Zdravstvena nega otroka po operaciji shize : diplomsko delo

Španring, Ajda (author), Ravljen, Mirjam (mentor), Logar Čuček, Marjeta (co-mentor), Vettorazzi, Renata (reviewer)

Uvod: Shiza je prirojena anomalija obraza, ki večplastno zajema različna področja delovanja človekovega organizma. Je ena izmed najpogostejših prirojenih anomalij na svetu in ne prizadene samo otroka, ampak celotno družino. Namen diplomskega dela je izpostaviti največje izzive, s katerimi se po operaciji srečujejo otroci s shizami, njihovi starši in kako se lahko s temi izzivi spopadajo. Opisati želimo značilnosti sprememb pri temeljnih življenjskih aktivnostih otrok, ki se po operaciji najbolj spremenijo. Metode dela: Za nastanek diplomskega dela smo uporabili deskriptivno metodo z natančnim pregledom strokovne in znanstvene literature v slovenskem in angleškem jeziku. Za iskanje so bile uporabljene podatkovne baze pridobljene s pomočjo oddaljenega dostopa digitalne knjižnice Univerze v Ljubljani, Google Učenjak, CINAHL, Cochrane library in MedLine. Obdobje iskanja je potekalo od decembra 2022 do aprila 2023. Rezultati: Zdravljenje shize je kompleksen in dlje časa trajajoč proces, pri katerem sta za dosego čim boljših rezultatov zdravljenja pomembni dobra zdravstvena obravnava in podpora tudi v pooperativnem obdobju. Poleg vidnih deformacij se otrok spopada s številnimi funkcijskimi težavami, ki se kažejo na področju dihanja, prehranjevanja in pitja, sluha, govora in psihičnega stanja otroka ter njegove družine. V celotno zdravstveno obravnavo je treba vključevati tudi otrokove starše, ki lahko z dejavno participacijo postopek okrevanja pospešijo in izboljšajo rezultate. Razprava in zaključek: Pooperativna obravnava otrok s shizo zahteva holistični pristop in interdisciplinarni tim, ki v obravnavo dejavno vključuje tudi otrokove starše. Otroci s shizo po operaciji potrebujejo primerno zdravstveno oskrbo in rehabilitacijo za zagotovitev čim boljših rezultatov. Menimo, da bi bilo za potrebe optimalne zdravstvene nege treba uvesti priročnik s smernicami o pooperativni oskrbi otrok s shizo, s katerim bi omogočili dejavnejšo participacijo staršev in otrok med zdravstveno obravnavo, hkrati bi zmanjšali strah in negotovost celotne družine.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, shiza, orofacialni razcepi, zdravstvena oskrba otroka, pooperativna oskrba
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [A. Španring]
• Year: 2023
• Number of pages: 30 str.
• PID: 20.500.12556/RUL-151692
• UDC: 616-083
• COBISS.SI-ID: 168682499
• Publication date in RUL: 17.10.2023

Secondary language

• Language: English
• Title: Healthcare of children after orofacial cleft : diploma work

Abstract

Introduction: Schisis is a congenital anomaly of the face, which multifacetedly encompasses various areas of the human organism. It is one of the most common congenital anomalies in the world and affects not only the child but the entire family. Purpose: The researchers aim to highlight the biggest challenges children with schisis and their parents face after surgery and how they can cope. The aim is to describe the most-changed characteristics of basic life activities of children after surgery. Methods: The researchers used a descriptive method with a review of professional-scientific literature in Slovenian and English. Databases from the remote access digital library of the University of Ljubljana, Google Scholar, CINAHL, Cochrane Library, and MedLine were used for the search. The search period ran from December 2022 to April 2023. Results: The treatment of schisis is a complex and long-lasting process, whereby good medical treatment and support are important in order to achieve the best possible treatment results, even in the postoperative period. In addition to visible deformities, the child faces a number of functional problems, which can manifest as difficulties with breathing, eating and drinking, hearing, speech, and the psychological state of the child and their family. It is also necessary to include the child's parents in the entire medical treatment, who can speed up the recovery process and improve the results themselves through active participation. Discussion and conclusion: Postoperative treatment of children with schisis requires a holistic approach and an interdisciplinary team that actively includes the child's parents in the treatment. Children with schisis need proper medical care and rehabilitation after surgery to ensure positive results. We believe that, in order to provide optimal nursing care, it would be necessary to introduce a manual with guidelines on the postoperative care of children with schizoaffective disorders, which would enable more active participation of parents and children during

• Keywords: diploma theses, nursing care, schisis, orofacial clefts, child health care, postoperative care