Zdravstvena nega pri zdravljenju depresije z elektrokonvulzivno terapijo : diplomsko delo

Rus, Janez (avtor), Sotler, Robert (mentor), Zatković, Damjana (komentor), Thaler, Darja (recenzent)

Uvod: Elektrokonvulzivno terapijo po svetu uporabljajo kot obliko zdravljenja nekaterih duševnih motenj. Mnenja glede ustreznosti uporabe te terapije so deljena na tiste, ki jo predpisujejo ter na tiste, ki se jim takšna oblika zdravljenja ne zdi niti malo humana, saj jih spominja na obliko nasilja ali celo na usmrtitve z elektriko. Namen: Predstaviti želimo sodobno obliko elektrokonvulzivne terapije in raziskati dejavnike, ki vplivajo na izbor takšne oblike zdravljenja, posebej pri pacientih z depresijo. Izpostaviti želimo prednosti, tveganja, nevarnosti in slabosti elektrokonvulzivne terapije. Pojasniti hočemo vlogo in aktivnosti zdravstvene nege pri tem postopku. Metode dela: Uporabljena je bila deskriptivna metoda dela s sistematičnim pregledom znanstvene in strokovne literature. Uporabljena je bila literatura v slovenskem, angleškem, hrvaškem in nemškem jeziku, izdana med letoma 2000 in 2020. Starejša literatura je bila uporabljena izjemoma, zaradi njene pomembnosti. Kot izjemi sta bila vključena še biografija Hemingwaya, izdana leta 1968, zaradi njegove neposredne izkušnje z elektrokonvulzivno terapijo, ter poročilo z zgodovinskimi dejstvi iz leta 1996, ki ga v poznejših virih ni bilo mogoče najti. Za iskanje literature so bile uporabljene bibliografske baze podatkov Medline, PubMed. Embase, PsycINFO, CINAHL, Google učenjak in COBIB.SI. Vključeni so bili prosto dostopni članki s celotnim besedilom. Za obravnavo v diplomskem delu je uporabnih 45 besedil. Rezultati: Elektrokonvulzivna terapija je večinoma predstavljena in opredeljena kot medicinsko tehničen postopek pri zdravljenju duševnih motenj. Sodobno zdravljenje vključuje anestezijo in mišične relaksante, kar pripomore k zmanjšanju stranskih učinkov. Terapija spada med posebne oblike zdravljenja, zato je opredeljena v Zakonu o duševnem zdravju. Indikacija za elektrokonvulzivno terapijo je v večini primerov depresija, v manjši meri pa so prisotne tudi druge oblike duševnih motenj. Pomembno vlogo pri zdravljenju ima diplomirana medicinska sestra, ki izvaja določene aktivnosti zdravstvene nege in nudi pacientu psihofizično podporo in varnost. Razprava in zaključek: Opisali smo prednosti in slabosti elektrokonvulzivne terapije in ugotovili, da je postopek izvajanja zahteven, saj zahteva napredna znanja vseh vključenih strokovnjakov.

• Jezik: Slovenski jezik
• Ključne besede: diplomska dela, zdravstvena nega, duševno zdravje, psihiatrija, elektrošok, posebna oblika zdravljenja, medicinske sestre
• Vrsta gradiva: Diplomsko delo/naloga
• Tipologija: 2.11 - Diplomsko delo
• Organizacija: ZF - Zdravstvena fakulteta
• Kraj izida: Ljubljana
• Založnik: [J. Rus]
• Leto izida: 2021
• Št. strani: 31 str.
• PID: 20.500.12556/RUL-128452
• UDK: 616-083
• COBISS.SI-ID: 70177539
• Datum objave v RUL: 14.07.2021

RUS, Janez, 2021, Zdravstvena nega pri zdravljenju depresije z elektrokonvulzivno terapijo : diplomsko delo [na spletu]. Diplomsko delo. Ljubljana : J. Rus. [Dostopano 3 april 2025]. Pridobljeno s: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=slv&id=128452

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: Nursing activities in the treatment of depression with electroconvulsive therapy : diploma work

Izvleček

Introduction: Electroconvulsive therapy is used worldwide as a form of treatment for certain mental disorders. Opinions about the appropriateness of using this therapy are divided into those who prescribe it and those who do not find it humane because it reminds them of a form of violence or even of electrocution. Purpose: I want to present a modern form of electroconvulsive therapy and investigate the factors that influence the choice of such a form of treatment, especially in patients with depression. I want to highlight the advantages, risks, dangers and disadvantages of electroconvulsive therapy. I want to explain the role and activities of nursing in this procedure. Methods of work: A descriptive method of work was used with a systematic review of scientific and professional literature. Literature in Slovene, English, Croatian and German, published between 2000 and 2020, was used. Older literature was used exceptionally on account of its importance. Other exceptions include Hemingway's biography, published in 1968, because of his direct experience with electroconvulsive therapy, and a report from 1996 containing historical facts that could not be found in later sources. Medline, PubMed, Embase, PsycINFO, CINAHL, Google Scholar and COBIB.SI bibliographic databases were used to search the literature. Freely available full-text articles were included. 45 texts are useful for discussion in the thesis. Results: Electroconvulsive therapy is mostly presented and defined as a technical medical procedure used in the treatment of mental disorders. Modern treatments include anaesthesia and muscle relaxants, which help to reduce side effects. This therapy is a specific form of treatment and is therefore defined in the Mental Health Act. Depression is the indication for electroconvulsive therapy in most cases, and to a lesser extent, other forms of mental disorders are also present. An important role in the treatment is played by a graduate nurse who performs certain nursing activities, and offers psychophysical support and a sense of security to the patient. Discussion and conclusion: I have described the advantages and disadvantages of electroconvulsive therapy and found that the procedure of performing the therapy is demanding, as it requires advanced knowledge from all the professionals involved.

• Ključne besede: diploma theses, nursing care, mental health, psychiatry, electroshock, special treatment, nurses