Ocak - Haziran 2011 Say›s› - Türk Nefroloji ve Diyaliz ...
Ocak - Haziran 2011 Say›s› - Türk Nefroloji ve Diyaliz ... Ocak - Haziran 2011 Say›s› - Türk Nefroloji ve Diyaliz ...
Kaynaklar 1. Goldfarb S, Mccullough P, Mccdermot J. et al. Contrast-induced acute kidney injury: Specialty-specific protocols for interventional radiology, diagnostic computed tomography radiology, and interventional cardiology. Mayo Clin Proc. 2009;84(2):170-179. 2. Hostel EA, Clermont G, Kersten A, et al. RIFLE criteria for acute kidney injury are associated with hospital mortality in critically ill patients: a cohort analysis. Critical Care 2006;10(6):1-10. 3. Haller M, Schelling G. Acute kidney failure, physiopathology-clinical diagnosis-therapy. Anaesthesist. 2000; 49(4):349-352. 4. Elsürer R, Afflar B. Yo¤un bak›m ünitesinde akut böbrek yetmezli¤inin patogenezi, prognozu ve tedavisi. Yeni T›p Dergisi 2009;26:7-10. 5. Hall G, Esser E. Challenges of care for the patient with acute kidney injury. Journal of Infusion Nursing 2008;31(3):150-156. 6. Kellum JA, Bellomo R, Ronco C. Definition and classification of acute kidney injury. Nephron Clin Pract. 2008;109:182–187. 7. Liano F, Pascual J. Epidemiology of acute renal failure: a prospective, multicenter, community-based study. Madrid Acute Renal Failure Study Group. Kidney Int. 1996;50(3):811-818. 8. Chertow GM, Burdick E, IIonour M. et al. Acute kidney injury, mortality, length of stay and costs in hospitalized patients. J Am Soc Nephrol. 2005;16: 3365-3370. 9. Kellum JA, Hoste EA. Acute kidney injury: epidemiology and assessment. Scand J Clin Lab Invest Suppl. 2008;241:6-11. 10. Hoste EA, Kellum JA. Incidence, classification, and outcomes of acute kidney injury. Contrib Nephrol. 2007; 156:32-38. 11. Faber P, Klein A.A. Acute kidney injury and renal replacement therapy in the intensive care unit. Nursing in Critical Care 2009;14(4): 207-212. 12. Cerda J, Lameire N, Eggers P, et al. Epidemiology of Acute Kidney Injury. Clin J Am Soc Nephrol 2008,(3): 881-886. 13. Yarlagadda S, Perazella M.A. Acute renal failure in the hospital: Diagnosis and management. Hospital Physician 2006; March: 51-58. 14. Kellum JA. Acute kidney injury. Crit Care Med. 2008;36(4):141-145. 15. Goldberg R, Dennen P. Long-term outcomes of acute kidney injury. Adv Chronic Kidney Dis. 2008;15(3): 297-307. 16. Abdel-Kader K, Palevsky PM. Acute kidney injury in the elderly. Clin Geriatr Med. 2009;25: 331-358. Akut Böbrek Yetmezli¤i ve Hemflirelik Yaklafl›m› 17. Cheung C.M, Ponnusamy A, Anderton J.G. Management of acute renal failure in the elderly patient: a clinician's guide. Drugs Aging. 2008;25(6): 455-476. 18. Li J.H, Wang N.S, Wang F et al. Acute renal failure in hospitalized patients in China: a prospective study. Ren Fail. 2009;31(6): 431-437. 19. Ympa PV, Sakr Y, Reinhart K et al. Has mortality from acute renal failure decreased? A systematic review of the literatüre. Am J Med. 2005;(118): 827-832. 20. Hoste EA, Schurgers M. Epidemiology of acute kidney injury: how big is the problem?. Crit Care Med. 2008;36(4):146-151. 