Zdravstvena vzgoja otrok in mladostnikov s sladkorno boleznijo tipa 1 na inzulinski črpalki : diplomsko delo

Keršič, Bojana (author), Kvas, Andreja (mentor), Kamenšek, Tina (comentor), Ovijač, Darja (reviewer)

Uvod: Sladkorna bolezen je kronična bolezen, ki življenje otrok in mladostnikov popolnoma spremeni. Izrednega pomena je, da so otroci in mladostniki dobro poučeni o svoji bolezni, kajti le tako so lahko uspešni pri vodenju bolezni. V celoten proces zdravstvene vzgoje otrok in mladostnikov s sladkorno boleznijo tipa 1 na inzulinski črpalki se morajo vključevati njihovi najbližji kot tudi medicinske sestre. Namen: Namen diplomskega dela je na osnovi pregleda domače in tuje literature predstaviti novosti v procesu zdravljenja z inzulinsko črpalko, zdravstveno vzgojo ter pomen družine in okolice v skrbi za čim boljše in čim bolj kakovostno življenje otrok in mladostnikov, ki za vsakodnevno zdravljenje sladkorne bolezni uporabljajo inzulinsko črpalko. Metode: Izveden je bil pregled strokovne in znanstvene literature v slovenskem in angleškem jeziku. Iskanje literature je potekalo v podatkovnih bazah CINAHL, MEDLINE, Cochrane, PubMed, Springer Link, Science Direct ter v Kooperativnem online bibliografskem sistemu in servisih COBISS. SI. V pregled in analizo smo vključili literaturo, izdano med letoma 2012 in 2022. Rezultati: V pregledanih raziskavah ugotavljajo, da je uspešnost zdravljenja sladkorne bolezni odvisna od pacientovega znanja, nadzora in samovodenja bolezni. Pomembno vlogo v procesu imajo otrokovi in mladostnikovi starši in ostali, ki se vključujejo v proces zdravljenja, saj je bolezen obremenjujoča tako za otroka in mladostnika kot tudi za njegove bližnje. Izrednega pomena je čustvena stabilnost, pomembno je spanje, prav tako pa tudi telesna dejavnost, ki vpliva tako na izboljšanje glikemičnega statusa kot na telesno težo. Moderna tehnologija izboljša kakovost življenja tako otrok in mladostnikov kot tudi njihovih staršev in drugih bližnjih. Razprava in zaključek: Zdravstvena vzgoja igra pomembno vlogo v procesu sprejemanja sladkorne bolezni tako pri otrocih in mladostnikih kot tudi pri njihovih starših in drugih osebah v okolici, ki sprejemajo odločitve glede vodenja in samovodenja sladkorne bolezni, skrbijo za dobro urejenost presnove in posledično zmanjšujejo tveganje za akutne in kronične zaplete bolezni ter izboljšajo kakovost življenja. Medicinske sestre imajo pri tem v celotnem procesu zdravstvene vzgoje zelo pomembno vlogo. Nadaljnje raziskave in izboljšave na tem področju so možne in potrebne.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, presnovne bolezni, pediatrija, načini zdravljenja, kakovost življenja, medicinske sestre
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [B. Keršič]
• Year: 2024
• Number of pages: 46 str.
• PID: 20.500.12556/RUL-155765
• UDC: 616-083
• COBISS.SI-ID: 192784899
• Publication date in RUL: 17.04.2024

Secondary language

• Language: English
• Title: Health education of children and adolescents with type 1 diabetes on an insulin pump : diploma work

Abstract

Introduction: Diabetes is a chronic disease that completely changes the life of children and adolescents. It is of great importance that children and adolescents are well educated about their disease, as this is the only way to be successful in its management. The whole process of health education for children and adolescents with type 1 diabetes on an insulin pump should involve the children's loved ones as well as nurses. Purpose: The purpose of the thesis is to review Slovene and foreign literature and to present novelties in the process of treatment with insulin pump, health education and the importance of the family and the environment in ensuring the best possible quality of life for children and adolescents with diabetes on insulin pump. Methods: A literature review of professional and scientific literature in Slovene and English was carried out. Literature searches were carried out in databases CINAHL, MEDLINE, Cochrane, PubMed, Springer Link, Science Direct, and in the Cooperative Online Bibliographic System and COBISS services. The literature published between 2012 and 2022 was included in the review and analysis. Results: The studies reviewed conclude that the success of diabetes treatment depends on the patient's knowledge, control and self-management of the disease. The child's parents and others involved in the treatment process play an important role in the process as the disease is burdensome for the child and adolescent as well as for those close to them. Emotional stability is of great importance, sleep is important, as well as physical activity, which has an impact on improving both glycaemic status and body weight. Modern technology improves the quality of life of children and adolescents, as well as their parents and others involved. Discussion and conclusion: Health education plays an important role in the process of acceptance of diabetes in children and adolescents, as well as their parents and other people around them who make decisions about diabetes management and self-management, ensure good metabolic control and, as a consequence, reduce the risk of acute and chronic complications of the disease and improve quality of life. The nurses play a very important role in this whole health education process. Further research and improvements in this area are possible and needed.

• Keywords: diploma theses, nursing care, metabolic diseases, pediatrics, ways of treatment, quality of life, nurses