20.500.12556/DKUM-95730 Kazalniki za spremljanje kakovosti na hemodializi Indicators for quality monitoring in hemodialysis Uvod: Za spremljanje kakovosti na hemodializi so potrebni za to področje specifični kazalniki, vendar v slovenskem prostoru, le ti niso opredeljeni ter se pogosto v praksi ne uporabljajo. Namen zaključnega dela je bil raziskati, katere specifične kazalnike kakovosti na področju hemodialize uporabljamo v slovenskem in tujem prostoru. Metode: Izvedli smo pregled, analizo in sintezo znanstvene literature v podatkovnih bazah PubMed, Medline (EBSCO), ScienceDirect in Web of Science. Slovenska literatura je bila pregledana s pomočjo COBISS+, Google in Google Učenjak. Vključili smo kvantitativne raziskave, sistematične preglede kvantitativnih raziskav ter smernice in priporočila, ki so obravnavali specifične kazalnike kakovosti hemodialize ter bili objavljeni v slovenskem ali angleškem jeziku. Članke smo kritično ocenili z orodjem JBI ter jih uvrstili na ustrezno raven hierarhije dokazov. Sintezo smo izvedli z uporabo vsebinske analize. Rezultati: V končni pregled je bilo vključenih 12 zadetkov. Ugotovili smo, da v tujini za kazalnike kakovosti na hemodializi uporabljajo Kt/V, raven serumskega albumina, kreatinina, uree, kalcija in parathormona, pogostost in trajanje hemodialize, raven hemoglobina, vrsto in stanje žilnega pristopa. Poleg teh se uporabljajo tudi drugi specifični kazalniki, ki pa jih v slovenskem prostoru še ne spremljamo sistematično. Razprava in zaključek: Rezultati kažejo, da bi uvedba sistematičnega spremljanja kazalnikov kakovosti lahko pripomogla k nadaljnjemu izboljšanju in večji enotnosti kakovosti hemodializnega zdravljenja v slovenskem prostoru. Introduction: Monitoring quality in hemodialysis requires field-specific indicators. In Slovenia, however, these have not been clearly defined and are often not applied in practice. The aim of the present thesis was to investigate which specific quality indicators in the field of hemodialysis are used in Slovenia and abroad. Methodology: A review, analysis, and synthesis of scientific literature was conducted using the databases PubMed, Medline (EBSCO), ScienceDirect, and Web of Science. Slovenian literature was examined through COBISS+, Google, and Google Scholar. The review includes quantitative studies, systematic reviews of said studies, as well as guidelines and recommendations that address specific quality indicators in hemodialysis and that were published either in Slovene or English. Articles were critically appraised using the JBI tool and classified according to the appropriate level of the hierarchy of evidence. Data synthesis was performed using content analysis. Results: The final review encompassed 12 studies. The analysis showed that, internationally, quality indicators in hemodialysis include Kt/V, serum levels of albumin, creatinine, urea, calcium, and parathyroid hormone, as well as the frequency and duration of dialysis, hemoglobin levels, and the type and condition of vascular access. Additionally, other specific indicators are also used which, however, are not yet systematically monitored in Slovenia.  Discussion and Conclusion: The findings suggest that introducing systematic monitoring of quality indicators could contribute to further improvement and an increase the consistency of quality of hemodialysis treatment in Slovenia. kazalnik kakovosti hemodializa klinični izidi quality indicators hemodialysis clinical outcomes true false false [U. Stoklas] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2025-10-16 12:01:21 2025-12-16 11:45:03 2025-12-17 03:14:47 0000-00-00 00:00:00 2025 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.61-78:615.036(043.2) 259576323 MAG_Stoklas_Urska_2025.pdf MAG_Stoklas_Urska_2025.pdf 1 C70164C6A69D3178F865AE464BF4BB81 4dd1e2f661eee93f95b467f6699cb7e187d518b2719770c6e373810abd2a093b 8f1c0dac-aa78-11f0-984b-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=199933 Fakulteta za zdravstvene vede 0 0 0