- Tytuł:
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Radzenie sobie chorych hemodializowanych z czynnościami dnia codziennego
Coping with daily activities by hemodialyzed patients - Autorzy:
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Dąbek, Józefa
Szynal, Magdalena
Kulik, Halina
Biały, Patrycja - Powiązania:
- https://bibliotekanauki.pl/chapters/1955268.pdf
- Data publikacji:
- 2020
- Wydawca:
- Śląski Uniwersytet Medyczny w Katowicach
- Opis:
- Introduction. Chronic kidney disease is a disease syndrome resulting in irreversible kidney damage that can be diagnosed by its excretory dysfunction. Dialysis is the most frequently implemented renal replacement therapy and the number of patients that uses it is still rising. There are two different types of dialysis – peritoneal dialysis and hemodialysis. To make hemodialysis possible, it is vital to create the right vascular access. For this purpose, an arteriovenous fistula from the patient’s blood vessels is created or implantation of a permanent catheter is performed. The type of dialysis and vascular access determine the daily activities of patients. Aim. The aim of the study was to analyze how hemodialyzed patients cope with daily activities, regarding the type of vascular access. Material and methods. 213 patients took part in the study – 104 women (48.83%) and 109 men (51.17%). The authors’ questionnaire including questions about chronic kidney disease, type of vascular access and daily activities of patients was used as the examination method. Results. 110 (51.64%) respondents have an arteriovenous fistula and 103 (48.36%) have a permanent catheter. The patients with an arteriovenous fistula stated that carrying shopping was rather limited by their current health condition (75; 68.18%), while the patients with a permanent catheter did not (63; 61.17%;). The patients with an arteriovenous fistula felt discomfort connected with the perception of their own appearance (90; 81.82%), in comparison to the patients with a permanent catheter, who did not feel any mentioned discomfort (79; 76.7%). The majority of respondents with an arteriovenous fistula did not consider washing themselves as an activity limited by their current health condition (87; 79.09%), while the respondents with a permanent catheter did (63; 61.17%). They also were more dependent on other people. Most of the patients did not undertake any physical activity (153; 71.83%). The respondents, regardless of gender and age, did not enjoy their sex life (172, 80.75%). All of the working patients gave up work because of their disease (40; 100%) and 93 patients resigned from travelling abroad (43.66%). Conclusions. The type of vascular access was significant in coping with daily activities by hemodialyzed patients; those with a permanent catheter more often had difficulty in washing themselves and were more dependent on other people, while those with an arteriovenous fistula more often had difficulty in activities requiring hand efficiency. The hemodialyzed respondents’ chronic kidney disease was the reason for limitation in their physical activity, professional career, social life, sex life and travelling abroad, both for those with a permanent catheter and an arteriovenous fistula.
- Źródło:
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Zdrowie człowieka w ontogenezie – aspekty biomedyczne i psychospołeczne. Studia badaczy, polskich, słowackich i czeskich. T. 1. Aspekty biomedyczne; 104-115
9788375094053 - Dostawca treści:
- Biblioteka Nauki
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