Informiranost pacientov pred načrtovano ezofagogastroduodenoskopijo in vloga medicinske sestre : diplomsko delo

Žižek, Urška (author), Ravljen, Mirjam (mentor), Petek, Davorina (co-mentor)

Uvod: Ezofagogastroduodenoskopijo je endoskopski pregled, ki omogoča natančen pregled požiralnika, želodca in dvanajstnika. Medicinske sestre imajo kot članice tima v endoskopski ambulanti pomembno vlogo. So tiste, ki se morajo osredotočiti na pacienta in njegovo počutje. Veliko pacientov se boji, ker ne vedo, kaj pričakovati, ali imajo napačne informacije. Medicinske sestre informirajo pacienta o preiskavi in njenem poteku. S tem poskušajo zmanjšati nelagodje, zaskrbljenost in strah pacienta. S pripravo in podporo želijo doseči, da jim pacient zaupa in zato bolje sodeluje. Od dobre priprave je v veliki meri odvisna uspešnost preiskave Namen: Namen diplomskega dela je proučiti način in stopnjo informiranosti pacienta pred načrtovano endoskopsko preiskavo, pomen morebitnih osebnih in zunanjih dejavnikov pri pripravi na poseg in izvedbi le-tega ter ob tem oceniti vlogo medicinske sestre. Metode dela: Raziskovalne probleme smo oblikovali na podlagi pregleda literature. Za doseganje ciljev raziskave in odgovore na raziskovalna vprašanja smo uporabili opazovalno, presečno raziskavo z uporabo anketnega vprašalnika. Rezultati: V raziskavi je sodelovalo 127 pacientov, ki so se z ezofagogastroduodenoskopijo prvič srečali. Pacienti so ocenili, da so bili o preiskavi dobro informirani. Največ informacij so dobili iz podanih pisnih navodil. Pacientom je najpomembnejše, da jim medicinske sestre pomagajo sodelovati med preiskavo. Več kot polovico pacientov je strah preiskave, najpogostejši razlog je strah pred izvidom. Statistično pomembnih povezav med demografskimi značilnostmi pacienta (spol, starost, izobrazba) in pacientovim poznavanjem preiskave oziroma načinov pridobivanja informacij, nismo ugotovili. Prav tako nismo našli povezav med strahom pred preiskavo in stopnjo informiranosti. Potrdili smo, da bolj izobraženi pacienti v primerjavi z manj izobraženimi, pogosteje iščejo informacije preko spletnih strani, preko znancev ali sorodnikov. Razprava in sklep: Da bi paciente o preiskavi čim bolj podučili in jih nanjo pripravili, je zaželeno, da opis in soglasje na preiskavo pošljemo pacientom na dom. Tako v ustanovo pridejo zgolj z dodatnimi vprašanji. Na podlagi odgovorov na ta vprašanja, naj bi bil pacient dovolj dobro poučen, da lahko pred preiskavo poda informiran pristanek. Kljub temu da je administrativno in pripravljalno delo medicinskih sester pomembno, ostaja stik s pacientom in pomoč pacientu, ne le najpomembnejši, ampak tudi najprijetnejši del njenih opravil.

• Language: Slovenian
• Keywords: informiranost pacienta, gastroskopija, navodila, vloga medicinske sestre in pričakovanja
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2018
• PID: 20.500.12556/RUL-101200
• COBISS.SI-ID: 5431403
• Publication date in RUL: 11.05.2018

Secondary language

• Language: English
• Title: Informing patients of the planned esophagogastroduodenoscopy and the role of a nurse : diploma work

Abstract

Introduction: Esophagogastroduodenoscopy (or gastroscopy) is an endoscopic procedure, which enables a thorough examination of the oesophagus, stomach and duodenum. Nurses, as members of the team, has an important role in an endoscopy suite. They are the one who cares for the patient and his well-being. Most of the patients are afraid, because they don’t know what to expect or they got the wrong information. The nurses professionally inform the patient about the procedure and its course. With this they try to calm the patient, reducing his fear and uneasiness. With patient preparation and support we try to gain the patient’s trust, which makes them more cooperative. The success of the procedure closely depends on the preparations. Purpose: The purpose of the thesis is to examine the patient’s manner and degree of information before the endoscopic procedure, the importance of possible external and internal factors when preparing for a procedure and during it, and to evaluate the nurse’s role in the procedure itself. Results: 127 patients participated in the research. This was their first encounter with Esophagogastroduodenoscopy. They evaluated, that the given information about the procedure was good and adequate. They got most of the information from our written instructions. To patients it is important that the nurse helps them during the procedure. More than half of the patients fear the procedure, mostly because of the results. Statistically significant links between the patient’s characteristics and between his knowledge about the procedure or the manner of obtaining information were not found. Links between the patient’s fear before the procedure and the knowledge about it have not been found. We confirmed that patients with a higher education often do their own research, compared to those with a lower one. Discussion and conclusion: When informing the patients about the procedure and preparing them for it, it is desirable to send the description of the procedure and the agreement to their homes. This way, when visiting the establishment, they only ask additional questions. On the basis of these questions the patient should be informed enough to give consent to the procedure. Although the prepared and administrative work of a nurse is important, there is nothing more important than her contact with patients and her assistance, which are also the most pleasant tasks.

• Keywords: patient information, gastroscopy, instructions, role of a nurse, expectations