THE ROLE OF THE NURSE IN COMMUNICATION PATIENTS WITH ENDSTAGE RENAL DISEASE

Izhodišča: Komunikacija v zdravstveni negi je zelo velikega pomena, ki ji velikokrat posvečamo premalo pozornosti. Komunikacija tako v vsakdanjem življenju, kot tudi v zdravstveni negi predstavlja temelj za vzpostavitev ustreznega odnosa. Njen pomen v zdravstveni negi se odraža predvsem v pacientovem počutju, ki naj bi ga izvajalec zdravstvene nege s pomočjo ustrezne komunikacije poskušal izboljšati. Namen raziskave je bil ugotoviti zadovoljstvo pacientov s komunikacijo in odnosom medicinske sestre med dializnim zdravljenjem. Namen je bil tudi raziskati, kako se tega problema zavedajo v dveh Splošnih bolnišnicah v Sloveniji, kjer imajo redni terapevtski in negovalni stik s pacientom s končno odpovedjo ledvic. Metodologija: V teoretičnem delu magistrskega dela je bila uporabljena deskriptivna raziskovalna metoda, s katero smo poiskali teoretična izhodišča. Raziskava je temeljila na kvantitativnem pristopu raziskovanja. Za metodo zbiranja podatkov smo uporabili anketni vprašalnik, ki je vseboval osemnajst vprašanj zaprtega tipa. Raziskovalni vzorec je zajemal 100 anketiranih. Vprašalnik je zajemal vprašanja o odnosu in komunikaciji med medicinsko sestro in pacientom s končno odpovedjo ledvic. Pridobljene podatke smo računalniško obdelali s pomočjo programa Microsoft Excel, in jih prikazali s pomočjo programa Microsoft Word. Analize in rezultati raziskave so predstavljeni v tabelah in z razpravo, prikazani so tudi odgovori na zastavljena raziskovalna vprašanja. Rezultati: Ob dobrem razumevanju z medicinsko sestro se pacienti s končno odpovedjo ledvic med hemodializnim zdravljenjem boljše počutijo. Medicinske sestre paciente spodbujajo pri njihovem zdravljenju. Nekoliko manj zadovoljni so anketirani bili z razlago medicinske sestre, predvsem pa so za kritični dejavnik izpostavili pomanjkanje časa pri medicinskih sestrah. Sklep: Analiza rezultatov je pokazala, so pacienti zadovoljni z odnosom medicinskih sester. Ta podatek lahko potrdi dobro delo, saj sledeče pomeni sproščenost med dializnimi pacienti in zaposlenimi. Oboji preživijo skupaj veliko časa, zato je pozitivna klima izrednega pomena. Povečanje zadovoljstva pacientov bomo pridobili z izboljšano komunikacijo medicinskih sester, ker za svoje posebno delo in obravnavo pacientov s specifičnimi potrebami potrebujejo stalno izobraževanje, katerega dajejo v skupen izziv sebi in pacientom.Background: Communication in health care is of great importance, which is often not receiving enough attention. Communication both in everyday life as well as in health care is the foundation for establishing a proper relationship. Its importance in health care is primarily reflected in the patient\u27s well-being, which the provider of health care should try to improve by using appropriate communication. The purpose of the study was to determine patient satisfaction regarding communication and attitude of nurses during the dialysis treatment. Methodology: In the theoretical part of the master thesis was used descriptive research method by which we searched for theoretical starting points. The survey was based on a quantitative approach to research. For the method of data collection was used a questionnaire containing twenty closed questions. The research sample consisted of 100 persons. The questionnaire included questions about the relationship and communication between nurse and patients with kidney failure. The obtained data were processed with the computer using Microsoft Excel and presented by using Microsoft Word. Analysis and research results are presented in tables and with explanations, shown are also the answers to the research questions. Results: Patients with kidney failure, which do have a good communication with nurse, do feel better during hemodialysis treatment. Nurses encourage patients in their treatment. Slightly less satisfied were respondents with the interpretation of nurses, a critical factor highlighted was in particular the lack of time of nurses for their patients. Conclusion: Analysis of the results showed that the patients are satisfied with the attitude of nurses. This information can confirm the good work, because these means relaxation between dialysis patients and employees. Both spend a lot of time together, so the positive atmosphere has a great importance. Increasing patient satisfaction we will gain with improved communication of nurses. For their special work and treatment of patients with specific needs they need constant education, which presents a common challenge themselves and patients