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Title:Kazalniki za spremljanje kakovosti na hemodializi
Authors:ID Stoklas, Urška (Author)
ID Vrbnjak, Dominika (Mentor) More about this mentor... New window
ID Kaiser Kupnik, Zvezdana (Comentor)
Files:.pdf MAG_Stoklas_Urska_2025.pdf (867,34 KB)
MD5: C70164C6A69D3178F865AE464BF4BB81
 
Language:Slovenian
Work type:Master's thesis/paper
Typology:2.09 - Master's Thesis
Organization:FZV - Faculty of Health Sciences
Abstract: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.
Keywords:kazalnik kakovosti, hemodializa, klinični izidi
Place of publishing:Maribor
Publisher:[U. Stoklas]
Year of publishing:2025
PID:20.500.12556/DKUM-95730 New window
UDC:616.61-78:615.036(043.2)
COBISS.SI-ID:259576323 New window
Publication date in DKUM:16.12.2025
Views:164
Downloads:54
Metadata:XML DC-XML DC-RDF
Categories:FZV
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Licences

License:CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:16.10.2025

Secondary language

Language:English
Title:Indicators for quality monitoring in hemodialysis
Abstract: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.
Keywords:quality indicators, hemodialysis, clinical outcomes


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