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Zdravstvena nega bolnika z ulkusom želodca : diplomsko delo
ID Koprivec, Polona (Author), ID Kvas, Andreja (Mentor) More about this mentor... This link opens in a new window

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Abstract
Uvod: Ulkus želodca je omejena rana sluznice želodca ali dvanajstnika, ki nastane zaradi razžiranja sluznice z želodčno kislino in prebavnimi sokovi. Vzroki nastanka ulkusa želodca so različni med najpomembnejše spadajo ljudje z okužbo Helicobacter pylori, bolnikih, ki se zdravijo z antikoagulantnimi in nesteroidnimi protivnetnimi zdravili, bolniki, ki imajo več pridruženih bolezni. Zato je pomembno, kako te bolnike vključiti v proces zdravstvene nege. Namen: Namen diplomskega dela je na osnovi pregleda literature predstaviti zdravstveno nego bolnika z ulkusom želodca in vlogo medicinske sestre. Metode dela: Uporabljena je bila deskriptivna metoda dela. Izveden je bil pregled strokovne in znanstvene literature v slovenskem in angleškem jeziku na področju zdravstvene nege bolnika z ulkusom želodca in vloge medicinske sestre. V analizo smo vključili literaturo iz obdobja od leta 2007 do leta 2018. Pridobili smo 1658 člankov, od tega smo jih za analizo uporabili 10. Rezultati: Medicinska sestra je oseba, ki je v bolnišnici največ časa ob bolniku. Spremlja bolnikovo zdravstveno stanje in je odgovorna za izvajanje zdravstvene nege. Ima zelo pomembno vlogo pri prepoznavanju negovalnih problemov in odpravo le-teh. Pri bolniku z ulkusom želodca je medicinska sestra osredotočena na negovalne probleme, kot so pomanjkljivo znanje in preprečevanje stresa, hkrati bolniku nudi tudi psihološko in strokovno oporo. Zato je pomembno, da medicinska sestra v procesu zdravstvene nege poskrbi za prilagojen prenos informacij in znanja, kar bolniku pomaga pri premagovanju strahov in dvomov. Bolnika nauči oziromaga spodbuja, da sam prepozna stres in ga zna tudi ustrezno preprečiti. Zdravstveno vzgojo pa izvaja načrtovano, individualno, s pomočjo video učnih programov in z različnimi pisnimi gradivi. Razprava in zaključek: Medicinska sestra z osveščanjem in učenjem, bolniku pomaga nadgraditi njegovo znanje. V procesu zdravstvene nege bolniku predstavi bolezen, različne diagnostične postopke, načine zdravljenja in ga spodbuja k spremembi življenjskega sloga. S spremembo le-tega lahko bolnik veliko stori za svoje zdravje, saj zmanjša možnost ponovitve bolezni, skrajša čas zdravljenja ter zmanjša možnost nastanka drugih zapletov bolezni. Za uspešno in učinkovito izvajanje zdravstvene nege in zdravstvene vzgoje pa se mora medicinska sestra nenehno izpopolnjevati in usposabljati, saj bo le tako pridobila nova znanja, spretnosti in veščine.

Language:Slovenian
Keywords:peptična razjeda, intervencije zdravstvene nege, medicinska sestra, Helicobacter pylori, zdravstvena vzgoja
Work type:Bachelor thesis/paper
Organization:ZF - Faculty of Health Sciences
Year:2018
PID:20.500.12556/RUL-101533 This link opens in a new window
COBISS.SI-ID:5441131 This link opens in a new window
Publication date in RUL:14.06.2018
Views:2909
Downloads:447
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Secondary language

Language:English
Title:Nursing of patients with gastric ulcer : diploma work
Abstract:
Introduction: A gastric ulcer is a narrow sore in the mucous membrane of the stomach or duodenum caused by the corrosive gastric acid and digestive juices.The causes of gastric ulcer formation are among the most important among people with Helicobacter pylori infection, patients treated with anticoagulant and non-steroidal anti-inflammatory drugs, patients with multiple associated diseases.It is therefore important how these patients are involved in the process of nursing care. Purpose: The purpose of the diploma thesis is to present, based on a literature overview, the nursing care of the patient with gastric ulcer and the role of the nurse. Methods: A descriptive method was used. An overview of scientific literature in Slovenian and English pertaining to the nursing care of the patient with gastric ulcer and to the role of the nurse was carried out. The analysis included the literature ranging from 2007 to 2018. 1.658 articles were obtained altogether and ten of them were used for the analysis. Results: The nurse is a person who is at the hospital most of the time with the patient. She/he monitors the patient’s health status and is responsible for carrying out the nursing care. The nurse plays an important role in identifying and eliminating nursing problems. In the patient with gastric ulcer, she/he focuses on such nursing problems as the patient’s insufficient knowledge and stress prevention, all the while offering psychological and professional support. It is thus important that she/he transfers information and knowledge in a comprehensible form, which helps the patient overcome fears and doubts. The nurse teaches and encourages the patient to recognize and be able to prevent the stress accordingly. Health education is planned and carried out on an individual basis through video teaching programs and various written materials. Discussion and conclusion: By raising awareness and transferring knowledge, the nurse helps upgrade the patient’s previously limited knowledge. In the process of health education, she/he familiarizes the patient with the disease, different diagnostic procedures, modes of treatment, and encourages him/her to change his/her lifestyle. Through lifestyle changes the patient can do a lot for his/her health: the possibility of relapse is reduced, the time of treatment is decreased, and the possibility of other complications of the disease is reduced as well. For the successful and efficient implementation of nursing care and health education, the nurse must strive for improvement and receive training constantly; only this way can she/he obtain new knowledge and skills.

Keywords:peptic ulcer, nursing interventions, nurse, Helicobacter pylori, health education

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