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Preprečevanje zapletov na peritonealni dializi
ID Pavlič, Nataša (Author), ID Zore, Anamarija (Mentor) More about this mentor... This link opens in a new window

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Abstract
Uvod: Peritonealna dializa je že vrsto let uveljavljena metoda zdravljenja končne ledvične odpovedi. Dializo izvaja bolnik doma sam ali s pomočjo svojcev ali patronažne službe. Za pristop v trebušni votlini potrebuje kateter in prav ta je lahko vzrok zapletov, največkrat okužb. Za preprečevanje okužb je pomembno, da se bolnik ali svojec dobro naučita, popolnoma obvladata postopke izvajanja dialize in nege katetra ter pravočasno prepoznata znake zapletov. Namen: Namen diplomskega dela je teoretično predstaviti možne zaplete pri peritonealni dializi, najpogostejše povzročitelje okužb in možen vzrok nastanka le-teh. Namen je tudi povezati temeljne življenjske aktivnosti: učenje in pridobivanje znanja ter osebna higiena in urejenost za preprečevanje okužb. Metode dela: Uporabljena je bila deskriptivna metoda dela s sistematičnim pregledom strokovne in znanstvene literature v slovenskem in angleškem jeziku. Uporabljena je bila literatura s področja nefrologije, dialize in transplantacije ter zdravstvene vzgoje bolnikov. Pri izboru literature smo upoštevali sledeče vključitvene kriterije: časovno omejitev objav med januarjem 2008 in decembrom 2022, nekatere starejše knjige in objave z relevantno vsebino, prost dostop do celotnega besedila ter podobno kulturno in socialno okolje izpeljanih študij. Rezultati: S pregledom literature smo ugotavljali pogostost in najpogostejše povzročitelje okužb v določenih slovenskih centrih za peritonealno dializo. Rezultate smo primerjali z nekaterimi podobnimi inštitucijami v Evropi in Avstraliji. Razprava in zaključek: Zdravstvena vzgoja bolnika, ki izvaja dializo na domu, je ključna za varno zdravljenje in preprečevanje zapletov. Velik poudarek je na higieni rok, higieni celega telesa, pravilnem izvajanju menjav raztopine in na negi katetra. Učenje pravilnih postopkov izvajanja menjav in pravilne nege katetra se mora prilagajati bolnikovemu predznanju, zmožnosti samostojnega zdravljenja na domu in ne sme biti časovno omejeno. Za uspešno sodelovanje z bolnikom in njegovimi svojci mora imeti medicinska sestra specialna znanja iz peritonealne dialize, izkušnje pri poučevanju in veliko mero empatije. Pri doseganju dobrih rezultatov na svetovni ravni nam pomagajo izdelani protokoli učenja in tudi protokoli peritonitisov ter spremljanja okužb izstopišča katetra.

Language:Slovenian
Keywords:medicinska sestra, dializa na domu, učenje, higiena, protokoli
Work type:Bachelor thesis/paper
Organization:ZF - Faculty of Health Sciences
Year:2026
PID:20.500.12556/RUL-190953 This link opens in a new window
Publication date in RUL:08.11.2026
Views:20
Downloads:1
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Secondary language

Language:English
Title:Prevention of complications on peritoneal dialysis
Abstract:
Introduction: Peritoneal dialysis has been an established treatment method for end-stage kidney disease for many years. The dialysis is performed at home by the patient, with the assistance of family members or community nursing services when needed. Access to the peritoneal cavity is achieved through a catheter, which may become a source of complications, most commonly infections. Preventing infections requires that the patient or caregiver receives thorough training and becomes fully competent in performing dialysis procedures, catheter care, and the timely recognition of signs of complications. Purpose: The purpose of the graduation thesis is to provide a theoretical overview of potential complications associated with peritoneal dialysis, the most common infectious pathogens, and the possible causes of infection. An additional aim is to examine the relationship between the fundamental activities of daily living, specifically learning and acquiring knowledge, as well as personal hygiene and grooming, and the prevention of infections. Methods: A descriptive research method was used, based on a systematic review of professional and scientific literature published in Slovenian and English. Literature from the fields of nephrology, dialysis, transplantation, and patient education has been used. The following inclusion criteria were applied: publications published between January 2008 and December 2022, selected older books and publications containing relevant information, full-text availability, and studies conducted in comparable cultural and social environment. Results: With the review of literature, we examined the incidence and the most common causative pathogens of infections in selected Slovenian peritoneal dialysis centres. We compared the findings with data from several European countries and Australia. Discussion and Conclusion: Patient education is essential for ensuring the safe performance of home peritoneal dialysis and for preventing complications. Particular emphasis is placed on hand hygiene, whole-body hygiene, proper dialysis solution exchange techniques, and appropriate catheter care. Training in dialysis procedures and catheter care should be tailored to the patient's prior knowledge and ability to perform home treatment independently and should not be limited by time. Effective collaboration with patients and their family members requires nurses to have specialised knowledge of peritoneal dialysis, experience in patient education, and a high level of empathy. Established training protocols, as well as protocols for the management of peritonitis and for monitoring catheter exit-site infections, help us achieve good outcomes at the international level.

Keywords:nurse, home dialysis, learning, hyhiene, protocols

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