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Nevrogena disfunkcija sečnega mehurja pri pacientih s poškodbo hrbtenjače : diplomsko delo
ID Žagar, Martina (Author), ID Sotler, Robert (Mentor) More about this mentor... This link opens in a new window, ID Kotar, Viki (Comentor), ID Ovijač, Darja (Reviewer)

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Abstract
Uvod: Nevrogeno disfunkcijo sečnega mehurja ali tako imenovani nevrogeni mehur povzroči bolezen ali poškodba. Pri odrasli osebi je definiran kot nenormalno ali težko delovanje sečnega mehurja. Neobvladovanje okužb sečnega mehurja je pri pacientih s poškodbo hrbtenjače še vedno najpogostejši vzrok hospitalizacije. Okužbe nastanejo zaradi nepravilne uporabe in izvajanja tehnik praznjenja. Najpogostejše tehnike, ki se v zadnjem času uporabljajo v Sloveniji in tujini za praznjenje sečnega mehurja so: intermitentna katetrizacija, Credé in Valsalva manever, refleksno praznjenje, stalni urinski kateter in stimulacija sakralne korenine ter rizotomija. Namen: Namen diplomske naloge je ugotoviti najbolj pogoste tehnike praznjenja nevrogenega mehurja in kako nevrogena disfunkcija sečnega mehurja vpliva na kakovost življenja po končanem zdravljenju. Metode dela: Temelj diplomskega dela je pregled slovenske in angleške literature. Za literaturo smo pregledalo knjižne, revijalne in spletne vire. Iskanje spletnih virov je potekalo v bazah PubMed, CINAHL Ultimate in v digitalni knjižnici Univerze v Ljubljani. Časovna omejitev smo postavili na zadnjih 5 let. Rezultati: V literaturi so opisane glavne tehnike, ki jih v tujini pacienti po poškodbi hrbtenjače uporabljajo za praznjenje sečnega mehurja. Razprava in zaključek: Ugotovili smo, da je glavna tehnika, ki se uporablja za praznjenje sečnega mehurja intermitentna čista katetrizacija, ki velja za zlati standard. Večina paraplegikov se odloči za to tehniko, medtem ko se tetraplegiki v večini odločijo za stalni urinski kateter, suprapubični urinski kateter ali druge refleksne tehnike. Na pravilno izbiro pa vpliva tudi starost in spol. Z redno uporabo pravilne tehnike posamezniki lažje obvladujejo svoje življenje in se ne pojavljajo nezaželeni simptomi. Z izbiro pravilne tehnike se izboljša kakovost življenja na vseh področjih tako v zasebnem kot tudi v javnosti. Ugotovili smo, da pri izbiri tehnik praznenja mehurja v Sloveniji sledimo enakim standardom kot v tujini. Vendar bi bilo potrebno v Slovenij razvijati tehnike, ki so prilagojene posamezniku in vključiti tudi nove tehnike, kot je zdravljenje z botulinskim nevrotoksinom in uporabo stola za stimulacijo mišic medeničnega dna.

Language:Slovenian
Keywords:diplomska dela, zdravstvena nega, nevrogeni mehur, nevrogena disfunkcija sečnega mehurja, tehnike praznjenja, poškodba hrbtenjače, medicinske sestre
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[M. Žagar]
Year:2024
Number of pages:31 str., [1] str. pril.
PID:20.500.12556/RUL-163722 This link opens in a new window
UDC:616-083
COBISS.SI-ID:211171843 This link opens in a new window
Publication date in RUL:10.10.2024
Views:106
Downloads:11
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Secondary language

Language:English
Title:Neurogenic bladder dysfunction in patients with spinal cord injury : diploma work
Abstract:
Introduction: Neurogenic bladder dysfunction, or the so-called neurogenic bladder, is caused by a disease or injury. In adults, it is defined as abnormal or difficult bladder function. Inability to control bladder infections remains the most common cause of hospitalization in patients with spinal cord injury. Infections occur due to improper use and execution of voiding techniques. The most common techniques recently used in Slovenia and abroad for bladder emptying are intermittent catheterization, Credé and Valsalva maneuvers, reflex voiding, permanent urinary catheter, sacral root stimulation, and rhizotomy. Purpose: The aim of this thesis is to determine the most common techniques for emptying the neurogenic bladder and to assess how neurogenic bladder dysfunction affects the quality of life after treatment. Methods: The foundation of this thesis is a review of Slovenian and English literature. The literature was sourced from both books and online resources. Online resources were searched on PubMed, CINAHL Ultimate, Medline, and the digital library of the University of Ljubljana. We included literature that is less than 5 years old. Results: With a review of the literature, we identified the main techniques used by patients abroad for bladder emptying after spinal cord injury. Discussion and conclusion: We found that in today's world, the main technique for bladder emptying is clean intermittent catheterization, which is considered the gold standard. Most paraplegics opt for this technique, while tetraplegics mostly choose a permanent urinary catheter, suprapubic urinary catheter, or other reflex techniques. Age and gender also influence the correct choice. With regular use of the proper technique, individuals can better manage their lives and symptoms. Choosing the correct technique improves the quality of life in all areas, both in private and public settings. We found that in terms of selecting bladder emptying techniques, we are on par with international standards. However, it is necessary to develop techniques tailored to the individual in Slovenia and to introduce new methods, such as treatment with botulinum neurotoxin and the use of a chair for pelvic floor muscle stimulation.

Keywords:diploma theses, nursing care, neurogenic bladder, neurogenic bladder dysfunction, discharge techniques, spinal cord injury, nurses

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