Hemodiyaliz Tedavisi Alan Hastalarda Beslenme Sorunları ve Kanıta Dayalı Tedavi Bakım Uygulamaları
Özet
Hemodiyaliz tedavisi alan hastalarda en önemli mortalite nedenleri arasında malnutrisyon, sıvı volüm fazlalığı ve elektrolit dengesizlikleri yer almaktadır. Hemodiyalizde pek çok faktör malnütrisyona zemin hazırlayabilmekte, diyet ve sıvı kısıtlamasına uyumsuzluk hastanın prognozunu kötüleştirebilmektedir. Bu bağlamda kılavuzların önerilerine dayanarak beslenme durumunun değerlendirilmesi, devamlı izlem ve elektrolit dengesinin sürdürülmesi önemlidir. Tedavide kısıtlama odaklı değil seçenek sunma yaklaşımı izlenmeli, hasta ihtiyaçlarına ve kliniğine göre bireyselleştirilme yapılmalıdır. Burada en büyük rol hasta değerlendirme ve eğitim becerileri sayesinde hasta sonuçlarını etkilemede kritik bir role sahip olan hemşirelere düşmektedir. Bu bölümde hemodiyaliz tedavisi alan hastalarda beslenme sorunları ve tedavi bakım uygulamaları, kılavuzların önerileri eşliğinde ele alınmıştır.
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