Izrada i primjena modela edukacije članova obitelji o primjeni epiduralne analgezije u kući bolesnika

master's thesis

• Title (english): Development and implementation of educational model for members of family about giving epidural analgetics at home
• Author: Nedeljko Vukalović
• Mentor: Gordana Pavleković (mentor)
• Committee member: Aleksandar Džakula (predsjednik povjerenstva)
• Committee member: Vera Musil (član povjerenstva)
• Committee member: Gordana Pavleković (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Social Medicine and Health Care Organization); Zagreb
• Defense date and country: 2016-09-29, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Social Medicine

Abstract

Bol je jedan od najneugodnijih znakova bolesti, bez obzira na uzrok. Oboljeli nerijetko jedino zbog tog simptoma potraže pomoć i javljaju se u zdravstvenu ustanovu. U pojedinim slučajevima dolaskom u zdravstvenu ustanovu zbog bolova, primjena analgezije peroralnim putem ili na neki drugi manje invazivan način, nije dovoljna i ne zadovoljava bolesnikovu potrebu za njihovim smanjenjem ili uklanjanjem. Stoga je potrebno pristupiti nekoj od invazivnijih metoda analgezije. Jedna od tih metoda je i primjena analgetika putem epiduralnog katetera koja se postiže postavljanjem epiduralnog katetera perkutano u epiduralni prostor te primjenom kombinacije lijekova (opioidi, lokalni anestetik). Primjena može biti putem višekratnih pojedinačnih injekcija ili kontinuirano putem injekcijskih pumpi. Na ovaj način postiže se bolja distribucija analgetika, potrebna je manja količina lijeka, smanjena je mogućnost popratnih pojava i slično. Za primjenu ovakve vrste analgezije potrebno je svakom bolesniku pristupiti pojedinačno, uz procjenu je li bolesnik sposoban nakon izlaska iz bolnice u kojoj mu je postavljen epiduralni kateter i u početku primjenjivana epiduralna analgezija od strane zdravstvenog osoblja, nastaviti samostalno istu primjenjivati kod kuće ili će trebati uključiti nekoga od članova obitelji koji će mu u tome pomoći. U oba slučaja, uz informirani pristanak, prije primjene navedene analgezije kod kuće, potrebno je provesti kvalitetnu edukaciju bolesnika i/ili članova obitelji. U ordinaciji za liječenje boli Opće bolnice Varaždin izrađen je i primijenjen takav model edukacije. U ovom radu opisana su dosadašnja iskustva navedenog modela te je predložen model edukacije bolesnika i/ili članova obitelji za primjenu epiduralne analgezije kod kuće koji bi mogao biti od koristi za primjenu u drugim zdravstvenim ustanovama.

Abstract (english)

Pain is one of the most uncomfortable sign of illness no matter of cause. People often come for help without other symptoms. In some cases pain is not treatable with oral analgesics and other less invasive pain treatment which are not satisfying so it is necessary to approach with a little bit aggressive analgesia and one of the way is analgesia through an epidural catheter. That is accomplished by setting an catheter in epidural space and applying medications ( local anesthetics and opiate) through it in bolus doses or continuous with the injection pump. This way better distribution of medication is accomplished, less medication is needed, there are less side effects. For this kind of treating pain single approach is needed and assessment if the patient is capable to continue that kind of analgesia by himself after education or is it necessary to include other members of family to help him. In both cases, having an informed consent, it is necessary to do an extensive and quality education of patient and/or family members. That kind of educational model is built and implemented in General hospital Varaždin. Previous experiences are described in this paper and also the educational model for patient and/or family memebers for appliance of epidural analgesia at home that could be useful for other medical institution is suggested.

• Keywords: edukacija bolesnika i članova obitelji o epiduralnoj analgeziji u kući; palijativna skrb terminalnih bolesnika u kući bolesnika
• Keywords (english): education of patients and family members about applying epidural analgesia at home; palliative care of terminally ill patients
• Language: croatian
• URN:NBN: urn:nbn:hr:105:210274
• 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: 2017-03-10 09:16:20