İNTRADİYALİTİK HİPOTANSİYON VE ÖNLEMEYE YÖNELİK HEMŞİRELİK YAKLAŞIMLARI

Abstract

ÖZET

Ülkemizde ve dünyada hemodiyaliz tedavisine ihtiyaç duyan hasta sayısı her geçen gün artmaktadır. Hemodiyaliz tedavisi hayat kurtarıcı olmasına rağmen, akut ve kronik komplikasyonları da beraberinde getirmektedir. İntradiyalitik hipotansiyon, en sık görülen intradiyalitik komplikasyon olup, hemodiyaliz tedavisi sırasında, tedavi öncesine göre sistolik kan basıncında 20mmHg ve üzerinde düşme ya da ortalama kan basıncında 10mmHg ve üzerinde düşme olarak tanımlanır. İntradiyalitik hipotansiyon; bulantı, kusma, kramplar, huzursuzluk, yorgunluk, baygınlık gibi diğer komplikasyonları da beraberinde getirebilir. İntradiyalitik hipotansiyon acil hemşirelik girişimi gerektirmesi nedeniyle hemşireler için oldukça önemlidir. İntradiyalitik hipotansiyon durumunda hemşireler tarafından uygulanan bağımsız hemşirelik girişimleri olsa da, bu girişimler kanıta dayalı uygulama değildir ve belirli bir standardı yoktur. İntradiyalitik hipotansiyon konusunda hemşirelik araştırmalarının artması ve hemşirelik bakımının standardize edilmesi gerekmektedir.

Anahtar Kelimeler: Hemodiyaliz; hipotansiyon; hemşirelik bakımı

ABSTRACT

Nursing Approaches to Prevent Intradialytic Hypotension

The number of patients in need of hemodialysis treatment in our country and in the world is increasing day by day. Although hemodialysis treatment is life saving, it also causes acute and chronic complications. Intradialytic hypotension is the most common complication of intradialytic complications and it is defined as in comparison with the pre-treatment a decrease in systolic blood pressure of 20 mmHg or more, or a decrease in mean blood pressure of 10 mmHg or more during hemodialysis treatment. Intradialytic hypotension can cause nausea, vomiting, cramps, restlessness, tiredness, fainting, and other complications. Intradialytic hypotension is ve0ry important for nurses because of the need for emergency nursing intervention. Although there are independent nursing interventions applied by nurses in the case of intradialytic hypotension, these interventions are not evidence based and do not have a specific standard. To conclude, it can be said that the number of researches made for intradialytic hypotension by the nurses is insufficient and it needs to be improved and nursing care should be standardized.

Keywords: Hemodialysis; hypotension; nursing care

Keywords

• İntradiyalitik Hipotansiyon,Hemodiyaliz,Hemodiyaliz Komplikasyonları,Hemşirelik

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