Sestrinska skrb za bolesnike nakon operacije karcinoma debelog crijeva

master's thesis

• Title (english): Nursing care after colon cancer surgery
• Author: Nenad Dakić
• Mentor: Žarko Rašić (mentor)
• Committee member: Leonardo Patrlj (predsjednik povjerenstva)
• Committee member: Tomislav Meštrović (član povjerenstva)
• Committee member: Žarko Rašić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Surgery); Zagreb
• Defense date and country: 2016-09-01, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Karcinom debelog crijeva jedan je od vodećih zdravstvenih problema u svijetu, osobito u visokorazvijenim zemljama. U našoj zemlji zauzima po učestalosti drugo mjesto među zločudnim bolestima, u muškaraca iza karcinoma prostate, a u žena iza karcinoma pluća i bronha. Cilj rada je prikazati specifičnosti zdravstvene njege kod bolesnika oboljelog od karcinoma debelog crijeva s naglaskom na postoperativni tijek. U uvodnom dijelu rada prikazane su osnove anatomije i fiziologije te epidemiologija karcinoma debelog crijeva. Opisana je klinička slika, metode dijagnostike bolesti kao i liječenje. Nakon uvodnog dijela, u radu je prikazan proces zdravstvene njege kod bolesnika nakon operacije karcinoma debelog crijeva. Opisana je psihološka i fizička priprema bolesnika za operativni zahvat, prikazana je poslijeoperacijska zdravstvena njega. U radu je prikazana dijetalna prehrana, odnosno prikazane su namirnice koje se preporučaju kao i one koje se ne preporučaju uzimati nakon operativnog zahvata. Budući da ishod operativnog zahvata karcinoma debelog crijeva nerijetko završava tako da se pacijentu izvede kolostoma, odnosno umjetni anus. U radu je opisana kolostoma, kao i kvaliteta života bolesnika s kolostomom. Prikazana je važnost edukacije bolesnika i njihove obitelji o načinu života nakon operacije, kako bi bolesnik postao što prije samostalan u aktivnostima samozbrinjavanja i kako bi mu se olakašao povratak u normalan život.

Abstract (english)

Colon cancer is one of the leading health concerns in the world, especially among highly developed nations. In Croatia, it is the second most common malign disease: following prostate cancer among men, and lung and bronchial cancers among women. The aim of this paper is to present some specificities of nursing care for patients suffering from colon cancer, with emphasis on post-operative care. In the introduction, the basics of anatomy and physiology, as well as epidemiology of colon cancer are presented. In addition, clinical features, diagnostic methods and treatment are described. After introduction, the paper presents the post-operative nursing care process for patients. Psychological and physical preparation of the patient for operation is described, and post-operative nursing care presented. Furthermore, the paper describes dietary recommendations after surgery. Since the colon cancer surgery often results in colostomy, i.e. artificial rectum for the patient, the paper describes colostomy, as well as the patient's quality of life with colostomy. The paper shows the importance of educating patients and their families on post-operative lifestyle, so that the patient can become independent in performing the self-care activities as soon as possible, and to facilitate their return to normal life.

• Keywords: debelo crijevo; karcinom; zdravstvena njega; kolostoma; prehrana
• Keywords (english): colon; cancer; health care; colostomy; nutrition
• Language: croatian
• URN:NBN: urn:nbn:hr:105:520158
• 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: 2017-03-15 12:22:32