The Influence of Education Given by Nurses to The Patients With ESRD While Making a Decision About Dialysis Modality

Abstract

In this study, we aimed to determine the role of nurses on helping the patients with end-stage renal disease (ESRD) make a good decision about the type of dialysis treatment.

Total of 129 (73 women and 56 men) consecutive patients with ESRD who were recommended renal replacement therapy (RRT) were enrolled in the study. Firstly, patients were assessed for preemptive kidney transplantation and contraindications of peritoneal dialysis by a nephrologist. Eighty one patients who were eligible for PD have been trained by a nephrology specialist or a nurse regarding the options of dialysis treatments. The average results of patients according to acceptance of PD were evaluated statistically.

Among the patients offered PD-first, only 47% accepted PD. It was seen that after the education given by nephrology specialist and nurse regard to dialysis treatment options, 10 (26%) and 28 (74%) patients have choosen to carry out PD respectively (p=0.004).

We think that training by nurse who has educated specially for PD can increase the proportion of patients who will choose PD except special medical indications.

Keywords

• Peritoneal Dialysis,Education of Patients,Nursing

Sürekli Diyaliz Programına Alınacak Hastalarda Hemşire Tarafından Verilen Eğitimin Uygulanacak Diyaliz Yöntemi Seçimi Üzerine Etkisi

Abstract

Bu çalışmada son dönem böbrek yetmezliği tanısıyla diyaliz planlananlarda ilk tercih tedavisi olarak periton diyalizi seçiminde diyaliz hemşirelerinin rolünü değerlendirmeyi amaçladık.

Çalışmaya nefroloji kliniğimizde Ocak 2016- Şubat 2017 tarihleri arasında son dönem böbrek yetmezliği tanısı konularak böbrek yerine koyma tedavisi kararı alınan toplam 129 (73 kadın, 56 erkek) hasta alındı. Periton diyalizi ilk tercih tedavisi için uygun olarak değerlendirilen toplam 81 hasta iki gruba ayrıldı. Hasta ve aileleri, diyaliz tedavi seçenekleri eğitimini nefroloji uzmanı veya eğitimli-tecrübeli hemşire tarafından almışlardır. Hastaların periton diyalizi tercih sonuçları istatistiksel olarak karşılaştırıldı.

Periton diyalizi ilk tercih tedavisi için uygun olan 81 hastanın 38 (%47)’i periton diyalizi tercih ettiği görüldü. Periton diyalizi kabul eden hastalardan 28’nin (%74) hemşire eğitiminden sonra, 10’nun (%26) doktor eğitiminden sonra tercih ettiği bulundu (p=0.004).

Periton diyalizi için uygun hastalarda diyaliz seçenekleri eğitiminin tecrübeli diyaliz hemşireleri tarafından yapılmasının periton diyalizi hasta oranını arttıracağını düşünmekteyiz.

Keywords

• Periton Diyalizi,Hastaların Eğitimi,Hemşirelik

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