Hemodiyalize Uyumsuzluk ve Kanıta Dayalı Tedavi Bakım Uygulamaları

Yazarlar

Özet

Hemodiyalize uyum sıvı alımına, diyete, reçete edilen ilaçlara uyumu, hemodiyaliz seanslarına düzenli katılımı ve kısaltılmış seansların olmamasını içermektedir. Hemodiyaliz popülasyonunda her bir uyumsuzluk davranışı sık görülmektedir. Hemodiyalizde tedaviye uyumsuzluk sağlık sonuçlarının kötüleşmesine, komplikasyonların artmasına, yaşam kalitesinin düşmesine, morbidite ve mortalite riskinin yükselmesine neden olmaktadır. Bu nedenle hemodiyalize uyumsuzluk fizyolojik, psikolojik, sosyal ve ekonomik yönden ve düzenli değerlendirilmeli, bireylerin tedaviye uyum sürecini nasıl yönettiği, tercihleri ve ihtiyaçları belirlenmeli ve bireye özgü hemşirelik girişimleri uygulanmalıdır. Ayrıca, davranış değişikliği oluşturabilecek, akran eğitimi, sosyal desteği artırıcı girişimler, aile üyelerinin süreçlere dahil edilmesi, multidisipliner ve teknolojik girişimler gibi girişimlerin uygulanması önerilmektedir.

Referanslar

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