(diplomsko delo)
Abstract
Izhodišča: Suprapubični kateter je način odvajanja urina iz sečnega mehurja, za katerega se zdravniki odločijo, kadar imajo pacienti težave s samostojnim odvajanjem urina. Ključnega pomena je, da pacienti ali njihovi svojci znajo pravilno skrbeti za kateter, saj je zanj značilno, da lahko z nepravilnim rokovanjem vodi do številnih zapletov. Namen diplomskega dela je opisati pravilno zdravstveno nego pacienta s suprapubičnim katetrom.
Raziskovalne metodologije in metode: Uporabili smo kvalitativno metodo raziskovanja. Izvedli smo študijo primera, za katero smo uporabili delno strukturiran intervju v katerega je bil vključen samo en pacient. Uporabili smo deskriptivno, metodo dela.
Rezultati: Rezultati so pokazali, da je naš pacient tetraplegik, ter potrebuje pomoč pri vseh življenjskih aktivnostih. S študijo primera pacienta s vstavljenim suprapubičnim katetrom smo postavili naslednje negovalne diagnoze: Urin, popolna inkontinenca; koža, nevarnost za poškodovanje kože, nevarnost za spremembo kože; samonega, zmanjšana zmožnost za samostojno osebno higieno 3. stopnje; nevarnost infekcije (PNS, suprapubični kateter); Strah ( pred urološkimi zapleti in strah pred odpovedjo ledvic, oziroma dializo). Pri pacientu smo ugotovili, da ima s strani osebnega zdravnika predpisane redne obiske patronažne medicinske sestre, ki skrbi za pravilno uporabo suprapubičnega katetra.
Diskusija in zaključek: Vstavljen suprapubični kateter ima pri pacientu vpliv na vse življenjske aktivnosti, ter posledično tudi na kvaliteto življenja. Ker gre v zaključnem delu za pacienta tetraplegika imajo tukaj pomembno vlogo svojci in medicinska sestra, ki mu pomagajo pri negi, ter psihofizičnem zdravju.
Keywords
cistostoma;drenaža urina;medicinske sestre;sečila;kateterizacija;zdravstveno vzgojno delo;
Data
Language: |
Slovenian |
Year of publishing: |
2019 |
Typology: |
2.11 - Undergraduate Thesis |
Organization: |
UM FZV - Faculty of Health Sciences |
Publisher: |
[M. Jug] |
UDC: |
616.6(043.2) |
COBISS: |
2479268
|
Views: |
1378 |
Downloads: |
217 |
Average score: |
0 (0 votes) |
Metadata: |
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Other data
Secondary language: |
English |
Secondary title: |
Nursing care of patients with a suprapubic catheter |
Secondary abstract: |
Introduction: Suprapubic catheter is a method of urine discharge for which physicians decide when a patient has trouble with independent urination. It is important that the patients and/or their relatives know how to handle the catheter properly otherwise it might lead to several complications. The purpose of this research is to describe an adequate health care of a patient with a suprapubic catheter.
Methods: We have used the qualitative method of research. We carried out a case study for which we used partly structured interview in which one patient was included. We have used the descriptive method.
Results: Results have shown that the patient was a tetraplegic who needs help with all of the everyday activities. Through the case study of a patient with inserted suprapubic catheter we have identified several nursing diagnoses: Total urinary incontinence; risk for impaired skin integrity; total selfcare deficit (3rd degree); risk for an infection (suprapubic catheter); fear (of urological complications, kidney failure and dialysis). We have discovered that the patients personal physician has deployed a community nurse whose task is to take care of a patients suprapubic catheter in his/hers home environment.
Discussion: Suprapubic catheter has an important impact on a patients everyday activities and consequently on his/hers quality of life. The case study in this research was about a tetraplegic and we have come to a conclusion that the patients relatives and a community nurse have a big role in maintaining his/hers physical and mental health. |
Secondary keywords: |
cystostomy;urine drainage;nurse;urinary tract;catheterization;health education; |
URN: |
URN:SI:UM: |
Type (COBISS): |
Bachelor thesis/paper |
Thesis comment: |
Univ. v Mariboru, Fak. za zdravstvene vede |
Pages: |
37 str., 5 str. pril. |
ID: |
11008711 |