diplomsko delo
Lara Zekovič (Author), Robert Sotler (Reviewer), Aljoša Lapanja (Mentor)

Abstract

Uvod: Samomor je dejanje, kjer je človekovo agresivno vedenje usmerjeno proti samemu sebi z namenom, da si vzame življenje. Izvajalci zdravstvene nege se na področju psihiatrije pogosto srečujejo s samomorilnim vedenjem in ogroženostjo, toda delo s takimi pacienti ni omejeno zgolj na psihiatrične ustanove, ampak je pogosto prisotno že na terenu in v času urgentne obravnave. Ker so posledice samomorilnega vedenja lahko velikokrat usodne, je zato potrebna čim hitrejša pomoč še posebej s strani osebja, ki na kraj nesreče pride prvo in sodeluje v urgentni obravnavi. Namen: Namen diplomskega dela je bil s pomočjo treh raziskovalnih vprašanj predstaviti urgentno obravnavo pacienta s samomorilno ogroženostjo na vseh ravneh zdravstvenega varstva ter opredelitev najpomembnejših aktivnosti zdravstvene nege pri tem. Metode dela: Za diplomsko delo smo uporabili deskriptivno raziskovalno metodo. Iskanje domače in tuje literature je potekalo po iskalnih bazah (Medline, PubMed in Cinahl), dostopali pa smo prek spletnega portala Digitalna knjižnica Univerze v Ljubljani ter prek bibliografskega sistema COBISS.SI. Iskanje je potekalo od januarja 2022 do avgusta 2022. Vključitveni kriteriji so bili: prosta dostopnost za člane Univerze v Ljubljani, starost člankov je bila omejena na 15 let, izvirni in pregledni znanstveni ter strokovni članki so bili v angleškem ali slovenskem jeziku, veljati pa je morala tudi ustreznost ključnih besed ter vsebinska povezanost naslova in izvlečka z namenom in cilji diplomske naloge. Rezultati: Dobra oskrba v urgentni zdravstveni obravnavi ne pomeni le trenutno ugodje in reševanje življenja, ampak tudi zmanjšanje tveganja za ponovni poskus samomora ali samopoškodovanja, pridobivanje zaupanja in s tem lažjo možnost nadaljnjega zdravljenja in doseganje cilja. Poleg hitrega ukrepanja in zagotavljanja varnosti je potrebna celostna oskrba, h kateri prištevamo tudi ustrezno komunikacijo, individualno obravnavo in pridobivanje zaupanja, ki pripomore k boljši nadaljnji obravnavi v psihiatričnih ustanovah. Razprava in zaključek: V bolnišnicah sta pomoč in ustrezna oskrba pacientov s samomorilnim vedenjem lažja, s takim vedenjem pa se soočajo tudi izvajalci zdravstvene nege v urgentni obravnavi. Ugotovljeno je bilo, da je zaradi hitre oskrbe oskrba tudi površinska, zato se ne posveča veliko pozornosti psihičnem stanju osebe in se to prepusti psihiatričnim bolnicam. Znanje izvajalcev zdravstvene nege je na tem področju skromnejše in so tako potrebni dodatna izobraževanja in znanja za prepoznavanje samomorilnega vedenja, za učinkovito preprečevanje samomorov in za delo s samomorilno ogroženimi pacienti.

Keywords

diplomska dela;zdravstvena nega;duševno zdravje;samomori;aktivnosti zdravstvene nege;prvi pristop;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [L. Zekovič]
UDC: 616-083
COBISS: 122904835 Link will open in a new window
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Downloads: 6
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Other data

Secondary language: English
Secondary title: Emergency health treatment of a patient with suicidal risk
Secondary abstract: Introduction: Suicide is an act where a person's aggressive behavior is directed against themselves, with the intention of ending life. It is a complex phenomenon and the most important risk factor in the general population. Treatment of a suicidal patient is a challenging task in practice. Nurses in the field of psychiatry often encounter suicidal behavior and threats, but work with such patients is not limited to psychiatric institutions, but is often present already in the field and during emergency treatment. Since the consequences of suicidal behavior can often be fatal, help is needed as quickly as possible, especially from the people who arrive first at the end of the accident and participate in emergency treatment Purpose: The purpose of the thesis was to present the emergency treatment of a patient with suicidal risk at all levels of health care and to define the most important nursing activities in this regard, with the help of three research questions. Methods: We used a descriptive research method for the thesis. The search for domestic and foreign literature was carried out using search databases (Medline, PubMed and Cinahl), and was accessed through the online portal Digital Library of the University of Ljubljana and through the bibliographic system COBISS.Si. The search took place from January 2022 to August 2022. The inclusion criteria required: free access for members of the University of Ljubljana, the age of articles was limited to 15 years, original and transparent scientific and professional articles were in English or Slovenian, and valid the relevance of key words and the content of the title and abstract with the aim and objectives of the diploma thesis were also a must. Results: Good care in emergency medical treatment means not only immediate comfort and saving life, but also a reduction in the risk of repeated attempts at suicide or self-harm, gaining trust and thus an easier possibility of further treatment and achieving the goal. In addition to quick action and ensuring safety, comprehensive care is necessary, which also includes adequate communication, individual treatment and gaining trust, which helps to improve further treatment in psychiatric institutions. Discussion and conclusion: Suicidal behavior is presented as a major public health problem and can be fatal to human life as well as its surroundings. In hospitals, it is easier to help and provide adequate care for patients with suicidal behavior, and emergency care providers also face such behavior. It was found that because of the quick care, it is also superficial and thus not much attention is paid to the psychological state of the person and it is left to psychiatric patients. The knowledge of nursing providers is more modest in this area, and thus additional teaching, additional knowledge is needed to recognize suicidal behavior, to effectively prevent suicides and to work with patients at risk of suicide.
Secondary keywords: diploma theses;nursing care;mental health;suicides;nursing activities;first approach;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Pages: 30 str.
ID: 16569111