diplomsko delo
Lana Klemenčič (Avtor), Tina Kavčič (Recenzent), Aljoša Lapanja (Mentor)

Povzetek

Uvod: Depresija in tesnobnost sta najpogosteje opaženi duševni motnji v ambulantah osnovnega zdravstvenega varstva. Depresija je bolezen, pri kateri je porušeno ravnovesje v delovanju nekaterih kemičnih prenašalcev v delu možganov, ki skrbi za razpoloženje. Prizadene lahko vsakogar. Anksiozna motnja posameznika ovira pri vsakodnevnih dejavnostih in je ne more nadzorovati. Ketamin uvrščamo med opioide, tako njegova uporaba predstavlja nekaj groženj. Že več kot pol stoletja se uporablja v medicini ter veterini kot sredstvo za hitro in vzdrževano stanje globoke anestezije. Ketamin ima kompleksen in ne povsem jasen mehanizem delovanja. Namen: Želeli smo ugotoviti, zakaj se ketamin uporablja za zdravljenje anksioznosti ter depresije, kako deluje na paciente s temi duševnimi motnjami, kakšne so njegove prednosti in slabosti ter negativni učinki. Zanimalo nas je, kakšne so dejavnosti zdravstvene nege pri zdravljenju pacientov z depresijo in anksioznostjo, kako zdravstveni delavci ravnajo s ketaminom in na kaj so pozorni pri aplikaciji. Metode dela: Uporabili smo deskriptivno metodo dela s pregledom znanstvene literature, ki smo jo poiskali z oddaljenim dostopom do digitalne knjižnice, v mednarodnih podatkovnih bazah, kot so PubMed, WHO, Cochrane Library ter Medline. Ključne besedne zveze so bile nursing interventions, depression, anxiety, mental health, ketamine in nurses. Literatura je bila v slovenskem in angleškem jeziku, časovno omejena na starost do dvajset let. Obdelani so bili prosto dostopni izvirni in pregledni znanstveni članki s celotnim besedilom. Rezultati: Ketamin deluje bistveno hitreje kot drugi antidepresivi, in sicer že v nekaj urah. Že en manjši odmerek ima zelo ugodne ter dolgotrajne učinke pri zdravljenju resne oblike depresivne motnje. Študije so pokazale, da ketamin hitro razbremeni tesnobo in samomorilne ideje. Razprava in zaključek: Zdravljenje s ketaminom ni cenovno ugodno, zato se ga v Sloveniji na tem področju še ne uporablja. Ketamin še naprej vzbuja zanimanje kot možno zdravilo za depresijo. V tujini se terapije s ketaminom poslužujejo v veliki meri. Raziskave o koristih ketamina za zdravljenje depresije ostajajo relativno nove. Vloga medicinske sestre je ključna, saj skrbi za celovito oskrbo pacientov z depresijo in anksioznostjo, nudi čustveno podporo, se nenehno izobražuje ter zagotavlja varno in učinkovito pomoč ter oskrbo z zdravili. Strokovnjaki poudarjajo, da je treba nadaljevati raziskovanje.

Ključne besede

diplomska dela;zdravstvena nega;anksioznost;ketamin;depresija;medicinske sestre;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.11 - Diplomsko delo
Organizacija: UL ZF - Zdravstvena fakulteta
Založnik: [L. Klemenčič]
UDK: 616-083
COBISS: 162933763 Povezava se bo odprla v novem oknu
Št. ogledov: 56
Št. prenosov: 12
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: Use of ketamine in the health treatment of patients with depression and anxiety
Sekundarni povzetek: Introduction: Depression and anxiety are the most frequently observed mental disorders in primary health care clinics. Depression is a disease in which the balance in the functioning of certain chemical messengers in the part of the brain that takes care of mood is disturbed. It can affect anyone. An anxiety disorder interferes with the individual's daily activities and cannot be controlled. Ketamine is classified as an opioid, so its use poses some threats. It has been used in medicine and veterinary medicine for more than half a century as a means for a quick and sustained state of deep anesthesia. Ketamine has a complex and not entirely clear mechanism of action. Purpose: We wanted to find out why ketamine is used to treat anxiety and depression, how effects patients with these mental disorder, what are its advantages, disadvantages and negative effects. We were interested in nursing activities during the treatment of patients with depression and anxiety, how healthcare professionals handle ketamine and what they pay attention to when applying it. Work methods: We used a descriptive work method with a review of the scientific literature, which we searched with remote access to the digital library, in international databases such as PubMed, WHO, Cochrane Library and Medline. Key phrases were nursing interventions, depression, anxiety, mental health, ketamine, and nurses. The literature was in Slovenian and English, time-limited to the age of twenty. Freely available original and review full-text scientific articles were analyzed. Results: Ketamine works significantly faster than other antidepressants, within a few hours. Even one small dose has very favorable and long-lasting effects in the treatment of a serious form of depressive disorder. Studies have shown that ketamine rapidly relieves anxiety and suicidal ideation. Discussion and conclusion: Treatment with ketamine is not affordable, so it is not yet used for treating depressive and anxiety disorders in Slovenia. Ketamine continues to attract interest as a possible treatment for depression. Ketamine therapy is widely used abroad. Research on the benefits of ketamine for treating depression remains relatively new. The role of nurses is crucial, as they oversee the comprehensive care of patients with depression and anxiety, provide emotional support, receive continuous education, and provide safe and effective assistance and medication. Experts emphasize the need to continued research.
Sekundarne ključne besede: diploma theses;nursing care;anxiety;ketamine;depression;nurses;
Vrsta dela (COBISS): Diplomsko delo/naloga
Študijski program: 0
Komentar na gradivo: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Strani: 27 str.
ID: 19876329