Böbrek Nakli Adaylarinin Organ Teklif Listesinden Dışlanma Nedenlerinin Belirlenmesi

Öz

Amaç: Çalışmamız böbrek nakli adaylarının teklif listesinden dışlanma nedenlerini tespit etmek için planlanmıştır. Materyal ve Metot: Çalışmamız retrospektif arşiv taraması şeklinde yapılmıştır. Örneklem kriterlerine uyan 228 adayın dosyası çalışmaya dahil edilmiştir. Adayların sosyo-demografik özellikleri, kan grubu, diyaliz türü ve zamanı, panel reaktif antikorlar (PRA) sonuçları, organ bekleme süresi, alıcının güncel durumu (aktif bekleme listesinde, nakil olan ve yaşamını kaybeden) bilgileri elde edilmiştir. Bulgular: Organ teklif listesinden dışlanan adayların %14,9’una sistemde kayıtlı olan telefon numarasından ulaşılamadığı, %6,1’inin ulaşım sorunları nedeni ile merkeze gelemediği saptanmıştır. Bekleme süresi ile yaş aralığı, diyalize girme süresi, adayın güncel durumu arasında istatistiksel olarak anlamlı farklılık saptanmıştır (p<0,05). Sonuç: Hemşireler diyaliz, nakil merkezleri ve İl Sağlık Müdürlükleri ile iş birliği yaparak adayların iletişim numaralarını güncelleyebilir, ulaşım sorunlarına çözüm bulabilir, diyaliz tedavisi alan adayların vakit kaybetmeden bekleme listesine alınmasına olanak sağlayabilir.

Anahtar Kelimeler

• Böbrek nakli
• hemşirelik bakımı
• organ bekleme listesi

Determination of Reasons for the Exclusion of Kidney Transplant Candidates from the Organ Offer List

Abstract

Objective: The study aims to determine why kidney transplantation candidates are excluded from the organ offer list. Materials and Methods: The study was conducted as a retrospective screening of archived records. The data of 228 patients who met the study criteria were included. Evaluations were made concerning sociodemographic characteristics, blood group, dialysis type and time, panel reactive antibody results, duration of waiting for an organ, and the recipient's current status (on the active waiting list, transplanted, or deceased). Results: Of the candidates on the organ transplantation waiting list, 14.9% could not be contacted at the telephone number in the records, and 6.1% could not attend the centre because of transport problems. A statistically significant difference was determined between the age range, the time since starting dialysis, and the candidate's current status according to the waiting duration. Conclusion: Through collaboration with dialysis and transplantation centres and the Regional Health Authority, nurses can update the contact telephone numbers and resolve transplant candidates' transport problems, thereby allowing those receiving dialysis treatment to be added to the organ transplantation waiting list without losing time.

Keywords

• Kidney transplantation
• nursing care
• organ waiting list

References

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