21. Aysuna N, Korular D. Akut böbrek yetmezli¤inin önlenmesi ve tedavisi. Aktüel T›p Dergisi 2000;5(5): 28-32. 22. Ako¤lu E. Diyaliz endikasyonlar›. Aktüel T›p Dergisi 1997;2(4): 200-204. 23. Ok E, Töz H. Hemodiyaliz hastalar›nda hipertansiyon ve tedavisi. Aktüel T›p Dergisi Nefroloji ve Hipertansiyon Say›s› 2000;5(5): 15-18. 24. Karadakovan A. Kronik böbrek yetmezli¤i olan hastada hemflirelik yönetimi. Nefroloji Hemflireli¤i Dergisi 2004;1(1):61-66. 25. Süleymanlar G. S›v› elektrolit metabolizmas› ve bozukluklar›. In: Akpolat T, Utafl C, Süleymanlar G (Editör). Nefroloji El Kitab›, 3. Bask›, Nobel T›p Kitabevleri, ‹stanbul, ss:45-79. 26. Emir G. Asit baz ve elektrolit bozukluklar›. In: Gençer F, Gökmen N, Tola Y ve ark. (Editör). Hemodiyaliz Hemflireli¤i Uygulamalar›. ‹ntafl Matbaac›l›k, ‹stanbul, 2002, ss:144-179. 27. Ovayolu N. Acil serviste kronik böbrek yetmezli¤i olan hastaya ve diyaliz hastas›na yaklafl›m. Nefroloji Hemflireli¤i Dergisi 2005; Temmuz/Ekim:15-19. 28. Akpolat T. Hiperfosfateminin önlenmesi ve tedavisi. Diyaliz ve Nefroloji Bülteni 1997;1(1):9-13. 29. Taflc› S. Hemodiyalizde kronik komplikasyonlar ve hemflirelik yaklafl›mlar›, 16. Ulusal Böbrek Hastal›klar› Diyaliz ve Transplantasyon Hemflireli¤i Kongresi Kurs Kitap盤›, Antalya, 2006. 30. Edefonti A, Consalvo G. Management of acute renal failure in hospital practice. Pediatr Med Chir. 1997;19(1):3-5. Doç. Dr. Nimet OVAYOLU • Cilt 8 • Say› 1 • Ocak - Haziran 2011 • Sayfa 5 E-Mail: ovayolu@gantep.edu.tr
Periton Diyalizi Tedavisindeki Çocuklar›n Ev Ziyareti Sonuçlar›n›n De¤erlendirilmesi TThee EEvaluatioon oof HHoomee Visits Outccoomees in Childrreen with PPeerritooneeal DDialysis Yrd. Doç. Dr. Meral BAYAT1 , Hemfl. Jale DURSUN2 , Ö¤r. Gör. Özlem BARIK1 1Erciyes Üniversitesi Atatürk Sa¤l›k Yüksekokulu Çocuk Sa¤l›¤› ve Hastal›klar› Hemflireli¤i Anabilim Dal›, KAYSER‹ 2Erciyes Üniversitesi Gevher Nesibe Hastanesi Pediatrik Nefroloji Ünitesi, KAYSER‹ ÖÖzzeett Periton diyalizinde ev ziyaretleri, diyaliz ünitesi ile ev aras›ndaki bak›m›n devaml›l›¤›n› sa¤lamada, diyaliz yap›lacak ortam› de¤erlendirmede önem tafl›maktad›r. Bu çal›flmada, periton diyalizi (PD) uygulanan çocuklar›n ev ortamlar›n› ve diyaliz uygulamalar›n› de¤erlendirmek amac›yla 18 çocu¤a ev ziyareti yap›lm›fl ve veriler araflt›rmac›lar taraf›ndan gelifltirilen Ev ‹zlem Formu ile, gözlem ve yüz yüze görüflme tekni¤i kullan›larak toplanm›flt›r. Çocuklar›n yafl ortalamas›n›n 14.3 ± 4.4, diyaliz sürelerinin ortalama 3.7 ± 2.6 y›l oldu¤u, 13 yafl›n üzerindeki çocuklar›n kendi diyalizlerini yapmada daha fazla sorumluluk ald›¤› belirlenmifltir. Çocuklar›n bir bölümünün diyaliz için ayr› odas›n›n olmad›¤›, diyaliz esnas›nda maske kullanmad›klar›, diyaliz at›klar›n› uygun yok etmedikleri, tansiyon ve kilo takiplerini günlük yapmad›klar› gözlenmifltir. PD öncesi ve sonras›nda ev ziyaretlerinin önemli oldu¤u sonucuna var›lm›fl, çocuk ve ebeveynlere, ev ortam›ndaki ve PD uygulamas›ndaki eksikliklerine iliflkin önerilerde bulunulmufltur. AAnnaahhttaarr