Mišljenja bolesnika s arterijskom hipertenzijom o čimbenicima koji utječu na provođenje preporučenog liječenja

master's thesis

• Title (english): Arterial hypertension patients opinions on factors affecting the implementation of recommended treatment
• Author: Birgitta Maćešić
• Mentor: Goranka Petriček (mentor)
• Committee member: Milica Katić (predsjednik povjerenstva)
• Committee member: Zlata Ožvačić Adžić (član povjerenstva)
• Committee member: Goranka Petriček (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Family Medicine); Zagreb
• Defense date and country: 2016-09-27, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Family Medicine

Abstract

Cilj: Istražiti i opisati iskustvo bolesnika oboljelih od arterijske hipertenzije o čimbenicima koji utječu na provođenje preporučenog liječenja. Ispitanici i metode: Kvalitativno istraživanje metodom fokus grupa, provedeno je u travnju i svibnju 2016. godine. Ispitanici su namjernim odabirom prikupljeni s liste pacijenata dva liječnika obiteljske medicine u Karlovcu (prim. dr. Mirice Rapić i dr. Blaženke Polović). Provedene su tri fokus grupe u kojima je sudjelovao 21 ispitanik. Rezultati: Kvalitativnom analizom podataka na principima utemeljene teorije, proizišle su četiri glavne teme: 1. Spoznaja da imam hipertenziju rezultirala je konceptom da hipertenzija nije ozbiljna bolest jer je najčešće otkrivena slučajno, bez prisutnih simptoma, pa se bolesnici nisu jako uplašili. 2. Promjene uzrokovane bolešću usmjerene su na pokušaj promjene prehrane i pojačane fizičke aktivnosti, dok je prestanak pušenja bio najuspješniji. U liječenju hipertenzije bolesnici su više usmjereni uzimanju lijekova nego promjeni loših životnih navika. 3. Adherentnost na propisano liječenje uključuje osobnost bolesnika, utjecaj medicinskog osoblja, okoline, zajednice i medija, a posebno je naglašena važnost dobrog motiva. 4. Očekivanja od izabranog LOMa i medicinske sestre su usmjerena na dostupnost, njegovanje individualnog, empatičnog pristupa u konzultacijama koje potiču pozitivne promjene. Zaključak: Bolesnici su istaknuli tendenciju posustajanja provođenja preporučenih promjena tijekom vremena, te su izrazili potrebu za opetovanim savjetovanjem i poticanjem u cilju nastavka provođenja istih. Istaknuli su važnost individualnog pristupa u konzultaciji kao i važnost pronalaženja motiva kod svakog bolesnika. Medicinsko osoblje najbolju poruku pokazuje svojim ponašanjem u provođenju preporuka. Istaknuta je potreba za timskim radom LOMa i medicinske sestre na jednom problemu, uz zapisivanje ključnih poruka konzultacije naročito kod starijih bolesnika. Sve to može poboljšati adherentnost bolesnika u provođenju preporučenih promjena.

Abstract (english)

Aim:Investigate and describe the experience of patients with hypertension on factors that affect the implementation of the recommended treatment. Subjects and methods: Qualitative research using focus groups, was conducted in April and May 2016. Respondents intentionally selecting from the list of patients collected two family physicians in Karlovac (prim. Dr. Mirice Rapić and Dr. Blaženke Polović). Conducted three focus groups in which 21 participants took part. Results: Qualitative analysis of data on the principles of grounded theory, were derived four main subjects. 1.Cognition to have hypertension were resulted to the concept that hypertension is not a serious disease because it is most often discovered accidentally, without the presence of symptoms, the patients were not very scared 2. Changes caused with disease are focused on trying to change the diet and increased physical activity, and stopping smoking was the most successful. In the treatment of hypertension patients are more directed to drug therapy than changing bad habits. 3. Adherence to prescribed treatment includes personality patients, the impact of the medical staff, the environment, the community and the media, and particularly highlighted the importance of good motives 4. Outlook of selected family doctors and nurses are focused on availability, individual, empathic approach in consultation that encourage change. Conclusion: Patients are highlighted the tendency of slackening implementing recommended changes over time, and expressed the need for repeated consultation and encouraging in order to continue the implementation of the same. They stressed the importance of an individual approach to consultation and the importance of finding a motive for each patient. Medical personnel best message shows with their behavior in the implementation of the recommendations. The need for teamwork doctore and nurse on one issue, with recording of key messages consultation especially in elderly patients. All this can improve the adherence of patients to the implementation of the recommended changes.

• Keywords: hipertenzija; promjene; adherentnost; medicinska sestra
• Keywords (english): hypertension; changes; adherence; nurse
• Language: croatian
• URN:NBN: urn:nbn:hr:105:664808
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2017-03-07 10:27:25