Author/Editor		Kobal Straus, Klavdija
Title		Uporaba hipodermoklize pri zdravstveni obravnavi uporabnikov institucionalnega varstva starejših
Translated title		Use of hypodermoclysis in the treatment of elderly people in institutional care
Type		članek
Vol. and No.		Letnik 48, št. 1
Publication year		2014
Volume		str. 58-65
ISSN		1318-2951 - Obzornik Zdravstvene Nege
Language		slv
Abstract		Uvod: Hipodermokliza je dovajanje tekočin v telo z uporabo podkožne (subkutane) infuzije. Raziskave kažejo, da gre za način, ki je po svoji učinkovitosti primerljiv z bolj poznanim intravenskim nadomeščanjem tekočine. Metoda: Uporabljena je bila deskriptivna kvantitativna metoda dela. Za potrebe raziskave je bil oblikovan strukturiran vprašalnik, ki je vseboval 14 vprašanj. V raziskavi je sodelovalo 40 vodij zdravstvene nege na področju institucionalnega varstva starejših. Vprašalnik je bil oblikovan in posredovan s pomočjo spletnega orodja 1ka dne 10. 2. 2013, zbiranje odgovorov je potekalo do 26. 2. 2013. Analiza podatkov je bila izvedena s pomočjo programskega orodja 1ka, paketa MS Office (Word, Excel) in programa SPSS 18.0. Rezultati: Prepoznavnost in uporaba hipodermoklize se glede na geografsko lego institucije v Sloveniji ne razlikuje (x2 = 0,440, p = 0,507). Zapleti, povezani s tovrstnim načinom nadomeščanja tekočine, so redki in niso v neposredni povezavi s tem, kako pogosto se ga izvajalci poslužujejo (x2 = 0,000, p = 1,000). Z raziskavo nismo ugotovili statistično značilnih razlik v pogostosti zapletov glede na izobrazbo zdravstveno negovalnega kadra, ki postopek hipodermoklize izvede (x2 = 3,900, p = 0,420). Diskusija in zaključek: Raziskava pokaže, da je hipodermokliza med vključenimi v raziskavo prepoznana in uporabljana. Ker je hipodermokliza varen, enostaven in ekonomsko sprejemljiv način nadomeščanja tekočine, ki ga s področja institucionalnega varstva starejših in bolnišnic lahko prenesemo tudi v domače okolje, mu v prihodnosti velja nameniti več pozornosti.Introduction: Hypodermoclysis is a way of administering fluids to the body by using a subcutaneous infusion. Research shows that this procedure is as effective as the more established intravenous infusion, posing no serious complications. Method: For this study, a descriptive quantitative method was used. The data were gathered through a structured survey questionnaire specifically designed for the purpose of the study. It consisted of 14 questions. The questionnaire was completed and returned by 40 nursing care managers in the old people's homes. The questionnaire was designed and distributed by means of the 1ka web tool on February 10, 2013 and the answers were collected by February 26, 2013. The data analysis was performed using the software package 1ka, MS Office (Word, Excel) and SPSS 18.0. Results: With regard to geographical location of the old people's homes in Slovenia, the familiarity with and the use of hypodermoclysis does not vary substantially (x2 = 0.440, p = 0.507). Complications related to this procedure of administering fluids are rare when it is administered in conformity with accepted indications and guidelines. The risks of hypodermoclysis are not directly related to the rate of administration (x2 = 0.000, p = 1.000). The research did not establish any correlation between the frequency of complications and the education level of the nursing staff (x2 = 3.900, p = 0.420). Discussion and conclusion: The research shows that hypodermoclysis is an established and widely used procedure among the professionals who took part in the research. As hypodermoclysis is a safe, easy and financially accessible way of administering fluids, suitable for use both in institutions as well as in home care, the time has come for resurrection and evaluation of this alternative infusion technique for widespread future use.
Keywords		zdravstvena nega dehidracija zapleti hipodermokliza prednosti hipodermoklize nursing care dehydration complications hypodermoclysis advantages of hypodermoclysis