Vloga medicinske sestre pri zdravljenju neonatalne zlatenice s fototerapijo : diplomsko delo

Goropevšek, Tjaša (author), Bizjak, Martina (mentor)

Uvod: Pri večini novorojenčkov se v prvih dneh življenja pojavi povišana vrednost bilirubina. Večkrat je to fiziološko povišanje, ki ob pravilnem ukrepanju ne pušča posledic in izzveni samostojno. Ob pojavu patološkega povišanja pa je nujno potrebno zdravljenje s fototerapijo, da se preprečijo zapleti in hujše posledice. Namen: Namen diplomskega dela je predstaviti zdravstveno nego novorojenčka med zdravljenjem zlatenice s fototerapijo in načine, kako medicinska sestra pravilno ukrepa pri pojavu negovalnih problemov, povezanih s fototerapijo. Metode dela: V diplomskem delu je uporabljena deskriptivna metoda dela s pregledom domače in tuje literature. Iskanje literature je potekalo po podatkovnih bazah Cochrane Library, ScienceDirect, CINAHL in DIKUL ter s pomočjo brskalnikov COBISS.SI in Google. Pomagali smo si tudi s pregledom referenčnih seznamov. Uporabljeni so strokovni, pregledni in izvirni znanstveni članki, literatura pa je omejena na slovenski, angleški in hrvaški jezik. Rezultati: V pregledani literaturi je poudarjena pomembnost vloge medicinske sestre pri zdravstveni negi novorojenčka z zlatenico. Medicinska sestra lahko s pravilnimi ukrepi, kot so redna ocena novorojenčkovega stanja, merjenje telesne temperature in spodbujanje dojenja, pospeši zdravljenje zlatenice. Razprava in zaključek: Medicinska sestra je pri obravnavi novorojenčka prisotna že od rojstva dalje. Izvaja zdravstveno nego novorojenčka in skrbi za vse življenjske aktivnosti, spodbuja dojenje in stik kože na kožo. Sodeluje pri diagnosticiranju zlatenice, ki ga izvede z vizualnim pregledom, transkutanim bilirubinometrom in odvzemom krvi za pregled vrednosti bilirubina v serumu. Izvaja zdravstveno vzgojo mame. Če je potrebna fototerapija, ji na ustrezen način razloži pomen in potek. Mamo opozori na negovalne probleme, ki se lahko pojavijo, in ji nudi čustveno oporo.

• Language: Slovenian
• Keywords: zlatenica, zdravstvena nega, novorojenček, fototerapija, dojenje
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2019
• PID: 20.500.12556/RUL-106148
• COBISS.SI-ID: 5574507
• Publication date in RUL: 01.02.2019

GOROPEVŠEK, Tjaša, 2019, Vloga medicinske sestre pri zdravljenju neonatalne zlatenice s fototerapijo : diplomsko delo [online]. Bachelor’s thesis. [Accessed 17 April 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=106148

Secondary language

• Language: English
• Title: The role of the nurse in the treatment of the neonatal jaundice with phototherapy : diploma work

Abstract

Introduction: Most newborns experience an elevated bilirubin level in the first few days of their lives. It is often a physiological elevation which, when the right measures are taken, does not have any lasting effects and clears up on its own. In the case of a pathological elevation, the newborn must be treated with phototherapy to prevent complications and any severe effects. Purpose: The purpose of this diploma thesis is to present the nursing care of a newborn during the treatment of jaundice with phototherapy, and the right measures for a nurse to take when encountering phototherapy-related nursing problems. Methods: The diploma thesis uses a descriptive method combined with a review of domestic and foreign literature. The literature was searched in the Cochrane Library, ScienceDirect, CINAHL and DIKUL databases, and using the COBISS.SI and Google browsers. Reference lists were also reviewed. The thesis cites scholarly, review and original scientific articles, with the language of the literature limited to Slovenian, English and Croatian. Results: The reviewed literature highlights the importance of a nurse's role in the nursing care of a newborn with jaundice. By taking the right measures, a nurse can speed up the treatment of jaundice. Discussion and conclusion: A nurse is involved in newborn care from birth onwards. The nurse cares for the newborn and carries on all the activities of daily living, encourages breastfeeding and skin-to-skin contact. The nurse assists with diagnosing jaundice by performing a visual check-up, using a transcutaneous bilirubinometer, and taking a blood sample for checking the serum bilirubin level. The nurse provides health education to the mother. If phototherapy is required, the nurse explains its meaning and course to the mother in an appropriate way. The nurse warns the mother of nursing problems that may occur and provides emotional support.

• Keywords: jaundice, nursing care, newborn, phototherapy, breastfeeding