Prehransko svetovanje kot del multidisciplinarne obravnave bolnikov s Parkinsonovo boleznijo : pregled literature

Skok, Kaja (author), Pandel Mikuš, Ruža (mentor)

Uvod: Parkinsonova bolezen je kronična, počasi napredujoča nevrodegenerativna bolezen. Osnovno zdravilo za zdravljenje Parkinsonove bolezni je levodopa, pomembno vlogo pri tem pa ima tudi nizkoproteinska dieta. Pri zdravljenju sodeluje in ima pomembno nalogo medicinska sestra. Namen: Namen diplomskega dela je predstaviti Parkinsonovo bolezen in pomen prehrane pri tej bolezni. Metode dela: V diplomskem delu je uporabljena deskriptivna metoda dela, opravljen je pregled literature. Vire smo iskali s pomočjo strokovne angleške in slovenske literature od leta 2004 do 2017. Razprava in sklep: Motorična nihanja so posledica napredovanja Parkinsonove bolezni pri bolnikih, ki se zdravijo z levodopo. Pojavijo se kot nenadne spremembe iz optimalne motorične funkcije v stanje nepremičnosti, tremorja in rigidnosti. Nizkoproteinska dieta zmanjša pojav motoričnih nihanj, ker ima ob njej levodopa zaradi hitrejše absorpcije večji učinek. Nekatere od sestavin beljakovinske hrane namreč uporabljajo za prehod skozi črevesno steno in v osrednje živčevje enak prenašalec kot levodopa. Poudarek je na vnosu proteinov pri večerji in zmanjševanju le-teh v dopoldanskem in popoldanskem času. Pomembno vlogo ima pri zdravljenju Parkinsonove bolezni medicinska sestra, ki je tudi koordinatorica članov v multidisciplinarnem timu, ki obravnava bolnika.

• Language: Slovenian
• Keywords: Parkinsonova bolezen in dieta, pomen vitaminov pri Parkinsonovi bolezni, Parkinsonova bolezen in dietna živila, aplikacija levodope, vloga dopamina pri Parkinsonovi bolezni, zdravstvena nega
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2017
• PID: 20.500.12556/RUL-98074
• COBISS.SI-ID: 5366891
• Publication date in RUL: 16.11.2017

SKOK, Kaja, 2017, Prehransko svetovanje kot del multidisciplinarne obravnave bolnikov s Parkinsonovo boleznijo : pregled literature [online]. Bachelor’s thesis. [Accessed 17 March 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=98074

Secondary language

• Language: English
• Title: Nutritional counselling as part of multidisciplinary treatment of patients with Parkinson's disease : literature review

Abstract

Introduction: Parkinson's disease is a chronic, slowly progressing neurodegenerative disease. Levodopa is the gold standard drug therapy, but low-protein diet also plays an important role in treatment. Nurse is involved in treatment and has an important role. Purpose: The purpose of the diploma is to present Parkinson's disease and importance of the diet in connection with disease. Methods: We used a descriptive method and a review of the literature on the subject. We searched for sources of English and Slovenian professional and scientific literature from years 2005-2017. Discussion and conclusion: Motoric ability swings are consequence of progression of Parkinson's disease where patients are treated with levodopa. They occur after taking the medicine, as sudden change from the maximal motor function to the state of immobility, tremor and rigidity. Low-protein diet reduces the occurrence of motoric ability swings, because levodopa has a better effect due faster absorption. Some of components of protein food compete with levodopa for intestinal absorption and transport across the blood-brain barrier.The emphasis is on protein input at dinner and reduction of proteins in the morning and in the afternoon. An important role in the treatment of Parkinson's disease covers a nurse. She explain patients the meaning of the low-protein diet and offers them support.

• Keywords: Parkinson's disease and diet, the role of vitamins in Parkinson's disease, Parkinson's disease and diet food, application of levodopa, the role of dopamin in Parkinson's disease, nursing