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The basic needs of children on haemodialysis in Turkey
1Department of Pediatric Nephrology, Kirikkale University Medical School, Kirikkale, Turkey. cuneytensari@yahoo.co.uk
Insights
Pediatric patients undergoing hemodialysis require specific environmental and familial support for optimal treatment. Addressing these needs, including dedicated spaces and consistent nursing care, can enhance the overall efficacy of pediatric hemodialysis.
Area of Science:
- Nephrology
- Pediatric Care
- Patient Experience
Background:
- Hemodialysis is a challenging treatment for pediatric patients, families, and healthcare teams.
- Understanding the unique needs of children undergoing hemodialysis is crucial for improving their therapy environment.
Purpose of the Study:
- To identify the fundamental needs of pediatric patients during hemodialysis.
- To gather insights for enhancing the therapeutic environment for children on hemodialysis.
Main Methods:
- A questionnaire was used to record the requirements of 20 children and 40 adults undergoing hemodialysis.
- Data was collected from patients with a minimum of five hemodialysis sessions.
Main Results:
- Most children and adults preferred separate treatment units and consistent transportation services.
- Children desired parental presence during dialysis, while most adults did not require accompanying relatives.
- Both pediatric and adult patients favored daytime sessions, with children preferring consistent nursing care.
Conclusions:
- Healthcare authorities must acknowledge the importance of the therapy team in meeting the needs of pediatric hemodialysis patients.
- Fulfilling patient expectations, including those of pediatric hemodialysis patients, is essential for improving treatment efficiency.
- The involvement of specialists like pediatric nephrologists is vital for addressing the basic needs of children on hemodialysis.
Background:
Haemodialysis treatment can be very tiring and unpleasant, particularly for paediatric patients, families and also for the treatment team. In this study, the basic needs of children on haemodialysis were determined in order to improve the conditions of their therapy environment.
Methods:
The requirements of 20 children and 40 adults, who were on haemodialysis therapy for a minimum of five sessions, were recorded by means of a questionnaire.
Results:
The majority of children and adults preferred to be treated in separate units. All children and adults stated that they needed a constant transportation facility to be provided by the dialysis unit. All children wanted their parents/relatives to be with them during the dialysis sessions while only a minority of adults required an accompanying relative. The majority of both paediatric and adult patients preferred daytime sessions. The majority of children preferred to have the same nurse to needle their fistula and supervise their therapy session.
Conclusions:
The health authority should recognize the role of the therapy team, including a paediatric nephrologist, in providing the basic needs and fulfilling the expectations of paediatric haemodialysis patients in order to increase the efficiency of the treatment.
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