Prehrana hemodijaliziranih bolesnika

master's thesis

• Title (english): Nutrition in dialysis patients
• Author: Božana Ilić
• Mentor: Milica Katić (mentor)
• Committee member: Đurđica Kašuba Lazić
• Committee member: Venija Cerovečki Nekić
• Committee member: Milica Katić
• Granter: University of Zagreb; School of Medicine; (Department of Family Medicine); Zagreb
• Defense date and country: 2015-09-29, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Family Medicine

Abstract

Kronično bubrežno zatajenje jedna je od najučestalijih bolesti današnjice. Od nje obolijeva svaka deseta odrasla osoba. Liječenje ovih bolesnika u terminalnom stadiju zatajenja provodi se hemodijalizom ili peritonejskom dijalizom. Progresija bolesti uzrokuje pojavu mnogobrojnih komplikacija od kojih su najčešće srčanožilne bolesti. Jedan od čimbenika nastanka srčanožilnih komplikacija jeste pothranjenost bolesnika. Proteinsko energijska pothranjenost važan je pretkazatelj lošeg ishoda liječenja bolesnika na hemodijalizi. Čimbenici koji je uzrokuju povezani su sa metaboličkim poremećajima koji nastaju uslijed slabljenja funkcije bubrega. Da bi se mogla prevenirati i liječiti proteinsko energijska pothranjenost potrebno je na vrijeme procijeniti status uhranjenosti bolesnika koji se liječe nadomjesnom bubrežnom terapijom. U tu svrhu koriste se različite metode od jednostavnih mjerenja do sveobuhvatnih obrazaca koji uključuju antropometrijske, biokemijske i subjektivne metode procjene statusa uhranjenosti. Liječenje uključuje primjerenu prehranu sa brojnim ograničenjima i primjenu oralnih i parenteralnih suplemenata. U ovom radu bit će prikazana analiza stanja uhranjenosti bolesnika u Jedinici za dijalizu Opće bolnice Pula. U tu svrhu korišteni su laboratorijski nalazi vrijednosti serumskog albumina, kreatinina i indeks tjelesne mase bolesnika-ITM.

Abstract (english)

Chronic renal failure is among the most common deseases nowdays. Every tenth adult suffers from this disorder. In terminal stage of chronic renal failure treatment is hemodialysis or peritoneal dialysis. Progression of this disorder can cause many complications of which the most common are cardiovascular deseases. One of the factors for cardiovascular complications is malnutrition. Important predictor of a negative outcome in treatment of hemodialysis patients is protein-energy malnutrition. Factors that cause this type of malnutrition are linked to metabolic disorders which can occur during renal failure. It is important to assess the nutritional status of a patient who is to be treated with renal replacement therapy, in order to prevent and/or cure protein-energy malnutrition. For that purpose different methods of assessment are applied: simple measurement or comprehensive forms which include anthropometric, biochemical and subjective assessment methods of a nutritional status. Treatment includes appropriate diet with many restrictions and the application of parenteral supplements. In this thesis the nutritional status analysis of patients in dialysis department of Pula General Hospital will be shown. For the purpose of that analysis specific laboratory findings, such as serum albumin, creatinine and patient body mass index (BMI) were used.

• Keywords: kronično bubrežno zatajenje; hemodijaliza; proteinsko energijska pothranjenost; procjena statusa uhranjenosti; prehrana bolesnika
• Keywords (english): chronical renal failure; hemodialysis; protein-energy malnutrition; nutrition status assessment; patient diet
• Language: croatian
• URN:NBN: urn:nbn:hr:105:285897
• 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: 2016-04-25 08:25:08