Arş. Gör. Dr. Naime CİHANGİR, Prof. Dr. Gülümser KUBLAY

Sürekli Ayaktan Periton Diyalizi Uygulanan Çocuklarda Evde İzlemin Peritonit Görülme Sıklığına Etkisi

Araştırma, kronik böbrek yetmezliği tanısı ile evde periton diyalizi uygulanan çocuklarda evde düzenli izlem ve eğitimin peritonit görülme sıklığına etkisini belirlemek amacıyla deneysel olarak yapılmıştır. Araştırma Ankara'daki üç Üniversite Hastanesinin pediatrik nefroloji ünitelerinde yapılmıştır. Bu dönemde SAPD ile tedavi gören ve Ankara'da oturan 14 hasta deney grubunu, Ankara dışında oturan ve sosyo-demografik özellikleri deney grubuna benzer olan 14 hasta kontrol grubunu oluşturmuştur. Deney grubundaki hastalara ev ziyaretleri yapılarak, değişim odasının özellikleri, kateter çıkış yerinin bakımı ve torba değişim uygulamalarına yönelik hemşirelik bakımı verilmiştir. Kontrol grubundaki hastalara ise hastanede uygulanan düzenli uygulama dışında bir uygulama yapılmamıştır. Verilerin değerlendirilmesinde yüzdelik ve korelasyon analizi yöntemleri kullanılmıştır. Araştırma süresi sonunda peritonit görülme oranı deney grubunda % 21,4 iken kontrol grubunda % 50 olarak belirlenmiştir.

Anahtar Kelimeler:

Sürekli ayaktan periton diyalizi, evde izlem, peritonit, çocuk

Effects of Home Visits to Frequency of Peritonitis in Children with Continuous Ambulatory Peritoneal Dialysis

This study aims to determine the effect of reguler observation at home and education on the peritonitis frequency for the children with chronic renal failure who take peritoneal dialysis at home. The survey was carried out in the pediatric nephrology units of three University hospital in Ankara. 14 patients who live in Ankara and take SAPD treatment at the time of the research constituted the experimental group whereas another 14 patients who lives outside Ankara and who have similar socio-demographical characteristics constituted the control group For the patients in the experimental group, nursing care has been provided during the home visits towards the catheter exit-side, bag changing practices and the charactristics of changing room. Patients in the control group did not receive any nursing care except the routine interventions that were performed at hospital. Percentage, correllation analysis methots were used in order to analysis the data. At the end of the research, it was found that the rate of peritonitis for research group was %21.4 and % 50 for control group.

Keywords:

Continuous ambulatory peritoneal dialysis, home visit, peritonitis, children,

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