magistrsko delo
Žiga Rosenstein (Avtor), Ruža Pandel Mikuš (Recenzent), Borut Škodlar (Mentor), Andreja Mihelič Zajec (Komentor), Matejka Babič (Komentor)

Povzetek

Uvod: Klasifikacija negovalnih diagnoz NANDA-I je najbolj raziskan in najpogosteje uporabljen standardiziran jezik na mednarodni ravni. Ima zmožnost predstaviti širok nabor znanja zdravstvene nege kot tudi specifična področja, med katera sodi zdravstvena nega pacienta z duševno motnjo. Namen: Ugotoviti, katere so najpogosteje uporabljene negovalne diagnoze NANDA-I v UPK Ljubljana. Raziskati, ali obstajajo povezave med negovalnimi diagnozami NANDA-I in domenami, spolom, starostjo pacienta, medicinsko diagnozo (MKB-10) ali enoto, v kateri je pacient obravnavan. Metode dela: Uporabljena je bila deskriptivna raziskovalna metoda. Strategija raziskave je bila presečna raziskava. Podatki so bili zajeti z anketnim vprašalnikom in namenskim naborom podatkov iz pacientove zdravstvene dokumentacije. Podatki so bili obdelani na nivoju deskriptivne statistike, s pomočjo Hi-kvadrat testa smo iskali razlike med spremenljivkami. Rezultati: Pri 167 pacientih smo pridobili 484 negovalnih diagnoz NANDA-I, ki predstavljajo 84 različnih diagnoz iz nabora klasifikacije NANDA-I. Najpogostejše negovalne diagnoze so bile: Motena osebna identiteta, Tesnoba in Neučinkovito spopadanje s situacijo. Najpogosteje so bile negovalne diagnoze razvrščene v domeni Obvladovanje/toleranca na stres. Pri moških so bile statistično značilne pogostejše negovalne diagnoze Neučinkovito načrtovanje aktivnosti, Nagnjenost k tveganemu vedenju za zdravje in Pripravljenost za doseganje višje ravni obvladovanja zdravja, pri ženskah pa Sindrom krhkosti starostnika. Mlajši pacienti so imeli najpogosteje postavljeno negovalno diagnozo Neučinkovito spopadanje s situacijo in Samopoškodovanje, starejši pacienti pa Nevarnost za padec in Sindrom krhkosti starostnika. Pri pacientih, ki so bili kategorizirani v I. kategorijo zdravstvene nege, sta bili najpogostejši negovalni diagnozi Tesnoba in Neučinkovito spopadanje s situacijo, pri pacientih v IV. kategoriji pa Nevarnost za nasilje nad seboj in Nevarnost za nasilje nad drugimi. Najpogostejše negovalne diagnoze v primerjavi z MKB-10 so bile: Organske, vključno simptomatske, duševne motnje: Nevarnost za padec; Duševne in vedenjske motnje zaradi uživanja psihoaktivnih snovi: Neučinkovito obvladovanje impulzov; Shizofrenija, shizotipske in blodnjave motnje: Motena osebna identiteta. Razprava in zaključek: Pri pacientih, ki so v bolnišnični obravnavi zaradi duševnih motenj, je opazno povezovanje negovalnih diagnoz NANDA-I z značilnostmi pacienta. Pacienti, ki so bili obravnavani v UPK Ljubljana, so imeli večinoma hkrati izpostavljene tri negovalne diagnoze. Ugotovljeno je bilo, da prihaja do statistično značilnih razlik med spoloma. Vsi zapisi negovalnih diagnoz v pacientovi dokumentaciji so bili skladni s klasifikacijo NANDA-I. Na podlagi izsledkov raziskave ugotavljamo, da zaposleni na področju zdravstvene nege v UPK Ljubljana prepoznavajo dobrobit uporabe mednarodno uveljavljene klasifikacije. Želijo si pridobiti nova znanja s področja negovalnih diagnoz in le-to povezujejo z izboljšanjem kakovosti zapisov v dokumentaciji zdravstvene nege.

Ključne besede

magistrska dela;zdravstvena nega;standardiziran jezik;negovalne diagnoze;NANDA-I;proces zdravstvene nege;psihiatrija;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.09 - Magistrsko delo
Organizacija: UL ZF - Zdravstvena fakulteta
Založnik: [Ž. Rosenstein]
UDK: 616-083
COBISS: 90785795 Povezava se bo odprla v novem oknu
Št. ogledov: 561
Št. prenosov: 151
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: Nursing diagnoses of NANDA-I in hospital treatment of patients with mental disorders
Sekundarni povzetek: Introduction: The classification of NANDA-I nursing diagnoses is the most researched and most commonly used standardized language internationally. It has the ability to present a detailed knowledge of nursing as well as specific areas, including the nursing of a patient with a mental disorder. Purpose: To find out which are the most frequently used NANDA-I nursing diagnoses at University Psychiatric Clinic Ljubljana. Investigate whether there are links between NANDA-I nursing diagnoses and domains, gender, patient age, medical diagnosis (ICD-10), or the unit in which the patient is being treated. Methods: A descriptive research method was used. The research strategy was cross-sectional survey. Data were obtained with a questionnaire and a dedicated data set from the patient’s medical records. The data were processed at the level of descriptive statistics, and we used the Chi-square test to find the differences between the variables. Results: In 167 patients, we obtained 484 NANDA-I nursing diagnoses, representing 84 different diagnoses from the NANDA-I classification. The most common nursing diagnoses were: Disturbed personal identity, Anxiety, and Ineffective coping with the situation. Most commonly, nursing diagnoses were classified in the domain of Coping/Stress Tolerance. In men, statistically more frequent nursing diagnoses were Ineffective activity planning, Risk-prone health behaviour, and Readiness for enhanced health management, and in women, Risk for frail elderly syndrome. Younger patients had the most commonly diagnosed nursing diagnosis of Ineffective coping and Self-mutilation, while older patients were diagnosed with Risk for falls and Risk for frail elderly syndrome. In patients who were categorized into Category I of nursing, the most common nursing diagnoses were Anxiety and Ineffective coping, and in patients in Category IV, the most common were Risk for self-directed violence and Risk for other-directed violence. The most common nursing diagnoses compared to ICD-10 were: Organic, including symptomatic, mental disorders: Risk for falls; Mental and behavioural disorders due to psychoactive substance use: Ineffective impulse control; Schizophrenia, schizotypal and delusional disorders: Disturbed personal identity. Discussion and conclusion: In patients undergoing hospital treatment for mental disorders, the association of NANDA-I nursing diagnoses with patient characteristics is noticeable. The patients treated at UPC Ljubljana mainly had three nursing diagnoses at the same time. Statistically significant gender differences were found. All records of nursing diagnoses in patient documentation were in accordance with the NANDA-I classification. Based on the results of the research, we find that employees in the field of nursing at UPC Ljubljana recognise the benefits of using an internationally established classification. They wish to acquire new knowledge in the field of nursing diagnoses and link it to improving the quality of records in nursing documentation.
Sekundarne ključne besede: master's theses;nursing care;standardized language;nursing diagnoses;NANDA-I;nursing process;psychiatry;
Vrsta dela (COBISS): Magistrsko delo/naloga
Študijski program: 0
Komentar na gradivo: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Strani: 70 str., [2] str. pril.
ID: 14138092