diplomsko delo
Elvira Mešinović (Avtor), Andreja Mihelič Zajec (Recenzent), Bernarda Djekić (Mentor)

Povzetek

Uvod: Različne poškodbe in bolezenska stanja možganov v nekaterih primerih privedejo do kirurškega zdravljenja. Ob tem se lahko pojavijo nekateri pooperativni zapleti in težave, katere pacienti različno doživljajo. Pacienti zato potrebujejo individualno prilagojeno zdravstveno obravnavo s sodelovanjem vseh članov interdisciplinarnega tima, kamor je vključena tudi medicinska sestra. Namen: Namen diplomskega dela je bil predstaviti težave, s katerimi se srečujejo pacienti po operaciji glave v različnih obdobjih zdravljenja. Cilj diplomskega dela je bil pridobiti podatke o težavah po operaciji glave, ki so jih doživele v raziskavo vključene osebe ter raziskati njihove ocene vključenosti v zdravstveno obravnavo. Metode dela: Uporabljena je bila deskriptivna metoda dela s pregledom strokovne in znanstvene literature, ki je bila iskana v podatkovnih bazah PubMed, Medline, ScienceDirekt. S pridobljenim soglasjem Komisije Republike Slovenije za medicinsko etiko smo izvedli kvalitativno raziskavo, v katero je bilo vključenih 5 trenutno zdravih oseb, različnih starosti, ki so v preteklosti prestale različne nevrokirurške operacije glave. Pridobljeni podatki iz polstrukturiranih intervjujev so bili analizirani s pomočjo kvalitativne vsebinske analize z odprtim kodiranjem in oblikovanjem tem. Rezultati: Rezultati raziskave so pokazali da fizične in psihološke težave, ter omejitve v vsakdanjem življenju, ki so jih izpostavili udeleženci, v nekaterih primerih niso bile ustrezno obravnavane. V smislu fizičnih težavah so udeleženci izpostavili predvsem bolečino, težave z očmi, sluhom in čeljustjo ter vrtoglavico, motnje spanja in motnje zavesti. Najpogostejše psihološke težave so bile težave s spominom in koncentracijo, strah in zaskrbljenost. V obdobju po odpustu iz bolnišnice, sta jim veliko breme predstavljala odvisnost od drugih in slabše ekonomsko stanje. Udeleženci navajajo pomankanje informacij v različnih fazah zdravljenja. Kot pomembno ugotovitev so udeleženci poudarili neustrezen odnos nekaterih zdravstvenih delavcev, predvsem v smislu neustrezne komunikacije. Razprava in zaključek: Kakovostno zdravstveno obravnavo nevrokirurških pacientov lahko zagotovijo le dobro strokovno usposobljeni zdravstveni delavci z empatičnim odnosom, ki se zavedajo specifičnih potreb pacientov. Pomembna je kakovostna priprava pacienta na operacijo in kontinuirano spremljanje spreminjanja njegovih potreb. Z aktivnim vključevanjem pacienta in njegove družine ter drugih njemu pomembnih oseb se pojavljanje in raven doživljanja pooperativnih težav lahko pomembno zniža. S tako obravnavo lahko zdravstveni delavci bistveno vplivajo na pacientovo zdravstveno stanje, počutje in željen izid zdravljenja.

Ključne besede

diplomska dela;zdravstvena nega;nevrokirurgija;izkušnje pacientov;vključenost v zdravstveno obravnavo;komunikacija;kvalitativna analiza;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.11 - Diplomsko delo
Organizacija: UL ZF - Zdravstvena fakulteta
Založnik: [E. Mešinović]
UDK: 616-083
COBISS: 43647491 Povezava se bo odprla v novem oknu
Št. ogledov: 353
Št. prenosov: 74
Ocena: 0 (0 glasov)
Metapodatki: JSON JSON-RDF JSON-LD TURTLE N-TRIPLES XML RDFA MICRODATA DC-XML DC-RDF RDF

Ostali podatki

Sekundarni jezik: Angleški jezik
Sekundarni naslov: Postoperative difficulties in patients after brain surgery
Sekundarni povzetek: Introduction: Different injuries and medical conditions of the brain lead to surgical treatment in some cases. Besides, some postoperative complications and problems may occur. Patients experience them differently. Therefore, patients need their treatment tailored individually with the participation of all members of the interdisciplinary team, where a nurse is also included. Purpose: The purpose of diploma was to present the problems faced by patients after head surgery in different periods of treatment. The goal of diploma was to obtain data on the problems after head surgery experienced by the persons included in the research and to research their assessments of involvement in nursing care and medical treatment. Methods: The descriptive method of work with a review of professional and scientific literature was used. We searched for the latter in the databases PubMed, Medline, and ScienceDirect. In the empirical diploma we conducted a qualitative study with the consent of the National Medical Ethics Committee of the Republic of Slovenia. The study included five currently healthy people of different ages who had undergone various neurosurgical operations on the head in the past. The data obtained from semi-structured interviews were analysed through the qualitative content analysis with open coding and topic design. Results: The results of the research showed that the physical problems, psychological problems, and limitations in everyday life pointed out by the participants were not adequately addressed in some cases. In the case of the physical problems, participants pointed out pain, problems with the eyes, hearing, and jaw above all, as well as dizziness, sleep, and consciousness disorders. The most common psychological problems were problems with memory and concentration and fear and anxiety. In the period after the discharge from the hospital, their great burden was the dependence on others and worse economic situation. The participants report a lack of information in different stages of the treatment. As an important ascertainment, the participants emphasized an inappropriate attitude of health workers, especially in terms of inappropriate communication. Discussion and conclusion: Quality treatment of neurosurgical patients can only be provided by well-trained healthcare workers with an empathetic attitude who are aware of the specific needs of patients. Quality preparation of the patient for the surgery and continuous monitoring of changes in his needs are important. By active involvement of the patient and his family, as well as other important people, the occurrence and the level of experiencing postoperative problems can be reduced significantly. By such treatment, healthcare workers can influence the patient's health, well-being, and the desired treatment outcome significantly.
Sekundarne ključne besede: diploma theses;nursing care;neurosurgery;patientsʹ experiences;inclusion in health treatment;communication;qualitative analysis;
Vrsta dela (COBISS): Diplomsko delo/naloga
Študijski program: 0
Komentar na gradivo: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Strani: 33 str., [2] str. pril.
ID: 12345741