diplomsko delo
Mihela Mlinar (Avtor), Aljoša Lapanja (Recenzent), Robert Sotler (Mentor), Viki Kotar (Komentor)

Povzetek

Uvod: Bolečina je najpogosteje zabeležen simptom, ki je zaznan pri pacientih. Anksioznost in depresija pa sta najpogostejši duševni motnji zabeleženi v ambulanti družinske medicine. Anksiozna in depresivna motnja se najpogosteje pojavljata skupaj z bolečino, prav tako pa se namesto ustreznega zdravljenja najpogosteje predpiše analgetične opioide. Namen: Namen diplomskega dela je predstaviti, kako se kaže psihosomatska bolečina pri pacientih z anksiozno depresivnimi motnjami in predstaviti pomen ohranjanja in krepitve duševnega zdravja. Metode dela: V diplomskem delu smo uporabili deskriptivno metodo dela. Uporabili smo pregled slovenske in tuje literature. Iskanje je potekalo v podatkovnih zbirkah spletnega portala Digitalne knjižnice Univerze v Ljubljani in podatkovnih zbirkah COBISS, PubMed, MedLine, ScienceDirect, Web of Science, CINAHL in Cochrane Library. V analizo je vključena literatura od leta 2013 naprej, zaradi relevantnosti, pa je lahko uporabljena tudi starejša literatura. Iskanje literature je potekalo od januarja do julija 2021. Rezultati: Anksiozno depresivne motnje so povezane s kroničnimi bolečinami, prav tako so kronične bolečine povezane z anksiozno depresivnimi motnjami. Zaradi depresije in anksioznosti pacienti trpijo večjo intenziteto bolečine in obratno, se zaradi bolečine pričakuje večji razvoj anksiozno depresivnih motenj. Dejavniki, ki vplivajo na bolečino so raznovrstni. V grobem so to raznorazni stresni dogodki v otroštvu, kakovost spanja, genetika in vpliv okolja na pacienta. Dejavniki so med seboj tesno povezani, zato lahko en dejavnik poruši vse ostale ali obratno, en dejavnik izboljša ostale. Kognitivni dejavnik je zelo pomemben dejavnik, ki pripomore k obvladovanju in sprejemanju bolečine. Tu mu lahko zelo pomaga religija in bližnja skupnost, saj se tako pacient lažje sprijazni z boleznijo. Pacienti pogosto trpijo za kroničnimi bolečinami, vendar se v ozadju skriva razvoj anksiozno depresivne motnje, ki to povzroča. Tako je velikokrat pacientom predpisan analgetični opioid, namesto ostalih oblik zdravljenja. Razprava in zaključek: Pomembna je celostna obravnava pacientov upoštevajoč biološke, psihološke, socialne in etično-duhovne dejavnike, ki vplivajo na izkušnjo bolečine. Večjo moč je potrebno dati preventivnim dejavnostim in osveščanju splošne populacije o duševnem zdravju in kronični bolečini, ki je posledica duševnega ravnovesja in obratno.

Ključne besede

diplomska dela;zdravstvena nega;kronična bolečina;anksiozno depresivne motnje;duševno zdravje;dejavniki kronične bolečine;promocija zdravja;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.11 - Diplomsko delo
Organizacija: UL ZF - Zdravstvena fakulteta
Založnik: [M. Mlinar]
UDK: 616-083
COBISS: 73240067 Povezava se bo odprla v novem oknu
Št. ogledov: 519
Št. prenosov: 105
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: Management of psychosomatic pain in patients with anxiety and depressive disorders
Sekundarni povzetek: Introduction: Pain is the most common symptom reported by patients, and anxiety and depression are also the most common mental disorders reported in family medicine outpatient clinics. Anxiety and depressive disorders are most commonly co-occurring with pain and analgesic opioids are most commonly prescribed instead of appropriate treatment. Purpose: Purpose of this thesis is to present how psychosomatic pain manifests itself in patients with anxiety and depressive disorders and the importance of maintaining and enhancing mental health. Methods: We used a review of Slovenian and foreign literature. The search was conducted in the databases of the University of Ljubljana Digital Library Web Portal and in the databases COBISS, PubMed, MedLine, ScienceDirect, Web of Science, CINAHL and Cochrane Library. The age of the literature included in the analysis is from 2013 onwards. Searching for suitable literature lasted from January to July 2021. Results: Anxiety-depressive disorders are associated with chronic pain, and chronic pain is also associated with anxiety-depressive disorders. Depression and anxiety are associated with higher pain intensity and conversely, pain is expected to lead to a greater development of anxiety-depressive disorders. The factors influencing pain are manifold. Roughly speaking, these include various stressful events in childhood, sleep quality, genetics and the impact of the environment on the patient. These factors are closely interrelated, so one factor can defeat all the others or, conversely, one factor can improve all the others. The cognitive factor is a very important factor that contributes to pain management and acceptance. Religion and the close community can be of great help here, as this is how he can see his condition and accept it. Patients often suffer from chronic pain, but underlying this is the development of an anxiety-depressive disorder. Thus, patients are often prescribed an analgesic opioid instead of appropriate treatment. Discussion and conclusion: It is important to treat patients holistically, taking into account the biological, psychological, social and ethical-spiritual factors that influence the experience of pain. More emphasis should be placed on preventive activities and raising awareness in the general population about mental health and chronic pain, which is a consequence of mental balance and vice versa.
Sekundarne ključne besede: diploma theses;nursing care;chronic pain;anxiety-depressive disorders;mental health;determinants of chronic pain;health promotion;
Vrsta dela (COBISS): Diplomsko delo/naloga
Študijski program: 0
Konec prepovedi (OpenAIRE): 1970-01-01
Komentar na gradivo: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Strani: 45 str.
ID: 13184847