Open AccessIndications, Contraindications and Benefits of Health Resort Treatment According to Hemodialyzed Patients
Author(s) -
Małgorzata Ostrowska,
Edyta Sutkowska,
Natalia Kuciel
Publication year - 2019
Publication title -
acta balneologica
Language(s) - English
Resource type - Journals
ISSN - 2082-1867
DOI - 10.36740/abal201901108
Subject(s) - medicine , dialysis , hemodialysis , kidney disease , population , disease , renal replacement therapy , intensive care medicine , rehabilitation , physical therapy , pediatrics , surgery , environmental health
Chronic Kidney Disease according to NKF-K/DOQI (The National Foundation Kidney Disease Improving Global Outcomes) occurs in 8 -16% of the population of white adults depending on the continent [1]. In Poland hemodialysis is the most common procedure of the kidney-replacement treatment. In 2014 this method related to 95% of patients who required dialysis treatment. Every year in Poland such kind of treatment is started for 130 people per one million inhabitants. Currently, the amount of dialyzed patients in Poland is about 400 / million people. Among persons treated with dialysis, we observe an increasing number of patients suffering from diabetic and hypertensive nephropathy, just as among people under age 65 [2]. An unappreciated aspect of dialyzed patient’s care is the improvement of his/her general condition caused by systematic rehabilitation including temporary health resort treatment. It connects the elements of the beneficial impact of the spa’s environment with dietetic and physical treatment which should be adapted to the general condition of the ill, enabling individualization of the therapy.Despite the possible refundation of the health resort procedure only few patients enjoy such treatment. According to the information of the Lubuski Oddzial Wojewodzki (LOW) NFZ from 2017 , there were 19 referrals of dialyzed people for spa treatment, and in 2018 were only 12. It may be result of increasing disability of hemodialyzed people what disturb their staying in spa resort, or may be connected with the lack of awareness among the patients as well as physicians, about the availability and benefits of thermal prevention, and sometimes even beliefs, about its harmfulnessIn the manuscript we would like to focus on health problems of dialysed patients in the aspect of spa treatment, to present the indications and contradictions for health resort treatment for the group of people, and stress the potential benefits from such therapy .