Negovalne diagnoze NANDA-I in intervencije NIC pri pacientkah z diagnozo rak materničnega vratu : diplomsko delo

Osmanović, Šejla (author), Mihelič Zajec, Andreja (mentor), Mlinar, Suzana (reviewer)

Uvod: Rak materničnega vratu ima pomemben vpliv na življenje žensk zaradi številnih težav, kot so urološke motnje, motnje delovanja črevesja, slabost, bruhanje, akutna in kronična bolečina, motnje spanja, depresija, anksioznost, izguba telesne samopodobe in spolna disfunkcija. Namen: Raziskati smo želeli, kako rak materničnega vratu vpliva na kakovost življenja pacientk in kako lahko medicinske sestre s svojimi znanji, načrtovanjem in izvajanjem zdravstvene nege prispevajo k izboljšanju njihovega življenja. Metode dela: Uporabili smo deskriptivno metodo dela s pregledom domače in tuje znanstvene literature o raku materničnega vratu v povezavi s kakovostjo življenja in vlogo medicinskih sester. Pregledana literatura je bila objavljena med letoma 2015 in 2024 ter iskana v bazah Cobib.si, MedLine/Pubmed, CINAHL in na portalu Google Učenjak. Ključne besede so vključevale izraze: rak materničnega vratu, simptomi in težave, negovalne diagnoze, negovalne intervencije, medicinska sestra. Vključitveni kriteriji so bili prosto dostopna vsebina, uporaba slovenskega ali angleškega jezika ter relevantnost za temo. Podatki so bili pregledani in obdelani s pomočjo NANDA-I in NIC. Rezultati: Ugotovili smo, katere negovalne diagnoze NANDA-I in NIC-intervencije so najbolj primerne pri pacientkah z rakom materničnega vratu. Potrjene negovalne diagnoze so: nevarnost za elektrolitsko neravnovesje, prizadeto izločanje urina, inkontinenca blata, moteno doživljanje telesne podobe, spolna disfunkcija, nevarnost za duhovno stisko in sindrom kronične bolečine. Ključne NIC-intervencije so duhovna podpora, izboljšanje telesne podobe, obvladovanje bolečine: akutna, obvladovanje bolečine: kronična, obvladovanje uriniranja, spremljanje elektrolitskega ravnovesja, svetovanje o spolnosti in zdravstvena nega pri inkontinenci blata. Razprava in zaključek: Sistematična uporaba negovalnih diagnoz NANDA-I in NIC intervencij omogoča celostno obravnavo pacientk in prispeva k izboljšanju kakovosti življenja. S tem pristopom se zagotavlja boljše obvladovanje simptomov, večjo varnost in večje zadovoljstvo pacientk. Nadaljnje raziskave so potrebne za dodatno optimizacijo zdravstvene nege na tem področju.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, rak materničnega vratu, simptomi in težave, medicinske sestre, negovalne diagnoze, negovalne intervencije
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [Š. Osmanović]
• Year: 2025
• Number of pages: 51 str.
• PID: 20.500.12556/RUL-168840
• UDC: 616-083
• COBISS.SI-ID: 234379011
• Publication date in RUL: 27.04.2025

Secondary language

• Language: English
• Title: The nursing diagnoses NANDA-I and interventions NIC for patients with a diagnosis of cervical cancer : diploma work

Abstract

Introduction: Cervical cancer has a significant impact on women's lives due to various complications such as urological disorders, bowel dysfunction, nausea, vomiting, acute and chronic pain, sleep disturbances, depression, anxiety, loss of body image, and sexual dysfunction. Objective: Our aim was to explore how cervical cancer affects patients' quality of life and how nurses, through their knowledge, planning, and implementation of nursing care, can contribute to improving their well-being. Methods: We used a descriptive research by reviewing domestic and international scientific literature on cervical cancer in relation to quality of life and the role of nurses. The reviewed literature was published between 2015 and 2024 and was sourced from Cobib.si, MedLine/PubMed, CINAHL, and Google Scholar. Keywords included terms such as cervical cancer, symptoms and complications, nursing diagnoses, nursing interventions, and nurses. Inclusion criteria encompassed freely accessible content, publications in Slovenian or English, and relevance to the topic. Data were analyzed using NANDA-I and NIC classifications. Results: We identified the most appropriate nursing diagnoses NANDA-I and NIC interventions for patients with cervical cancer. The confirmed nursing diagnoses include: Risk for electrolyte imbalance, Impaired urinary elimination, Bowel incontinence, Disturbed body image, Sexual dysfunction, Risk for spiritual distress, and Chronic pain syndrome. Key NIC interventions include: spiritual support, enhancement of body image, pain management: acute, pain management: chronic, urinary elimination management, electrolyte balance monitoring, sexual counseling, and bowel incontinence care. Discussion and Conclusion: The systematic use of NANDA-I nursing diagnoses and NIC interventions enables a comprehensive approach to patient care and contributes to improving quality of life. This approach ensures better symptom management, increased safety, and greater patient satisfaction. Further research is needed to optimize nursing care in this area.

• Keywords: diploma theses, nursing care, cervical cancer, symptoms and problems, nurses, nursing diagnosis, nursing interventions