Prehrambene navike bolesnika liječenih hemodijalizom

master's thesis

• Title (english): Dietary habits in patients treated with hemodialysis
• Author: Ružica Mateljić
• Mentor: Jasna Pucarin-Cvetković (mentor)
• Committee member: Antoinette Kaić-Rak (predsjednik povjerenstva)
• Committee member: Jagoda Doko Jelinić (član povjerenstva)
• Committee member: Jasna Pucarin-Cvetković (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Environmental and Occupational Health); Zagreb
• Defense date and country: 2014-09-10, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Public Health

Abstract

Uvod: U ukupnom broju kroničnih nezaraznih bolesti, kronična bubrežna bolest učestvuje sa
znatnim brojem oboljelih i predstavlja globalni javnozdravstveni problem. Uz aktivno liječenje hemodijalizom pravilna prehrana zauzima značajno mjesto u liječenju i ishodu bolesti. Preporuke u prehrani najčešće se odnose na unos tekućine, proteina, natrija, kalija, fosfora i vitamina. Ciljevi: Ispitati prehrambene navike bolesnika na hemodijalizi i povezanost učestalosti konzumiranja nepreporučenih namirnica s dužinom liječenja hemodijalizom. Ispitanici i metode: Istraživanjem je obuhvaćeno 92 bolesnika liječenih hemodijalizom; 64
muškarca i 28 žena prosječne dobi 62,16 ± 16,25 godina i dužinom liječenja 4,18 ± 4,51 godina. Prehrambene navike ispitane su upitnikom o učestalosti potrošnje preporučenih namirnica, odnosno nepreporučenih u prehrani bolesnika liječenih hemodijalizom. Podaci su obrađeni statističkim programom SPSS 17,0, a rezultati prikazani deskriptivnom statistikom. Povezanost broja nepreporučenih namirnica koje ispitanici konzumiraju jednom tjedno ili češće i dužine liječenja hemodijalizom ispitana je Pearsonovim koeficijentom korelacije. Rezultati: Rezultati pokazuju da ispitanici jednom tjedno i/ili češće konzumiraju sve namirnice iz grupe namirnica s visokim sadržajem kalija, fosfora i natrija, a prosječno konzumiraju 5,24 ± 2,67 takvih namirnica. Najveći postotak ispitanika (16,3%) konzumira tri nepreporučene namirnice. Nije utvrđena povezanost dužine liječenja hemodijalizom i broja nepreporučenih namirnica koje ispitanici konzumiraju jednom tjedno ili češće
(r = - 0,201; p>0,05). Zaključak: Veliki dio bolesnika ne slijedi preporuke o pravilnoj prehrani i konzumira
namirnice s visokim sadržajem natrija i fosfora. Dobiveni rezultati upućuju na važnost provođenja kontinuirane edukacije bolesnika. Dobrom edukacijom i unatoč ograničenjima u prehrani bolesnici se mogu dobro i kvalitetno hraniti.

Abstract (english)

Introduction: The total number of chronic non-communicable diseases, chronic renal disease involved with a significant number of patients and represents a global public health problem. With the active hemodialysis, proper nutrition plays a substantial role in the treatment and outcome of the disease. Recommendations in the diet is mostly related to fluid intake, protein, sodium, potassium, phosphorus and vitamins. Objectives: To examine the dietary habits of hemodialysis patients and correlation between the frequency of consumption of non-recommended food and the length of hemodialysis treatment. Patients and methods: The study included 92 patients treated with hemodialysis; 64 men and 28 women, average age of 62.16 ± 16.25 years and the length of treatment 4.18 ± 4.51 years. Dietary habits were investigated by questionnaire on the frequency of consumption recommended or non-recommended food in the diet of patients treated with hemodialysis. Data was analyzed by statistical program SPSS 17.0, and the results were presented using descriptive statistics. Correlation between the numbers of non-recommended food that patients consumed once a week or more and a length of hemodialysis treatment was examined by Pearson's correlation coefficient. Results: Results show that patients, once a week and/or more frequently consume food from all food groups high in potassium, phosphorus and sodium, and an average of 5.24 ± 2.67 patients consumed such food. The largest percentage of patients (16.3%) consumed three nonrecommended
food. There was no correlation length of hemodialysis treatment and the
number of non-recommended food that patients consumed once a week or more often (r = - .201, p> 0.05). Conclusion: A large part of the patients did not follow the recommendations on proper diet and consumed food with a high content of sodium and phosphorus. The results indicate the
importance of conducting continuing education of patients. Good education, and despite the limitations of the diet, patients would be able to eat well and choose good quality food.

• Keywords: hemodijaliza; preporučena prehrana; prehrambene navike
• Keywords (english): hemodialysis; the recommended diet; dietary habits
• Language: croatian
• URN:NBN: urn:nbn:hr:105:671633
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2015-11-05 15:39:31