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Vloga medicinske sestre pri zagotavljanju celostne oskrbe pacienta s psihozo : diplomsko delo
ID Družanović, Rusmira (Author), ID Sotler, Robert (Mentor) More about this mentor... This link opens in a new window, ID Zatković, Damjana (Co-mentor)

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Abstract
Vzrok psihoze ni znan. Pri pacientih s psihotično motnjo prihaja zaradi dejavnikov, povezanih z boleznijo, do motenj v splošnem funkcioniranju. Posledica je negativni vpliv na splošno zdravje. Najbolj so omejujoče čustvene in vedenjske motnje, ki pogosto povsem spremenijo posameznikovo življenje. Razrahljajo družinske vezi, ob tem pa tudi dolgotrajno vplivajo na širšo družbeno skupnost. Rehabilitacija je običajno zelo dolga in kompleksna. K temu velikokrat pripomorejo zdravila, ki jih morajo jemati, vendar so ključnega pomena. Namen: V diplomskem delu smo se v največji meri posvetili vlogi medicinske sestre pri zagotavljanju celostne oskrbe pacienta s psihozo. Od njenega dela so v veliki meri odvisni počutje pacienta, njegovo prilagajanje na okolje, komuniciranje z okolico in v končni fazi uspeh zdravljenja. Ves čas je ob pacientu, ga varuje in opazuje ter vse spremembe sporoča ostalemu timu, ki zdravi pacienta. Metode dela: Pri izdelavi diplomskega dela smo uporabljali deskriptivno raziskovalno metodo dela in preverjene strokovne vire. Opredelili smo, kaj zajema opredelitev psihoze, vrste psihotičnih motenj, znake in simptome ter načine zdravljenja. Poglobili smo se v zgodovino zdravljenja pacientov s psihozo in napredke na tem področju. Poudarili smo tudi vpliv zdravil na paciente in predstavili razmišljanje o drugačnih načinih zdravljenja. Rezultati: Glavni predmet naše raziskave so bili negovalni postopki in težave v okviru zdravstvene nege na področju psihosocialnih življenjskih aktivnosti pacientov s psihozo ter vpliv težav na njihove svojce. Ugotovili smo, da so težave velikokrat prisotne na vseh področjih pacientovega psihosocialnega delovanja. Odvisne so od intenzivnosti duševne motnje in vplivajo tudi na poslabšanje fizičnega zdravja. Velikokrat so povezane z nezdravimi oblikami življenja, med katerimi so vsekakor kajenje, neredna ali prevelika količina hrane in telesna neaktivnost. Ugotovili smo tudi, da imajo osebe z duševno motnjo velike težave na področju pozornosti, izvršilnih funkcij in procesiranja. Za rešitev negovalnih težav smo pri pripravi diplomskega dela odkrili ustrezne aktivnosti zdravstvene nege. Razprava in sklep: Na psihosocialnem področju je veliko težav. Nekatere od njih se da odpraviti, vsekakor pa ne vseh. Zavedati se moramo, da so te težave dolgotrajne in kompleksne. Zahtevajo individualno obravnavo tako posameznika kot tudi njegove družine. Glavni namen je omogočanje dolgoročne podpore, pa tudi ohranjanje pridobljenih zmožnosti. Literature, ki bi obravnavala in usmerjala vse prizadete na področju zdravstvene nege, skorajda ni. Na tem področju bo treba opraviti še veliko dela in posledično uspeti nuditi več pomoči tako obolelim kot njihovim domačim.

Language:Slovenian
Keywords:psihoza, zdravstvena nega, vloga medicinske sestre
Work type:Bachelor thesis/paper
Organization:ZF - Faculty of Health Sciences
Year:2019
PID:20.500.12556/RUL-107476 This link opens in a new window
COBISS.SI-ID:5609323 This link opens in a new window
Publication date in RUL:18.04.2019
Views:2052
Downloads:424
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Secondary language

Language:English
Title:The role of nurses in providing intergrated care psychotic patient : diploma work
Abstract:
The cause of psychosis is not known. Patients with psychosis are experiencing disorders in their daily functioning due to factors, connected with their disease. Consequently, this causes a negative impact on their general health. The most limiting are emotional and behavioural disorders, which often completely change the individual’s life. They weaken the family ties and additionally have a long-term impact on the wider social community. Rehabilitation is usually very long and complex. This is often due to medicines they need to take, which are, however, crucial. Purpose: In the thesis, we mainly focused on the role of the nurse in ensuring holistic care for the psychotic patient. Her work highly influences the patients’ wellbeing, his adaptation to the environment, his communication with the surroundings and finally, the outcome of the treatment. She is the entire time around the patient, monitors him, and informs the team, treating the patient, about all the changes. Work methods: For the preparation of our thesis, we used the descriptive research method and proven professional sources. We defined psychosis, types of psychotic disorders, its signs, symptoms and treatment. We also looked deeply into the history of the treatment of patients with psychosis and developments in this field. We also stressed out the influence of medicines on patients and presented some thoughts about different treatment types. Results: The main object of our research were treatment procedures and problems, occurring within nursing in the field of psycho-social everyday activities of psychotic patients and the influence of these problems on their relatives. We found that problems are often present in all areas of the patients’ psychosocial functioning. They depend on the intensity of the mental disorder. They also affect the deterioration of the patients’ physical health. They are often connected with an unhealthy lifestyle, including smoking, irregular and excessive food intake and physical inactivity. We have also found that individuals with a mental disorder have great problems in the fields of attention, execution of function and processing. In order to solve the nursing problems, the thesis provides suitable nursing activities. Discussion and conclusion: There are numerous problems in the psychosocial field. Some of them can be solved, but certainly not all of them. We need to be aware that these problems and long lasting and complex. They demand individual treatment of the patient as well as his family. Its main purpose is to provide long-term support and maintain the acquired abilities. There is almost no literature discussing and giving directions in the field of nursing. This field still demands a lot of work and consequently more help for those with the disease and for their families.

Keywords:psychosis, nursing, role of the nurse

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