Informiranost pacijentica oboljelih od raka dojke o nasljednim komponentama bolesti

master's thesis

• Title (english): Information about genetic components of the disease in breast cancer patients
• Author: Ljerka Andrić
• Mentor: Marjeta Majer (mentor)
• Committee member: Mario Šekerija (predsjednik povjerenstva)
• Committee member: Nikola Đaković (član povjerenstva)
• Committee member: Marjeta Majer (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2017-09-29, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Social Medicine

Abstract

Rak dojke je u populaciji žena u Republici Hrvatskoj najčešći zloćudni tumor. Prema pokazateljima Međunarodnog ureda za rak, Hrvatska je zemlja srednje visoke incidencije i visokog mortaliteta od raka dojke. Osim okolišnih čimbenika na pojavnost raka dojke utječe i naslijeđena sklonost. Znanje o genetskoj komponenti raka dojke, genetičko testiranje i genetičko savjetovanje važni su preduvjeti prevencije. Žene s utvrđenom genetskom predispozicijom pod pojačanim su nadzorom u svrhu prevencije, ranog otkrivanja raka dojke ili kontrole bolesti. Cilj istraživanja bio je utvrditi znanje pacijentica oboljelih od raka dojke o samoj bolesti, načinima liječenja i načinu života. Istraživanje je provedeno na Odjelu onkološke kirurgije, Klinike za tumore, Kliničkog bolničkog centra Sestre Milosrdnice u Zagrebu, među 149 ispitanica od planiranih 235 sveukupno hospitaliziranih s dijagnozom raka dojke (61,7%), u 2016. godini. Temeljem sestrinske anamneze, utvrđeno je da 9,4% pacijentica oboljelih od raka dojke nije imalo znanja o vlastitoj bolesti, njih 8,1% nije imalo znanja o načinima liječenja bolesti, a 6,8% o načinu života. Niti u jednom segmentu nije utvrđena statistički značajna razlika između skupina s obzirom na prebivalište (ruralna ili urbana sredina). Upitnik sestrinske anamneze ne sadrži pitanja o znanju o genetičkoj komponenti bolesti. Rezultati dobiveni temeljem podataka sestrinske anamneze mogu biti smjernica za kvalitetniji i bolji rad medicinskih sestara. Medicinska sestra može znanjima o
bolesti, načinu liječenja i stilu života informirati i educirati bolesnice s rakom dojke tijekom boravka u bolnici, a posebno važan aspekt predstavlja informacija o obiteljskoj komponenti raka dojke i mogućnosti genetskog savjetovanja i testiranja. Rezultati istraživanja upućuju na potrebu proširenja i strukturiranja dijela sestrinskog upitnika koji se odnosi na znanje pacijentica.

Abstract (english)

Breast cancer is the most common malignant tumor among population of women in the Republic of Croatia. According to the International Agency for Cancer indicators, Croatia is a country with a medium incidence and a high mortality rate of breast cancer. Besides environmental factors, there is also genetic component of disease. Knowledge about genetic component of breast cancer, genetic testing and genetic counselling is an important precondition for prevention. Women with genetic predisposition need intense supervision for the purpose of prevention, early detection of breast cancer or disease control. The aim of the study was to determine breast cancer patient’s knowledge about the illness, modalities of treatment and lifestyle. Study was conducted at the Department of Oncological Surgery, Clinic for Tumors, Clinical Hospital Centre Sisters of Mercy Zagreb, among 149 participants out of 235 hospitalized with breast cancer diagnosis (61.7%) in the year 2016. Results based on the nurse's anamnesis showed that 9.4% of breast cancer patients had no knowledge of
their disease, 8.1% had no knowledge of modalities of treatment, and 6.8% of the lifestyle. There was no significant difference between the groups considering rural or urban residence. Nurse’s anamnesis questionnaire does not contain questions about knowledge of the genetic component of the disease. Data obtained in nursing anamnesis could be a guideline for better and higher quality of nurse’s work. The nurse can inform and educate breast cancer patients during their hospitalization, based on her knowledge about illness, treatment and lifestyle, and an especially important aspect is the information about the genetic component of breast cancer and possibility of genetic counselling and testing. The results indicate the need for extension and structuring of part of the nursing questionnaire related to patient knowledge.

• Keywords: rak dojke; genetička sklonost; informiranost; medicinska sestra
• Keywords (english): breast neoplasm; genetic predisposition; awareness; nurse
• Language: croatian
• URN:NBN: urn:nbn:hr:105:323342
• 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: 2018-03-19 13:32:24