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Atopični dermatitis pri dojenčkih in vloga medicinskih sester : diplomsko delo
ID Pajk, Gaja (Author), ID Bizjak, Martina (Mentor) More about this mentor... This link opens in a new window, ID Kamenšek, Tina (Co-mentor), ID Thaler, Darja (Reviewer)

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Abstract
Uvod: Atopični dermatitis, imenovan tudi atopijski ekcem ali nevrodermitis, je kronična, ponavljajoča se nenalezljiva vnetna kožna bolezen, za katero je značilno hudo srbenje. Je najpogostejša kronična vnetna bolezen dojenčkov v starosti treh mesecev, ki se pojavi pri približno 20 % otroške populacije. Tipičen je nastop bolezni v zgodnjem otroštvu. saj se pri več kot 60 % dojenčkov simptomi prvič pojavijo že pred enim letom starosti, 85 % otrok pa zboli do 5 leta življenja. Večina prizadetih dojenčkov ima vse življenje občutljivo, suho, drobno in luščečo se kožo. Namen: Namen diplomskega dela je bil na podlagi pregleda domače in tuje literature predstaviti atopični dermatitis pri dojenčkih in njegove posebnosti, ter izpostaviti vlogo medicinskih sester. Pri tem smo si postavili cilj, odgovoriti na tri postavljena raziskovalna vprašanja. Metode dela: Uporabljena je bila deskriptivna metoda dela s pregledom znanstvene in strokovne ter domače in tuje literature na temo atopičnega dermatitisa pri dojenčkih in vloge medicinskih sester. Iskanje literature je potekalo med avgustom in decembrom 2020 preko mednarodnih podatkovnih baz: PubMed, Science Direct, preko portala digitalne knjižnice Univerze v Ljubljani DiKUL ter s pomočjo spletnega brskalnika Google Učenjak. Vključitveni kriteriji so bili: literatura, napisana med letoma 2010 in 2020, dostop do celotnega besedila, angleški in slovenski jezik ter primernost vsebine članka glede na naslov diplomskega dela. Izjemoma smo uporabili starejše vire le takrat, ko so bili relevantni. Rezultati: Študije dokazujejo, da imajo dojenčki z atopičnim dermatitisom največkrat težave s srbenjem, bolečino, utrujenostjo, posledica vsega tega pa je tudi nespečnost. Da zmanjšamo resnost in potek same bolezni, se priporoča dojenje, izogibanje alergeni hrani, pomembna pa je predvsem ustrezna nega kože dojenčka. Pri vsem tem imajo pomembno vlogo medicinske sestre, ki skrbijo za strokovno in pravilno izvedbo nege kože. Ne-nazadnje pa imajo glavno vlogo pri poučevanju staršev, kako lahko v domačem okolju prevzamejo vlogo medicinskih sester. Razprava in zaključek: Naše ugotovitve so pokazale, da je srbenje za dojenčka neželen dogodek in njegovo zdravstveno stanje poslabša. Na obolelem mestu je koža boleča, rdeča, otekla, suha, razpokana, nastanejo tudi ranice, kar privede do infekcije in posledično tudi do bolečine. Pri vsem tem se pojavi tudi nespečnost. Tu so avtorji enotnega mnenja, da ima lahko nespečnost na dojenčka negativne posledice, vključno z nevro-kongnitivnimi funkcijami, vedenjskimi težavami in spremenjenim razpoloženjem. Da bi nastale težave kolikor toliko omilile, se svetuje nego kože dojenčka po priporočilih medicinskih sester. Tako lahko medicinske sestre s poučevanjem zdravstvene vzgoje o negi atopične kože pripomorejo k večji samozavesti in kompetentnosti staršev dojenčka pri negi kože ter obvladovanju bolezni. Poleg te naloge imajo tudi pomembno vlogo pri teoretičnem in praktičnem poučevanju o pravilni prehrani in negi kože.

Language:Slovenian
Keywords:diplomska dela, zdravstvena nega, atopija, ekcem, medicinska sestra, negovalni problemi, dojenček
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[G. Pajk]
Year:2021
Number of pages:35 str.
PID:20.500.12556/RUL-134302 This link opens in a new window
UDC:616-083
COBISS.SI-ID:92037635 This link opens in a new window
Publication date in RUL:05.01.2022
Views:945
Downloads:128
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Secondary language

Language:English
Title:Atopic dermatitis in infants and the role od nurses : diploma work
Abstract:
Introduction: Atopic dermatitis, also called atopic eczema or neurodermitis, is a chronic, recurrent, non-communicable inflammatory skin disease characterised by severe itching. It is the most common chronic inflammatory disease of infants aged 3 months, occurs in approximately 20% of the infant population. Typical is the onset of the disease in early childhood, with more than 60% of infants first icing symptoms as early as a year, and 85% of children get sick up to 5 years of life. Most of the affected babies have sensitive, dry and finely flaming skin all their lives. Purpose: The purpose of the thesis was to present atopic dermatitis in infants and its specificities, on the basis of a review of domestic and foreign literature, and to highlight the role of nurses. In doing so, we set ourselves a goal, answering the three research questions Methods: A descriptive method of working with an overview of scientific and professional and domestic and foreign literature on atopic dermatitis in infants and the role of nurses was used. The literature search took place between August and December 2020, via international databases: PubMed, Science Direct, via the Digital Library portal of the University of Ljubljana DiKUL and through the Google Scholar web browser. The inclusion criteria were: literature written between 2010 and 2020, access to the full text, English and Slovenian language and the appropriateness of the content of the article according to the title of the thesis. Exceptionally, we only used older sources when they were relevant. Results: Studies show that infants with atopic dermatitis usually have problems with itching, pain, fatigue, and insomnia is also the result of all this. In order to reduce the severity and course of the disease itself, breastfeeding is recommended, avoiding allergen food, and in particular appropriate skin care of the infant is important. In all of this, nurses who itch for professional and proper skin care play an important role. Last but not least, it plays a major role in teaching parents how they can take on the role of nurses in their home environment. Discussion and conclusion: Our findings have shown that itching for the infant is an adverse event and his health deteriorates. At the site, the skin is painful, red, swollen, dry, cracked, sore pain is also formed, leading to infection and consequently pain. Insomnia also occurs in all of this. Here, the authors of the single opinion that insomnia can have negative consequences on the infant, including neuro-congestive functions, behavioral problems and altered mood. In order to alleviate the problems as much as possible, infant skin care is recommended, according to the recommendations of the nurses. Thus, by teaching health education about atopic skin care, the nurse can help to increase the confidence and competence of the infant's parents in skin care and disease control. In addition to this task, it also plays an important role in theoretical and practical teaching on proper nutrition and skin care.

Keywords:diploma theses, nursing care, atopia, eczema, nurse, nursing problems, infant

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