Nevrogena črevesna disfunkcija pri pacientih po poškodbi hrbtenjače : diplomsko delo

Zgonec, Anja (author), Sotler, Robert (mentor), Kotar, Viki (comentor), Ovijač, Darja (reviewer)

Uvod: Nevrogena črevesna disfunkcija pri pacientih po poškodbi hrbtenjače je pogosta težava, ki močno vpliva na pacienta in svojce ter na nadaljnje življenje. Pri tem je ključnega pomena, da pacientu omogočimo uspešno zdravljenje in ga opremimo z napotki kako naj življenje poteka doma. Namen: Namen diplomskega dela je, da s pregledom literature približamo oziroma prikažemo pacientom in njihovim svojcem nevrogeno disfunkcijo črevesja. Ugotoviti želimo, kako se pacienti soočajo z disfunkcijo črevesja in kakšnih tehnik odvajanja se poslužujejo. Metode dela: Diplomsko delo temelji na pregledu slovenske in tuje strokovne literature. Literatura je bila črpana iz knjižnih in internetnih strokovnih virov. Iskanje literature je potekalo preko sistemov COBISS in digitalne knjižnice Univerze v Ljubljani, PubMed, CINAHL Ultimate in mrežnika Google Učenjak Rezultati: Ugotovili smo, da se pacienti z nevrogeno črevesno disfunkcijo po poškodbi hrbtenjače poslužujejo različnih tehnik praznjenja črevesja. Glede kakovosti življenja je pri vseh podobno, kajti največje težave jim povzroča odvajanje blata in urina. Različne raziskave so pokazale in predstavile nekaj uporabnih tehnik za praznjenje črevesja, ki bi pripomogle k boljši in lažji oskrbi črevesja in s tem pacientom izboljšale kakovost življenja in lažje spoprijemanje s temi težavami. Razprava in zaključek: Nevrogena črevesna disfunkcija pri pacientih po poškodbi hrbtenjače je kompleksna težava, ki jih zaznamuje za celo življenje. Spoprijemanje s tem je v začetku pri vseh težko, a sčasoma lažje. Potrebne bi bile raziskave, ki bi proučile kako doseči najboljši možen uspeh za takšnega pacienta. Interdisciplinarni ti, ki obravnavajo takšne paciente v bolnišnicah in na rehabilitaciji, bi morali vsakega posameznika individualno obravnavati in iskati rešitve, ki so primerne za njega. Predvsem bi bilo dobro preučiti tehnike praznjenja črevesja, in ugotoviti kaj kakšnemu pacientu najbolj ustreza. S tem bi pripomogli k rednemu odvajanju, preprečili bi neželene simptome, ki se lahko pri tem pojavljajo in povrnili bi voljo do življenja pacientom, ki so že tako zaznamovani in potrebujejo invalidski voziček.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, nevrogeno črevo, nevrogena črevesna disfunkcija, poškodba hrbtenjače, medicinske sestre, prehrana
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [A. Zgonec]
• Year: 2024
• Number of pages: 33 str.
• PID: 20.500.12556/RUL-163717
• UDC: 616-083
• COBISS.SI-ID: 211149315
• Publication date in RUL: 10.10.2024

ZGONEC, Anja, 2024, Nevrogena črevesna disfunkcija pri pacientih po poškodbi hrbtenjače : diplomsko delo [online]. Bachelor’s thesis. Ljubljana : A. Zgonec. [Accessed 19 March 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=163717

Secondary language

• Language: English
• Title: Neurogenic bowel dysfunction in patients with spinal cord injury : diploma work

Abstract

Introduction: Neurogenic bowel dysfunction in patients after spinal cord injury is a common issue that significantly impacts the patient, their relatives, and their future life. It is crucial to provide successful treatment and educate the patient on how to manage life at home. Purpose: The aim of this thesis is to review the literature to present neurogenic bowel dysfunction to patients and their relatives. We seek to understand how patients cope with bowel dysfunction and what evacuation techniques they use. Methods: This thesis is based on a review of Slovenian and international professional literature. Sources were drawn from books and online professional resources. Literature searches were conducted using COBISS, the digital library of the University of Ljubljana, PubMed, CINAHL, and Google Scholar. Results: We found that patients with neurogenic bowel dysfunction after a spinal cord injury use various bowel evacuation techniques. Regarding quality of life, the issues are similar for all patients, with the greatest challenges being bowel and urine evacuation. Various studies have demonstrated some useful techniques for bowel evacuation that could contribute to better and easier bowel care, thus improving patients' quality of life and helping them cope with these issues more easily. Discussion and Conclusion: Neurogenic bowel dysfunction in patients after spinal cord injury is a complex issue that affects them for life. Coping with this is challenging for all patients, but it becomes easier over time. It is important to further research and study how to achieve the best possible outcome for such patients. A interdisciplinary team that treats these patients in the hospital and during rehabilitation should approach each individual patient and seek solutions that are appropriate for them. It would be particularly beneficial to study bowel evacuation techniques and determine which methods are most suitable for each patient. This would help ensure regular bowel movements, prevent undesirable symptoms, and restore the will to live in patients who are already significantly affected and confined to a wheelchair.

• Keywords: diploma theses, nursing care, neurogenic bowel, neurogenic bowel dysfunction, spinal cord injury, nurses, nutrition