hemodialysis treatment
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.

Keywords:cognitive abilities, hemodialysis, chronic kidney disease

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