20.500.12556/RUL-174803 Hranjenje pacienta po gastrostomi diplomsko delo Feeding the patient via gastrostomy diploma work Uvod: Gastrostoma je kirurško ustvarjen dostop do želodca, ki omogoča dolgotrajno enteralno prehrano pri pacientih, ki ne morejo uživati hrane po naravni poti, a imajo ohranjen prebavni trakt. Medicinska sestra sodeluje pri celostni obravnavi pacienta – od izvajanja hranjenja, spremljanja tolerance ter prepoznavanja in ukrepanja ob zapletih, zagotavljanja ustrezne higiene in ravnanja s pripomočki do zdravstvenovzgojnega dela s pacientom in njegovimi bližnjimi. Namen: Namen diplomskega dela je predstaviti naloge medicinske sestre pri hranjenju pacienta po gastrostomi ter izpostaviti najpogostejše izzive v klinični praksi. Metode dela: Uporabljena je bila deskriptivna metoda s pregledom strokovne in znanstvene literature, objavljene med letoma 2012 in 2025, iskane v podatkovnih bazah PubMed, COBISS.SI in Google Scholar. V končno analizo je bilo vključenih 13 člankov, ki so ustrezali vsebinskim in metodološkim kriterijem. Rezultati: Medicinska sestra ima osrednjo vlogo pri pripravi pacienta, izvajanju hranjenja, negi izstopnega mesta, aplikaciji zdravil, prepoznavanju zapletov ter edukaciji pacienta in svojcev. Izzivi vključujejo pomanjkanje enotnih smernic, omejene možnosti za dodatno izobraževanje ter organizacijske težave ob prehodu pacienta v domače okolje. Razprava in zaključek: Poudarjena je potreba po timskem pristopu, standardiziranih postopkih ter kontinuiranem strokovnem izobraževanju. Psihosocialni dejavniki in individualiziran pristop pomembno vplivajo na uspešnost zdravljenja. Naloge in odgovornosti medicinske sestre pri hranjenju po gastrostomi so kompleksne ter zahtevajo strokovno znanje, komunikacijske spretnosti in sistemsko podporo. Za izboljšanje kakovosti oskrbe so ključni razvoj protokolov, večje vključevanje medicinskih sester v timsko načrtovanje ter krepitev izobraževalnih vsebin. Introduction: A gastrostomy is a surgically created access to the stomach that enables long-term enteral nutrition in patients who are unable to ingest food orally but have a functioning gastrointestinal tract. The nurse plays a key role throughout the care process, including the technical execution of feeding, patient and caregiver education, monitoring of feeding tolerance and the management of complications, as well as ensuring proper hygiene and handling of feeding equipment. Purpose: The purpose of this thesis is to explore and present the nurse’s responsibilities in feeding via gastrostomy and to highlight the most common challenges in clinical practice. Methods: A descriptive method was used, supported by a systematic review of professional and scientific literature published between 2012 and 2025 searched in scientific databases PubMed, COBISS.SI in Google Scholar. A total of 13 articles were included in the final analysis, based on content relevance and methodological criteria. Results: Nurses play a central role in patient preparation, feeding implementation, stoma care, medication administration, complication recognition, and education. Challenges include a lack of standardized guidelines, limited educational resources, and organizational difficulties during the transition to home care. Discussion: The findings emphasize the need for interdisciplinary teamwork, standardized procedures, and continuous education. Psychosocial support and an individualized approach significantly influence therapy outcomes. Conclusion: The nurse’s responsibilities in gastrostomy feeding are complex and require professional knowledge, communication skills, and systemic support. Improving the quality of care depends on developing clinical protocols, enhanci diplomska dela zdravstvena nega gastrostoma medicinske sestre enteralna prehrana hranjenje diploma theses nursing care gastrostomy nurses enteral nutrition feeding true false false [E. Dent] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-10-10 07:45:55 2025-10-10 07:46:01 2025-11-29 03:51:14 0000-00-00 00:00:00 2025 0 Ljubljana 0 Ljubljana 29 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083 153148 252628483 55009.pdf 55009.pdf 1 B33927F31FF67F63ECA94F7C840E892F a7e667e21357f0844f7d33a24cde1e7a00c71aef15749e53455f6184c919fa3b 2b2c87e0-a59c-11f0-9328-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=219693 Zdravstvena fakulteta 0 0 0