Uporaba zdravil v zadnjem tednu življenja

(magistrsko delo)

Nadja Lubajnšek (Author), Iztok Takač (Mentor), Vida Gönc (Co-mentor)

Abstract

Uvod: Na Oddelku za ginekološko onkologijo in onkologijo dojk UKC Maribor se dnevno srečujemo s pacientkami v paliativni oskrbi (PO). Mnogo pacientk še vedno ostane v akutni obravnavi, izvajajo se agresivni diagnostični postopki, analgetična terapija velikokrat ni urejena, aplicirajo se draga zdravila. Namen raziskave je bil ugotoviti, kakšne kakovostne PO so deležne naše pacientke. Raziskovalna metodologija: Raziskava je potekala retrogradno. Podatki so bili zbrani iz medicinske in negovalne dokumentacije pacientk, ki so v obdobju od januarja 2011 do decembra 2013 umrle na Oddelku za ginekološko onkologijo in onkologijo dojk UKC Maribor. Obdelani so bili s programom Microsoft Excel in statističnim programom IBM SPSS 20. V raziskavo je bilo vključenih 150 pacientk. Za analizo je bilo primernih le 85 primerov. Rezultati: Povprečna starost pacientk je bila 64,3 leta. Vključene so bile pacientke z rakom dojke, endometrija, jajčnikov, materničnega vratu, vulve in drugo. Najpogostejša pot vnosa zdravil je bila skozi usta in v podkožje, slabi polovici pa je bila aplicirana parenteralna infuzija v žilo. Kot ključna zdravila v PO so bili v ospredju opioidi, v skupini analgetikov so to bili močni opioidi, kamor spada morfin. Aplikacija kemoterapij je bila nizka, le dobre 4 %. Razlike v aplikaciji opioidov in analgetikov v letih 2012 in 2013 ter aplikaciji podkožne in intravenozne infuzije v letih 2011 in 2013 se niso izkazale kot statistično pomembne (p ˃ 0,05). Sklep: V raziskavi smo ugotovili, da so pacientke po načelih PO primerno prejemale zdravila skozi usta in v podkožje, uporaba morfina je bila na prvem mestu ključnih zdravil v PO, aplikacija kemoterapij je bila v zadnjem tednu nizka. Žal pa so pacientke bile prevečkrat izpostavljene odvzemom krvi in prejemanju zdravil v žilo.

Keywords

paliativna oskrba;paliativna medicina;onkološki pacient;zdravila;zdravstvena nega;

Data

Language:	Slovenian
Year of publishing:	2015
Typology:	2.09 - Master's Thesis
Organization:	UM - University of Maribor
Publisher:	[N. Lubajnšek]
UDC:	616-093.75(043.2)
COBISS:	2127524
Views:	1651
Downloads:	274
Average score:	0 (0 votes)
Metadata:

Other data

Secondary language:	English
Secondary title:	MEDICINES USE IN THE LAST WEEK OF LIFE
Secondary abstract:	Introduction: At the Department for gynaecological oncology and breast oncology of UKC Maribor we are daily facing female patients in palliative care (PC). Many patients still remain in acute treatment, aggressive diagnostic procedures are being carried out, analgesic therapy is often not regulated and expensive drugs are being administered. The purpose of the thesis was to find out the quality of PC of the discussed female patients. Research methodology: The research took place retrogradely. The data was collected from the medical and care documentation of patients, who died at the Department for gynaecological oncology and breast oncology of UKC Maribor during January 2011 and December 2013. The data was processed with the software Microsoft Excel and the statistical software IBM SPSS 20. The research sample consisted of 150 female patients, of which only 85 cases were suitable for further analysis. Results: The average age of female patients was 64.3 years. Included were female patients with breast cancer, endometrial, ovarian, cervical cancer, cancer of the vulva and others. The most common administration of drugs was oral and subcutaneous, and almost half of them received a parenteral infusion into the vain. The key-medications in PC were opioids; in the group of analgesics these were heavy opioids including morphine. The application of chemotherapy was low, only 4 %. Differences in the administration of opioids and analgesics in 2012 and 2013 and the administration of subcutaneous and intravenous infusions in 2011 and 2013 did not prove to be statistically important (p ˃ 0.05). Conclusion: In the research we found that patients were administered medication orally and subcutaneously according to the PC principles; morphine was on top of the key-medications in PC; the application of chemotherapy in the final week was low. However, patients were too often exposed to blood collection and intravascular administration of medication.
Secondary keywords:	palliative care;palliative medicine;oncology patient;medication;health care;
URN:	URN:SI:UM:
Type (COBISS):	Master's thesis/paper
Thesis comment:	Univ. v Mariboru, Fak. za zdravstvene vede
Pages:	VIII, 45 str., 2 str. pril.
ID:	8760971