TY - JOUR T1 - Periton Diyalizine Yeni Başlayan Hastaların Retrospektif Değerlendirmesi AU - Bingöl, Gülay AU - Topbaş, Eylem AU - Görgen, Öznur AU - Ferahoğlu, Nimet AU - Akkaya, Lale PY - 2018 DA - July JF - Nefroloji Hemşireliği Dergisi JO - NefroHemDergi PB - Türk Nefroloji, Diyaliz ve Transplantasyon Hemşireleri Derneği WT - DergiPark SN - 2147-7728 SP - 45 EP - 54 VL - 13 IS - 2 LA - tr AB - Amaç:Peritondiyalizine 2016-2017 yılları arasında yeni başlayan hastaların peritondiyalizine ilişkin durumlarının incelenmesidir.Gereçve Yöntemler: Araştırmanınevrenini Amasya (n=12) ve Sivas (n=16)’ta yer alan periton diyaliz ünitesindekihastalar, örneklemini ise 2016-2017 yılında PD’ye yeni başlayan hastalar (n=17)oluşturdu. Veriler Türk Nefroloji,Diyaliz ve Transplantasyon Derneği Registry raporu rehber alınarak hazırlanan“PD hasta değerlendirme formu” aracılığıyla retrospektif olarak elde edildi. Bulgular:Son iki yılda PDtedavisine yeni başlayan merkezde 12 hasta, 20 yıldır PD uygulayan üniversitedeise 5 hastaya PD kateteri takılmıştır. Hastaların %41.1’inin etiyolojisinindiyabetik nefropati olduğu, %52.9’unun membran tipinin düşük-orta geçirgenlikteolduğu, %70.5’inin Kt/V üre değerinin 2’nin üstünde olduğu, %76.4’sinin serumalbumin değerinin 3.5-4 aralığında olduğu, %41.1’inin tansiyonun normalsınırlarda olduğu, %52.9’unun kalsiyum kanal blokeri kullandığı, %70.5’inin Hbdeğeri 10.0-11.9gr/dl olduğu saptandı. Hastaların %94.1’inin demir ilacıkullanmadığı, %52.9’ünün eritropoetin kullandığı, %35.2’si ise halenkullanmakta idi. %52.9’ünün serumfosforunun 4.5-5.49 mg/dl, %41.17’sinin PTH düzeyi 301-600 pg/ml arasındaolduğu, hiçbir hastada kırık gelişmediği saptandı. Hastaların peritonitgeçirmediği ve %47’inin ultrafiltrasyon sorunu yaşadığı, %11.76’sının mekanik komplikasyon nedeniylehemodiyalize transfer olduğu saptandı.Hastaların kontrole geldiklerinde sıklıkla yakınmaları iştahsızlık,bulantı kusma, ödem ve halsizlikdi. Hemşireyi telefonla arama nedenlerininsıklıkla drenaja yönelik problemler, oral ilaç kullanımı, PD makinası vekateter ile ilgili sorunlardı.Sonuç:PDhastalarında hipoalbunimeni, hiperfostatemi, anemi, bulaşıcı hastalık, kırık veperitonit gibi ciddi komplikasyonlar gelişmediği saptandı.Bu durum peritondiyaliz tedavisini avantajlı kılmaktadır. KW - Periton diyalizi KW - Periyon diyaliz etiyolojisi CR - Kaynaklar1. Lindsay H, Peritoneal dialysisParenteral nutrition and dialysis, Introduction to kidney disease and dialysis therapyChronic kidney diseasePharmaceutical Practice. In: Pharmaceutical Practice, Rees JA, Smith L, Watson J, Lamerton L. ed., Published January 1, 2014. 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