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Vloga medicinske sestre pri psihični pripravi pacienta na kolonoskopijo : diplomsko delo
ID Bizjak, Rok (Author), ID Thaler, Darja (Mentor) More about this mentor... This link opens in a new window, ID Bizjak, Martina (Reviewer)

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Abstract
Uvod: Kolonoskopija je endoskopski pregled debelega črevesa in končnega dela tankega črevesa. Kljub njeni široki uporabi jo spremljajo sram, nelagodje in včasih bolečina. Pred preiskavo se pri večini pacientov pojavi anksioznost, med preiskavo pa nelagodje in bolečina. Vsi ti dejavniki ključno vplivajo na samo zahtevnost preiskave, na njen izid in na hitrost okrevanja pacienta po preiskavi. Medicinske sestre imajo pri tem pomembno vlogo. S svojim znanjem, izkušnjami in strokovnostjo pomagajo pri pripravi pacienta. Ključen dejavnik te priprave pa je tudi psihična priprava, ki v večini vpliva na pacientovo počutje in s tem pripomore k izvajanju preiskave in njenemu izidu. Psihična priprava je priprava, ki temelji na več dejavnikih, ki jih mora zbrati medicinska sestra. Namen: Namen diplomskega dela je predstaviti pomen dobre psihološke priprave pacienta na kolonoskopijo in njen vpliv na izid preiskave, ter predstaviti in poudariti vlogo medicinske sestre pri kolonoskopiji. Metode dela: V diplomskem delu smo uporabili deskriptivno metodo dela s pregledom strokovne literature po podatkovnih bazah: Academic Search Complete, Cinahl, COBIB.SI, Google Scholar, Medline in Science Direct. Rezultati: V rezultatih je zapisano, kaj je psihična priprava in zakaj je pri kolonoskopiji pomembna. Predstavljeni so njeni elementi in načini kako psihična priprava poteka ter za katere tehnike se je izkazalo, da so učinkovite. Bolj podrobno pa je opisana tudi vloga medicinske sestre pri predpripravi, pripravi pacienta in izvajanju ter izidu preiskave. Razprava in zaključek: Pregled literature je pokazal, da je bilo narejenih veliko raziskav na temo tehnik sproščanja pacientov. Ker sta anksioznost in strah med glavnimi razlogi, zakaj pacient pri svoji preiskavi občuti še več bolečine, je pomembno, da psihična priprava zajema tudi tehnike, ki to odpravljajo. Pomembno je, da so medicinske sestre o pacientovem stanju pred preiskavo dobro informirane, ker jim to pomaga pri razumevanju pacienta in izbiri pomoči, da bo le-ta preiskavo lažje prestal.

Language:Slovenian
Keywords:diplomska dela, zdravstvena nega, kolonoskopija, anksioznost, stres
Work type:Bachelor thesis/paper (mb11)
Typology:2.11 - Undergraduate Thesis
Organization:ZF - University College of Health Studies
Year:2020
Publisher:[R. Bizjak]
Number of pages:22 str.
UDC:616-083
COBISS.SI-ID:20046339 This link opens in a new window
Publication date in RUL:18.06.2020
Views:689
Downloads:232
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Secondary language

Language:English
Title:The role of the nurse in psychological preparation of the patient for colonoscopy : diploma work
Abstract:
Introduction: Colonoscopy is an endoscopic examination of the large intestine (colon) and the final part of the small intestine. Despite its widespread use, it is accompanied by shame, discomfort, and sometimes pain. Anxiety occurs in most patients before the examination, while discomfort and pain mostly occur during the examination. All these factors have a key influence on the complexity and the outcome of the examination, as well as the speed of the patient's recovery after the examination. Nurses play an important role in this process; they help prepare patients using their extensive knowledge, experience, and expertise. A key factor in this process is psychological preparation, which primarily affects the patient's well-being and thus helps make the examination more efficient and its outcome more favourable. Psychological preparation is based on several pieces of information that must be collected by a nurse prior to the procedure. Purpose: The purpose of this thesis is to present the importance of good psychological preparation of colonoscopy patients and its impact on the outcome of the examination, while also emphasizing the role of the nurse in the process of colonoscopy. Methodology: This diploma thesis uses a descriptive method and consists of an overview of peer-reviewed literature, which can be found in the following databases: Academic Search Complete, Cinahl, COBIB.SI, Google Scholar, Medline and Science Direct. Results: The results define psychological preparation and show why it is important before, during and after the process of colonoscopy. The elements of psychological preparation and the ways in which it can be achieved are presented, alongside with the different techniques that have proven to be effective. The role of the nurse in the pre-procedure preparation, the preparation of the patient, and the implementation, which all affect the outcome of the examination, are also described in detail. Discussion and Conclusion: A review of relevant literature has shown that extensive research has been done on the topic of techniques that relax the patient. As anxiety and fear are two of the main reasons why a patient is more sensitive to pain during the examination, it is important that psychological preparation also includes techniques that address this issue. Nurses must be well informed about the patient's condition before the examination, as this helps them understand the patient and choose the appropriate techniques to make it easier for the patient to cope with the examination.

Keywords:diploma theses, nursing, colonoscopy, anxiety, stress

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