kkeelliimmeelleerr:: Ev ziyareti, Periton diyalizli çocuk. Girifl Son Dönem Böbrek Yetmezli¤i (SDBY) geliflen hastalar›n tedavisinde hemodiyaliz, periton diyalizi (PD) veya transplantasyon yöntemi uygulanmaktad›r (Treatment modalities; http:// www.usrds.org./2006 / pdf / 04_modalities_06.pdf). Periton diyalizi evde bak›m tekni¤ine dayal› bir tedavi yöntemi oldu¤u için çocuk ve ailesinin yaflant›s›n› daha az etkileyen, sosyal geliflimine, okula devam›na izin veren, normal hayatlar›n› yaflamalar›na olanak sa¤la- • Cilt 8 • Say› 1 • Ocak - Haziran 2011 • Sayfa 53 SSuummmmaarryy The home visits for the children with peritoneal dialysis are important to uphold the continuity of care between the dialysis unit and the home and to evaluate the environment which the practice is done in. 18 children were visited to evaluate their home environments and dialysis practices. Data was collected through observation, face to face view techniques, the Home Follow-up Form improved by the researchers. Of the children; the mean age was 14.3 ± 4.4, mean dialysis time was 3.7 ± 2.6 years, the children who were 13 years and over took more responsibility. Some of the children did not have a separate room for dialysis and use a mask during dialysis nor did they properly dispose of the wastes. Some did not follow up blood pressure and weight notations daily. Home visits are important before and after PD the child and parents were given some recommendations related to their deficits about PD practice and their home environment. KKeeyy wwoorrddss:: Home visit, Child with peritoneal dialysis yan bir tedavi yöntemidir (1-3). Bu tedavi yönteminde PD hemfliresinin rolü; SAPD adaylar›n›n de¤erlendirilmesi, evde kendi bak›m›n› yapabilecek flekilde e¤itilmesi, evde bak›m ve deste¤in sa¤lanmas› olarak özetlenebilir. Evde bak›m ve deste¤in sa¤lanmas›nda ev ziyaretleri önem tafl›maktad›r (2, 4-6). Ev ziyaretleri hemflireye, ev ortam›nda diyaliz uygulamas›n›, öz bak›m davran›fllar›n›, aile uyumunu de¤erlendirmede, diyalize iliflkin devaml› hasta e¤itimi yapmada ve ortam› de¤erlendirmede f›rsatlar sa¤lar.
- Page 1 and 2: E d i t ö r d e n De¤erli Meslekt
- Page 3 and 4: • Akut Böbrek Yetmezli¤i ve Hem
- Page 5 and 6: Yazarlar, www.ndthd.org internet ad
- Page 7 and 8: Diyabetin Kronik Böbrek Hastal›
- Page 9 and 10: Safha I: Glomeruler Hiperfonksiyon
- Page 11 and 12: ise mikroalbuminüri tan›s› kon
- Page 13 and 14: Ramipril on cardiovascular and micr
- Page 15 and 16: amaç; hastal›k sürecini, tedavi
- Page 17 and 18: Nefroloji Hemflireli¤i Dergisi per
- Page 19 and 20: lili¤ine a¤›rl›k verilmesi ve
- Page 21 and 22: periton diyalizi, hemodiyaliz ve ek
- Page 23 and 24: enci, GFH 50ml/dk alt›nda oldu¤u
- Page 25 and 26: 3. Levey AS, Atkins R, Coresh J , C
- Page 27 and 28: zin vücut kompozisyonu ve kan lipi
- Page 29 and 30: (1,4). Osteoartrit’li hastalar da
- Page 31 and 32: Kaynaklar 1. Sport and recreation n
- Page 33 and 34: eden kardiovasküler yetersizlik, h
- Page 35: Nefroloji Hemflireli¤i Dergisi ati
- Page 39 and 40: di¤inde SAPD uygulamas›n›n nor
