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

Yıl 2018, Cilt: 2 Sayı: 1, 125 - 130, 06.04.2018

Muammer Bilici , Özlem Demir Sevil Uygun İlikhan Ülker Özdemir Zeliha Sönmez Selma Sugeçti Ali Borazan

Öz

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.

Anahtar Kelimeler

Peritoneal Dialysis, Education of Patients, Nursing

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

Öz

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.

Anahtar Kelimeler

Periton Diyalizi, Hastaların Eğitimi, Hemşirelik

Kaynakça

• 1. Saran R, Li Y, Robinson B. US Renal Data System 2014 Annual Data Report: Epidemiology of Kidney Disease in the United States (vol 66, pg S1, 2015). American Journal of Kidney Diseases. 2015;66(3):545
• 2. Seyahi N, Altıparmak M, Süleymanlar G. Türkiye’de Renal Replasman Tedavilerinin Güncel Durumu: Türk Nefroloji Derneği Kayıt Sistemi 2013 Yılı Özet Raporu Current Status of Renal Replacement Therapy in Turkey: A Summary of Turkish Society of Nephrology 2013 Annual Registry Report. 2015.
• 3. Süleymanlar G, Altıparmak M, Seyahi N, Trabulus S. Türkiye’de Nefroloji, Diyaliz ve Transplantasyon-Registry 2012. Türk Nefroloji Derneği Yayınları, Ankara. 2013.
• 4. Andrade MV, Junoy JP, Andrade EIG, de Assis Acurcio F, Sesso R, de Queiroz OV, et al. Allocation of initial modality for renal replacement therapy in Brazil. Clinical Journal of the American Society of Nephrology. 2010:CJN. 04840709.
• 5. Jain AK, Blake P, Cordy P, Garg AX. Global trends in rates of peritoneal dialysis. Journal of the American Society of Nephrology. 2012;23(3):533-544.
• 6. Stanley M. Peritoneal dialysis versus haemodialysis (adult). Nephrology. 2010;15:1.
• 7. Figueiredo AE, de Freitas AR, da Silva Lopes J, Pires D. Factors That Influence the Choice of Dialysis Modality in the Elderly. Open Journal of Nursing. 2014;4(13):956.
• 8. Chiang P-C, Hou J-J, Jong I-C, Hung P-H, Hsiao C-Y, Ma T-L, et al. Factors Associated with the Choice of Peritoneal Dialysis in Patients with End-Stage Renal Disease. BioMed research international, 2016.
• 9. Berger A, Edelsberg J, Inglese GW, Bhattacharyya SK, Oster G. Cost comparison of peritoneal dialysis versus hemodialysis in end-stage renal disease. The American journal of managed care. 2009;15(8):509-518.
• 10. Sağlık Bakanlığı Türkiye Halk Sağliği Kurumu Böbrek Hastalıkları Önleme Ve Kontrol Programı Eylem Planı (2014-2017) http://www.tsn.org.tr/pdf/Turkiye_Bobrek_Hastaliklari_Onleme_ve_Kontrol_Programi.pdf.
• 11. Yeates K, Zhu N, Vonesh E, Trpeski L, Blake P, Fenton S. Hemodialysis and peritoneal dialysis are associated with similar outcomes for end-stage renal disease treatment in Canada. Nephrology Dialysis Transplantation. 2012;27(9):3568-3575.
• 12. Robinski M, Mau W, Wienke A, Girndt M. The Choice of Renal Replacement Therapy (CORETH) project: dialysis patients' psychosocial characteristics and treatment satisfaction. Nephrology Dialysis Transplantation. 2016;32(2):315-24.
• 13. Schiller B, Neitzer A, Doss S. Perceptions about renal replacement therapy among nephrology professionals. Nephrology news & issues. 2010;24(10):36, 8, 40 passim-36, 8, 40 passim.
• 14. Kopple JD. National kidney foundation K/DOQI clinical practice guidelines for nutrition in chronic renal failure. American journal of kidney diseases. 2001;37(1):66-70.
• 15. Prichard SS. Treatment modality selection in 150 consecutive patients starting ESRD therapy. Peritoneal Dialysis International. 1996;16(1):69-72.
• 16. Chanouzas D, Ng KP, Fallouh B, Baharani J. What influences patient choice of treatment modality at the pre-dialysis stage? Nephrology Dialysis Transplantation. 2011;27(4):1542-7.
• 17. Goovaerts T, Jadoul M, Goffin E. Influence of a pre-dialysis education programme (PDEP) on the mode of renal replacement therapy. Nephrology Dialysis Transplantation. 2005;20(9):1842-7.
• 18. Yu AW-Y, Chau K-F, Ho Y-W, Li PK-T. Development of the “peritoneal dialysis first” model in Hong Kong. Peritoneal Dialysis International. 2007;27(2):53-55.