Kvaliteta života bolesnika s perkutanom endoskopskom gastrostomom

master's thesis

• Title (english): Quality of life in patients with percutaneous endoscopic gastrostomy
• Author: Zoran Čabraja
• Mentor: Krešimir Martić (mentor)
• Committee member: Marko Ajduk (predsjednik povjerenstva)
• Committee member: Tomislav Meštrović (član povjerenstva)
• Committee member: Krešimir Martić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Surgery); Zagreb
• Defense date and country: 2021-12-06, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Postavljanje perkutane endoskopske gastrostome manji je kirurški zahvat učinjen pod
lokalnom anestezijom, kod koje se dio želuca pričvrsti na trbušnu stijenku i umetne se
gastrostomska sonda kroz koju se bolesnik hrani, postavljanje se obično izvodi zbog
nemogućnosti hranjenja na usta (per os) ili zbog uznapredovalog raka, najčešće raka glave i
vrata. Svrha završnog rada je utvrditi kvalitetu života bolesnika s postavljenom perkutanom
endoskopskom gastrostomom.
Primjenjen je sustavni pregled stručne i znanstvene literature. Postupak pretraživanja literature
predstavljen je u PRISMA dijagramu. Prema istraživačkom pitanju, potraga za literaturom
temeljila se na unaprijed postavljenim kriterijima za uključivanje i isključivanje.
Analiza uključuje petnaest istraživanja. Analizom literature otkrili smo da perkutana
endoskopska gastrostoma ne utječe na poboljšanje kvalitete života, kao ni na njezino
smanjenje. Zbog nemogućnosti hranjenja per os riječ je prije svega o zadovoljavanju osnovnih
ljudskih potreba jer perkutana endoskopska gastrostoma održava mogućnost hranjenja, a time
i tjelesnu masu, spriječava tumorsku kaheksiju i malnutriciju.
U prvim mjesecima nakon postavljanja najčešće su prisutni problemi vezani uz slabost, brz
osjećaj sitosti, infekciju, krvarenje i otjecanje želučanog soka na ulazu gastrostome. Otprilike
nakon šest mjeseci perkutanu endoskopsku gastrostomu bolesnici počinju doživljavati i
pozitivno.
Perkutana endoskopska gastrostoma negativno utječe na život pojedinca zbog mnogih
promjena i problema koji se pojavljuju nakon postavljanja. Međutim, kasnije ima pozitivan
učinak jer ublažava posljedice određene bolesti i time poboljšava kvalitetu života bolesnika.

Abstract (english)

Percutaneous endoscopic gastrostomy is small and non invasive surgical procedure,
carried out in local anesthesia. Part of a stomach is attached to the stomach wall. Then
gastrostomy tube is inserted. The patient can eat through the tube. Inability of eat orally or
cancer, mostly had an neck cancer, are the reasons for insertion. The purpuse of the final
work, is to determine the quality of life of patients with percutaneous endoscopic gastrostomy.
Systematic review of the professional and the scientific literature was used. The course of
literature search is presented in the PRISMA flow diagram. According to the researcher
question, the search literature was based on predetermined inclusion and exclusion criteria.
In literature analysis was used fifteen researches. With the analysis of professional literature,
we found that percutaneous endoscopic gastrostomy does not increase the quality of life and
also does not decrease the quality of life. Percutaneous endoscopic gastrostomy helps to
mantain nutritional status and to gain weight. In first few months there are many difficulties.
The biggest problem for patients represent handling with percutaneous endoscopic
gastrostomy, nausea, feeling full quickly, infection, bleeding and leaking of gastric acid around
the gastronomy tube. After six months the patients are also experiencing the positive sides of
percutaneous endoscopic gastrostomy.
In first months percutaneous endoscopic gastrostomy has negative impact on patients life,
because of many different changes in everyday activities. Later by mantaining their nutritional
status, percutaneous endoscopic gastrostomy imapcts postive on patients life. Percutaneous
endoscopic gastrostomy decreases cosequences of ilness and with that increases the quality
of life.

• Keywords: rak; hranjenje; gastrostomska cijev; komplikacije; kvaliteta života
• Keywords (english): cancer; eating; gastronomy tube; complications; quality of life
• Language: croatian
• URN:NBN: urn:nbn:hr:105:002265
• 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: 2022-07-08 10:41:03