Aplikacija zdravil pacientu s kronično duševno motnjo v zdravstvenih in socialnih zavodih : diplomsko delo

Mlakar, Marjan (author), Lapanja, Aljoša (mentor), Pajnič, Manca (reviewer)

Uvod: Kronična duševna motnja se kaže kot sprememba ali odklon v vedenju, čustvovanju, doživljanju in delovanju posameznika, kar mu lahko onemogoča normalno življenje. Osebe s kronično duševno motnjo so pogosto obravnavane v psihiatričnih ustanovah ter socialnih zavodih. Med pomembnejše naloge medicinske sestre pri osebah z duševno motnjo sodita tudi priprava in deljenje zdravil, ki sta skupaj s psihoterapijo ključni za zdravljenje in preprečevanje ponovitvenih epizod ter vzdrževanje stabilnega stanja duševne motnje. Namen: Namen diplomskega dela je predstaviti posebnosti obravnave oseb s kronično duševno motnjo v povezavi s pripravo in deljenjem zdravil ter opredeliti kompetenčni okvir izvajalcev zdravstvene nege pri tem. Metode dela: Diplomsko delo je nastalo na podlagi deskriptivnega pregleda slovenske in tuje literature. Iskanje znanstvenih in strokovnih člankov je potekalo preko podatkovnih baz Pubmed/Medline, Science direct, CINAHL in z oddaljenim dostopom Digitalne knjižnice Univerze v Ljubljani (DiKUL). Rezultati: Medikamentozno zdravljenje je na področju psihiatrije zaradi slabe adherence pacientov pogosta težava. Komunikacijske veščine in terapevtski odnos zdravstvenih delavcev ki ga pridobijo v času formalnega in neformalnega izobraževanja, v psihiatriji in na ostalih področjih zdravstva pomembno pripomoreta k dvigu uspešnosti zdravljenja. Poleg zdravnika, ki zdravilo predpiše, je pomembna tudi medicinska sestra, ki to pripravi, aplicira, dokumentira in opazuje pojav želenih in neželenih učinkov. Razprava in zaključek: Zaradi vedno večje polimorbidnosti oseb s kronično duševno motnjo v zdravstvenih in socialnih zavodih je potrebno posodabljati znanje zdravstvenih delavcev, ki s kakovostno komunikacijo in zaupnim medosebnim odnosom pomembno prispevajo k uspešnemu obvladovanju in zdravljenju duševnih motenj. Diplomirane in srednje medicinske sestre imajo glede na formalno izobrazbo dodeljene različne kompetence na področju priprave in aplikacije zdravil. Njihovo delo se med seboj tesno prepleta in dopolnjuje.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, duševno zdravje, medikamentozna terapija, kompetence, medicinska sestra, socialno varstveni zavod
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [M. Mlakar]
• Year: 2021
• Number of pages: [28] str.
• PID: 20.500.12556/RUL-125576
• UDC: 616-083
• COBISS.SI-ID: 57310467
• Publication date in RUL: 26.03.2021

MLAKAR, Marjan, 2021, Aplikacija zdravil pacientu s kronično duševno motnjo v zdravstvenih in socialnih zavodih : diplomsko delo [online]. Bachelor’s thesis. Ljubljana : M. Mlakar. [Accessed 29 March 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=125576

Secondary language

• Language: English
• Title: Drug administration to a patient with chronic mental disorder in health and social care institutions : diploma work

Abstract

Introduction: Chronic mental disorder manifests as a change or deviation in an individual’s behavior, emotions, experiences, and actions which can make normal life impossible for him or her. People with chronic mental disorders are often treated in psychiatric institutions and social institutions. Among the more important tasks of a nurse in people with a mental disorder, there are the preparation and distribution of medications, which together with psychotherapy are crucial for the treatment and prevention of recurrent episodes and the maintenance of a stable state of mental disorder. Purpose: The purpose of the bachelor’s thesis is to present the specifics of the treatment of persons with chronic mental disorders in connection with the preparation and distribution of medications and to define the competence framework of nursing care providers in the process. Methods: The bachelor’s thesis was created based on a descriptive systematic review of Slovenian and foreign literature. The search for scientific and expert articles took place through the databases Pubmed/Medline, Science Direct, CINAHL, and with remote access to the Digital Library of the University of Ljubljana (DiKUL). Results: Drug therapy is a common problem in the field of psychiatry because of poor patient adherence. Communication skills and the therapeutic attitude of health professionals that they acquire during formal and non-formal education, in psychiatry, and in other fields of healthcare contribute to raising the effectiveness of treatment significantly. In addition to the prescribing physician, the nurse who prepares, administers, and documents that, as well as observes the occurrence of desired and adverse effects, is also important. Discussion and conclusion: Because of the increasing polymorbidity of people with a chronic mental disorder in healthcare and social care institutions, it is necessary to update the knowledge of health workers who make an important contribution to the successful management and treatment of mental disorders through qualitative communication and confidential interpersonal relationships. Depending on their formal education, registered nurses and nurses are assigned different competencies in the field of preparation and application of medicines. Their work is closely intertwined and complementary.

• Keywords: diploma theses, nursing care, mental health, drug therapy, competencies, nurse, social welfare institution