Mogućnosti pružanja palijativne skrvi u specijalnim psihijatrijskim bolnicama - primjer neuropsihijatrijske bolnice "Dr. Ivan Barbot" Popovača

professional thesis

• Title (english): Possibilities to provide palliative care in special psychiatric hospitals- example of Neuropsychiatric hospital "Dr. Ivan Barbot" Popovača
• Author: Nikolina Antonia Domokuš
• Mentor: Aleksandar Džakula (mentor)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2015-08-09, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Psychiatry

Abstract

Palijativna skrb je aktivna, ukupna skrb za pacijenta čija bolest ne reagira na postupke liječenja. Najvažnije je suzbijanje boli ili drugih simptoma, te socijalnih, psiholoških i duhovnih problema. Uloga palijativne skrbi u mreži zdravstvene zaštite važna je sastavnica u pružanju kvalitetne zdravstvene skrbi na svim njezinim razinama. U Hrvatskoj još uvijek ne postoji čvrsto strukturirana i odgovarajuće organizirana skrb za neizlječivo bolesne osobe kao i podrška članovima njihovih obitelji, dok je mreža timova i ustanova za palijativnu skrb nedovoljno razvijena. Prema konzervativnim procjenama, populacija kojoj je potreban neki oblik palijativne skrbi čini između 50% i 89% svih umirućih pacijenata, što bi u Republici Hrvatskoj bilo 26.000 do 46.000 pacijenata godišnje. Najmanje 20% pacijenata oboljelih od tumora i 5% neonkoloških pacijenata zahtijevaju specijalističku palijativnu skrb u posljednjih godinu dana njihova života. Među bolesnicima sa dijagnozom neizlječive bolesti posebno se ističu oni sa prethodnom dijagnozom mentalne bolesti. Literatura naglašava povećanu učestalost fizičkih zdravstvenih problema u osoba s opsežnim poremećajima mentalnog zdravlja. Postoje dokazi koji pokazuju da stopa morbiditeta u psihijatrijskoj populaciji daleko nadmašuje očekivanu stopu u općoj populaciji. Također, palijativni bolesnici prolazeći kroz faze neizlječive bolesti mogu pokazivati simptomatologiju mentalnih poremećaja kao što je depresija, anksioznost, delirij i mnoge druge. Neuropsihijatrijska bolnica „Dr. Ivan Barbot“ dugi niz godina zbrinjava veliki broj psihijatrijskih pacijenata koji imaju različite zdravstvene potrebe među kojima je i potreba za palijativnom skrbi. Također, pacijenti sa različitim somatskim tegobama gravitiraju bolnici i liječe se u polikliničkom dijelu Bolnice. Istraživanja govore kako bolnički palijativni programi pokazuju poboljšanje fizičkih i psihičkih simptoma kod palijativnih pacijenata, te veće zadovoljstvo članova obitelji pruženom njegom. Cilj ovog rada je analizirati postojeće stanje, resurse te mogućnosti Neuropsihijatrijske bolnice „Dr. Ivan Barbot“ Popovača za uključivanje u procese pružanja palijativne skrbi, njezine predispozicije i mogućnosti razvoja palijativne skrbi kao bolničke djelatnosti. To uključuje i istražiti mogućnosti uključivanja drugih sličnih specijalnih bolnica u proces pružanja palijativne skrbi te ih prikazati u vidu preporuka.

Abstract (english)

Palliative care is the active, total care of the patients whose disease is not responsive to curative treatment. Control of pain, of other symptoms, and of social, psychological and spiritual problems is paramount.The role of palliative care in the Croatian health care network is an important component in providing quality health care. In Croatia, there is still no firmly structured and organized appropriate care for terminally ill persons as well as support for their families, while the network of palliative care teams and facilities is still underdeveloped. According to conservative estimates, the population in need of some form of palliative care makes up between 50% and 89% of all dying patients, which in Croatia makes 26000-46000 patients annually. At least 20% of the cancer patients and 5% non-oncological patients require specialist palliative care in the last year of their life. Among patients diagnosed with an incurable disease are accentuated those with a previous diagnosis of mental illness. Literature emphasizes the increased incidence of physical health problems in people with extensive mental health disorders. There is evidence to show that the rate of morbidity in a psychiatric population far exceeds the expected rate in the general population. Also, palliative patients passing through phases of an incurable disease may exhibit symptoms of mental disorders such as depression, anxiety, delirium and others. Neuropsychiatric Hospital "Dr. Ivan Barbot" for many years provides treatment for a large number of psychiatric patients who have different health needs among which is a need for palliative care. Also, patients with various somatic illness gravitate to the hospital and are treated in its outpatient service. Studies suggest that hospital palliative programs show improvement in physical and psychological symptoms in palliative care patients, and greater satisfaction with family members of the care. The aim of this paper is to analyze the current situation, resources and opportunities Neuropsychiatric Hospital "Dr. Ivan Barbot "Popovača have for inclusion in the processes of providing palliative care, its resources and the possibilities for a development of palliative care as a hospital service. This includes evaluating the possibility of including other similar specialized hospitals in the process of providing palliative care and display them in the form of recommendations.

• Keywords: palijativna skrb; psihijatrijski bolesnik; neizlječiva bolest; specijalne bolnice
• Keywords (english): palliative care; psychiatric patient; incurable disease; special hospitals
• Language: croatian
• URN:NBN: urn:nbn:hr:105:161293
• Study programme: Title: Leadership and management of health services; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/magistra menadžmenta u zdravstvu (sveučilišni/a magistar/magistra menadžmenta u zdravstvu)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2020-08-19 11:32:36