- Page 41 and 42: at›klar›n› tuvalete boflaltt
- Page 43 and 44: Periton Diyalizinde Evde Bak›m HH
- Page 45 and 46: leri gerekir. Tüm bunlar periton d
- Page 47 and 48: Girifl Kronik böbrek yetmezli¤i (
- Page 49 and 50: Nefroloji Hemflireli¤i Dergisi tek
- Page 51 and 52: hastalar›n yaflam kalitesi ve öz
- Page 53 and 54: ortaya koymas›n› gerektirir. He
- Page 55 and 56: da, myoklonus, sedasyon ve uyku hal
- Page 57 and 58: Özel Diyaliz Ünitelerinde Çal›
- Page 59 and 60: gereksinimlerinin de karfl›lanmas
- Page 61 and 62: TTaabblloo 22:: Diyaliz hemflireler
- Page 63 and 64: zeyi diyaliz hemflirelerinin ifl do
Kaynaklar<br />
1. Goldfarb S, Mccullough P, Mccdermot J. et al. Contrast-induced<br />
acute kidney injury: Specialty-specific protocols for inter<strong>ve</strong>ntional<br />
radiology, diagnostic computed tomography radiology, and<br />
inter<strong>ve</strong>ntional cardiology. Mayo Clin Proc. 2009;84(2):170-179.<br />
2. Hostel EA, Clermont G, Kersten A, et al. RIFLE criteria for acute<br />
kidney injury are associated with hospital mortality in critically ill<br />
patients: a cohort analysis. Critical Care 2006;10(6):1-10.<br />
3. Haller M, Schelling G. Acute kidney failure,<br />
physiopathology-clinical diagnosis-therapy. Anaesthesist. 2000;<br />
49(4):349-352.<br />
4. Elsürer R, Afflar B. Yo¤un bak›m ünitesinde akut böbrek<br />
yetmezli¤inin patogenezi, prognozu <strong>ve</strong> tedavisi. Yeni T›p Dergisi<br />
2009;26:7-10.<br />
5. Hall G, Esser E. Challenges of care for the patient with acute kidney<br />
injury. Journal of Infusion Nursing 2008;31(3):150-156.<br />
6. Kellum JA, Bellomo R, Ronco C. Definition and classification of<br />
acute kidney injury. Nephron Clin Pract. 2008;109:182–187.<br />
7. Liano F, Pascual J. Epidemiology of acute renal failure:<br />
a prospecti<strong>ve</strong>, multicenter, community-based study. Madrid Acute<br />
Renal Failure Study Group. Kidney Int. 1996;50(3):811-818.<br />
8. Chertow GM, Burdick E, IIonour M. et al. Acute kidney injury,<br />
mortality, length of stay and costs in hospitalized patients. J Am Soc<br />
Nephrol. 2005;16: 3365-3370.<br />
9. Kellum JA, Hoste EA. Acute kidney injury: epidemiology and<br />
assessment. Scand J Clin Lab In<strong>ve</strong>st Suppl. 2008;241:6-11.<br />
10. Hoste EA, Kellum JA. Incidence, classification, and outcomes of<br />
acute kidney injury. Contrib Nephrol. 2007; 156:32-38.<br />
11. Faber P, Klein A.A. Acute kidney injury and renal replacement<br />
therapy in the intensi<strong>ve</strong> care unit. Nursing in Critical Care<br />
2009;14(4): 207-212.<br />
12. Cerda J, Lameire N, Eggers P, et al. Epidemiology of Acute Kidney<br />
Injury. Clin J Am Soc Nephrol 2008,(3): 881-886.<br />
13. Yarlagadda S, Perazella M.A. Acute renal failure in the hospital:<br />
Diagnosis and management. Hospital Physician 2006; March:<br />
51-58.<br />
14. Kellum JA. Acute kidney injury. Crit Care Med. 2008;36(4):141-145.<br />
