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Title:Ugotavljanje dehidracije pri starostnikih, ki so bili obravnavani na nujni medicinski pomoči : akcijska raziskava
Authors:ID Lešnik, Amadeus (Author)
ID Bevc, Sebastjan (Author)
Files:URL URL - Source URL, visit http://dx.doi.org/10.14528/snr.2015.49.2.51
 
Language:Slovenian
Typology:1.01 - Original Scientific Article
Organization:Logo ZZBNS - ZSDMSBZTS - Nurses and Midwives Association of Slovenia
Abstract:Uvod: Skrb za zadostno hidracijo starostnikov je pogosto izražena, vendar v praksi velikokrat pozabljena. Z raziskavo smo želeli ugotoviti stanje hidracije pri starostnikih, starejših od 65 let, ki živijo v socialnovarstvenih institucijah v Mariboru in okolici. Metode: V retrospektivni raziskavi smo ugotavljali vrednosti označevalcev dehidracije pri 107 starostnikih, starejših od 65 let. Med njimi je bilo 70 (65 %) žensk, povprečne starosti 84,1 let, in 37 (35 %) moških, povprečne starosti 80,4 let. Vzorec je zajemal starostnike, napotene v ambulanto za Internistično nujno pomoč Univerzitetnega kliničnega centra Maribor v obdobju od 1. 11. 2013 do 24. 1. 2014. Analizirali smo laboratorijske rezultate, zbrane v medicinsko-informacijskem sistemu. Kriterije dehidracije so predstavljali: natrij v serumu nad 145 mmol/L, sečnina nad 20 mg/ml oz. razmerje sečnina/kreatinin nad 20 : 1. Rezultati: Raziskava je potrdila prisotnost povišanih vrednosti označevalcev dehidracije pri 73,8 % obravnavanih starostnikov. En kriterij dehidracije je dosegalo 35 starostnikov, dva kriterija 39 in tri kriterije 5 starostnikov. Diskusija in zaključek: Ugotovili smo, da povišane vrednosti označevalcev dehidracije ne dajo zanesljivega odgovora o stanju hidracije starostnikov, saj se le-ta lahko glede na uporabljene kriterije preceni ali podceni. Za boljšo oceno hidracije je v nadaljnjih raziskavah potrebno uporabiti natančnejše označevalce v kombinaciji s starostnikovimi kliničnimi znaki in anamnestičnimi podatki.
Keywords:tekočinsko ravnovesje, dehidracija, označevalci, starostniki
Publication date:01.01.2015
Year of publishing:2015
Number of pages:str. 144-148
Numbering:Letn. 49, št. 2
PID:20.500.12556/DiRROS-26835 New window
UDC:364
ISSN on article:1318-2951
DOI:10.14528/snr.2015.49.2.51 New window
COBISS.SI-ID:520575001 New window
Note:Besedilo v slov.;
Publication date in DiRROS:28.01.2026
Views:62
Downloads:19
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Record is a part of a journal

Title:Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije
Shortened title:Obzor. zdrav. neg.
Publisher:Zbornica zdravstvene nege
ISSN:1318-2951
COBISS.SI-ID:39433728 New window

Secondary language

Language:English
Title:Identification of dehydration in the elderly treated in emergency unit : action research
Abstract:Introduction: The importance of adequate hydration cannot be stressed enough, but it is still a major problem for older people in hospital settings. The aim of study was to establish hydration status of the elderly (older than 65 years) living in long term care facilities in Maribor and its surroundings. Methods: In a retrospective study the values of markers of dehydration in 107 elderly aged over 65 years were assessed (70 women, average age 84.1 years and 37 men, average age 80.4 years). The elderly were referred to the Internal medicine emergency unit at the University medical centre Maribor in the period between November 1, 2013 to January 24, 2014. The data collected from medical info system were analysed. The criteria for dehydration included Serum sodium > 145 mmol/l, urea > 20 mg/ml or ratio urea/creatinine > 20 : 1. Results: An increased level of markers of dehydration was diagnosed in 73.8 % of the elderly included in the study, 35 participants meeting one criterion of dehydration, 39 participants two criteria and the remaining five meeting all three criteria. Discussion and conclusion: Results of the study show that the increased levels of markers of dehydration were not sufficient for accurate hydration assessment of the elderly. The diagnostic criteria used could easily either overestimate or underestimate the true hydration status. In the future research, more precise markers together with accurate evaluation of medical history and clinical signs are necessary to make an accurate assessment of the degree of dehydration in the elderly.
Keywords:fluid balance, dehydration, markers, elderly


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