Specifics of Nursing Care for Dialysis Patients

Abstrakt Nursing is a unique component in patient care. Consistent nursing care depends not only from the theoretical knowledge but also from communicativeness, physical skills, empathy, ability to work in a team and organize work. The aim was to determine the difference in the education of the client with hemodialysis and peritoneal dialysis, and also clarify how nurses educate clients about the dialysis regime measures. We also focused on the awareness of patients when these treatments were first introduced and patient awareness now. We wondered whether patients are properly educated and whether they are satisfied with the amount of information that is provided. Research questions were formed within these specific targets directed specifically to educate clients on hemodialysis and peritoneal dialysis clients, their daily routine and the difference in the complexity of education between the two types of treatment. In these areas we have focused on nurses working at the hemodialysis centre and patients who are treated with dialysis. According to the two groups interviewed and evaluated, we concluded that the majority of nurses educate clients at the start of treatment. The nurses consider the following attributes to be key for the patient:,a positive attitude, positive health habits, good diet and fluid intake, protecting the limb in hemodialysis, where the coupling is introduced. Nurses consider informing patients with peritoneal dialysis to be more difficult than those with hemodialysis because they must comply with more rules and are not under constant observation. Patients are treated in their home environment and need to adapt their premises for the exchange of solutions and must learn the aseptic technique during the procedure for such exchanges and constant monitoring of the catheter, which are introduced in the peritoneum. The education of patients at the research department is usually done by the ward nurse