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Aktivnosti zdravstvene nege ob sprejemu v psihiatrično bolnišnico brez privolitve : diplomsko delo
ID Hace, Lana (Author), ID Lapanja, Aljoša (Mentor) More about this mentor... This link opens in a new window, ID Sotler, Robert (Reviewer)

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Abstract
Uvod: Duševne motnje predstavljajo velik zdravstveni problem, saj povzročajo tretjino svetovne invalidnosti. Vplivajo tudi na posameznikovo razmišljanje, počutje, razpoloženje ali vedenje ter povzročajo trpljenje. Hospitalizacija proti volji se uporablja pri pacientih, ki trpijo za duševno motnjo in so sprejeti v psihiatrično bolnišnico brez njihove privolitve. To je sporen, vendar včasih nujen postopek. Pri pacientih z duševno motnjo lahko hospitalizacija brez privolitve povzroča psihično stisko. Namen: Z diplomskim delom želimo prikazati, s katerimi psihičnimi stiskami se soočajo pacienti z duševno motnjo, ki so sprejeti v psihiatrično bolnišnico brez njihove privolitve ter opredeliti aktivnosti zdravstvene nege za zmanjševanje in obvladovanje njihove psihične stiske. Metode dela: Uporabili smo deskriptivno metodo dela s pregledom strokovne in znanstvene literature v angleškem in slovenskem jeziku. Iskanje je potekalo preko portala DiKUL, v podatkovnih bazah Medline, ScienceDirect, Cinahl in Google Scholar. Vključitveni kriteriji so bili, da je literatura v angleškem ali slovenskem jeziku, da je literatura objavljena od leta 2007 do leta 2022, in da je omogočen celoten dostop besedila. Analizirali smo 13 člankov. Rezultati: Hospitalizacijo brez privolitve pacienti doživljajo kot stresno in jo pogosto spremljajo negativna čustva, kot so: žalost, osamljenost, občutek nemoči in obupa. Manjši del pacientov doživlja pozitivna čustva, kot sta olajšanje in varnost. Vloga izvajalcev zdravstvene nege je zelo pomembna, saj lahko z aktivnostmi zdravstvene nege obvladujejo in zmanjšujejo psihične stiske. Izkazovanje skrbi in empatije do pacienta, aktivno poslušanje in spodbujanje pacienta v procesu zdravljenja pripomore k zmanjševanju psihične stiske. Pomembno je tudi ustvarjanje terapevtskega odnosa med izvajalci zdravstvene nege in pacientom. Razprava in zaključek: Obstajajo dokazi, da se pacienti z duševno motnjo ne odločajo za zdravljenje. Eden od razlogov je stigma, ki vpliva na diskriminacijo in izključenost pacientov z duševno motnjo. Stigma in duševna motnja pa ne vplivata samo na paciente z duševno motnjo, ampak tudi na njihove pomembne bližnje. Vloga izvajalcev zdravstvene nege je pri obravnavi pacientov z duševno motnjo, ki so bili hospitalizirani brez privolitve, zelo pomembna, saj lahko uspešno in pozitivno vplivajo nanje, prav tako pa na njihove pomembne bližnje.

Language:Slovenian
Keywords:diplomska dela, zdravstvena nega, duševno zdravje, čustvena stiska, hospitalizacija proti volji, intervencije zdravstvene nege
Work type:Bachelor thesis/paper
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[L. Hace]
Year:2022
Number of pages:27 str.
PID:20.500.12556/RUL-140805 This link opens in a new window
COBISS.SI-ID:120949763 This link opens in a new window
Publication date in RUL:18.09.2022
Views:885
Downloads:200
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Secondary language

Language:English
Title:Nursing activities at the time of admittance into a psychiatric hospital without consent : diploma work
Abstract:
Introduction: Mental health disorders are one of the most common health issues and represent a significant health problem. Mental health problems are the leading cause of disability worldwide. They make up as much as a third of all disability cases. They have a profound effect on an individual's thinking, well-being, mood or behaviour and cause suffering. Involuntary hospitalization is a procedure used to compel an individual, who is suffering from mental disorder, to receive treatment in a psychiatric hospital without their consent. This procedure is one of the most controversial issues in mental dis-ability law, but it is sometimes more than necessary procedure. Compulsory admission to psychiatric inpatient treatment causes psychological stress that impacts patients health. Purpose: Through the thesis we want to demonstrate the psychological hardships that patients face, when they are involuntarily hospitalized to psychiatric hospitals, and to define nursing activities to reduce and manage their psychological distress. Methods: The thesis is based on a descriptive method. Professional and scientific literature in English and Slovenian was studied to gather information. The search for scientific information was enabled through Digital Library of the University of Ljubljana (DiKUL), Medline, ScienceDirect, Cinahl and Google Scholar databases. The inclusion criteria were that literature is fully accessible and that is published in either English or Slovenian and that literature is published from 2007 to 2022. 13 articles were analysed. Results: Involuntary Hospitalization is a very stressful procedure for mentally ill patients. It is often accompanied by negative emotions such as sadness, loneliness, a sense of helplessness and despair. A minority of patients experience positive emotions such as relief and safety. The role of health care providers is very important as it can manage and reduce psychological distress through nursing interventions. Expressing empathy and compassion and showing care for the patient, actively listening, and encouraging the patient in the healing process helps to reduce psychological distress. It is also important to create a therapeutic relationship between health care providers and the patient. Discussion and conclusion: There is evidence that supports the claim that patients who need help concerning mental health issues don’t seek it. They go against treatment. One of the reasons is that they are stigmatised and thus discriminated. However, stigma and mental disorder does not just affect the patients, but also their loved ones.

Keywords:diploma theses, nursing care, mental health, emotional distress, involuntary hospitalisation, nursing interventions

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