15. Goldberg R, Dennen P. Long-term outcomes of acute kidney injury.<br />
Adv Chronic Kidney Dis. 2008;15(3): 297-307.<br />
16. Abdel-Kader K, Palevsky PM. Acute kidney injury in the elderly. Clin<br />
Geriatr Med. 2009;25: 331-358.<br />
Akut Böbrek Yetmezli¤i <strong>ve</strong> Hemflirelik Yaklafl›m›<br />
17. Cheung C.M, Ponnusamy A, Anderton J.G. Management of acute<br />
renal failure in the elderly patient: a clinician's guide. Drugs Aging.<br />
2008;25(6): 455-476.<br />
18. Li J.H, Wang N.S, Wang F et al. Acute renal failure in hospitalized<br />
patients in China: a prospecti<strong>ve</strong> study. Ren Fail. 2009;31(6):<br />
431-437.<br />
19. Ympa PV, Sakr Y, Reinhart K et al. Has mortality from acute renal<br />
failure decreased? A systematic review of the literatüre. Am J Med.<br />
2005;(118): 827-832.<br />
20. Hoste EA, Schurgers M. Epidemiology of acute kidney injury: how<br />
big is the problem?. Crit Care Med. 2008;36(4):146-151.<br />
21. Aysuna N, Korular D. Akut böbrek yetmezli¤inin önlenmesi <strong>ve</strong><br />
tedavisi. Aktüel T›p Dergisi 2000;5(5): 28-32.<br />
22. Ako¤lu E. <strong>Diyaliz</strong> endikasyonlar›. Aktüel T›p Dergisi 1997;2(4):<br />
200-204.<br />
23. Ok E, Töz H. Hemodiyaliz hastalar›nda hipertansiyon <strong>ve</strong> tedavisi.<br />
Aktüel T›p Dergisi <strong>Nefroloji</strong> <strong>ve</strong> Hipertansiyon <strong>Say›s›</strong> 2000;5(5):<br />
15-18.<br />
24. Karadakovan A. Kronik böbrek yetmezli¤i olan hastada hemflirelik<br />
yönetimi. <strong>Nefroloji</strong> Hemflireli¤i Dergisi 2004;1(1):61-66.<br />
25. Süleymanlar G. S›v› elektrolit metabolizmas› <strong>ve</strong> bozukluklar›. In:<br />
Akpolat T, Utafl C, Süleymanlar G (Editör). <strong>Nefroloji</strong> El Kitab›,<br />
3. Bask›, Nobel T›p Kitabevleri, ‹stanbul, ss:45-79.<br />
26. Emir G. Asit baz <strong>ve</strong> elektrolit bozukluklar›. In: Gençer F, Gökmen N,<br />
Tola Y <strong>ve</strong> ark. (Editör). Hemodiyaliz Hemflireli¤i Uygulamalar›. ‹ntafl<br />
Matbaac›l›k, ‹stanbul, 2002, ss:144-179.<br />
27. Ovayolu N. Acil serviste kronik böbrek yetmezli¤i olan hastaya <strong>ve</strong><br />
diyaliz hastas›na yaklafl›m. <strong>Nefroloji</strong> Hemflireli¤i Dergisi 2005;<br />
Temmuz/Ekim:15-19.<br />
28. Akpolat T. Hiperfosfateminin önlenmesi <strong>ve</strong> tedavisi. <strong>Diyaliz</strong> <strong>ve</strong><br />
<strong>Nefroloji</strong> Bülteni 1997;1(1):9-13.<br />
29. Taflc› S. Hemodiyalizde kronik komplikasyonlar <strong>ve</strong> hemflirelik<br />
yaklafl›mlar›, 16. Ulusal Böbrek Hastal›klar› <strong>Diyaliz</strong> <strong>ve</strong><br />
Transplantasyon Hemflireli¤i Kongresi Kurs Kitap盤›, Antalya, 2006.<br />
30. Edefonti A, Consalvo G. Management of acute renal failure in<br />
hospital practice. Pediatr Med Chir. 1997;19(1):3-5.<br />
Doç. Dr. Nimet OVAYOLU<br />
• Cilt 8 • Say› 1 • <strong>Ocak</strong> - <strong>Haziran</strong> <strong>2011</strong> • Sayfa 5<br />
E-Mail: ovayolu@gantep.edu.tr
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