Terapijske mogućnosti u liječenju plućne arterijske hipertenzije i uloga medicinske sestre u edukaciji i praćenju bolesnika

master's thesis

• Title (english): Therapeutic options in the treatment of pulmonary arterial hypertension and the role of the nurse in the education and monitoring of patients
• Author: Ana Umičević
• Mentor: Mateja Janković Makek (mentor)
• Committee member: Gordana Pavliša (predsjednik povjerenstva)
• Committee member: Andrea Vukić Dugac (član povjerenstva)
• Committee member: Mateja Janković Makek (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Internal Medicine); Zagreb
• Defense date and country: 2020-08-28, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract

Plućna arterijska hipertenzija (PAH ) je rijetka i progresivna bolesti koju karakterizira porast
tlaka u plućnoj arteriji. Prema klasifikaciji Svjetske zdravstvene organizacije (WHO), PAH
može biti idiopatska (IPAH), nasljedna, uzrokovana lijekovima i toksinima te udružena sa
bolestima vezivnog tkiva, infekcijom virusom humane imunodeficijencije (HIV), portalnom
hipertenzijom, prirođenim srčanim greškama i šistosomijazom. Simptomi PAH-a slični su
simptomima astme ili srčanog popuštanja stoga je vrlo često pogrešno dijagnosticirana. S
obzirom na nepovoljan prirodni tijek bolesti te različitosti pristupanja liječenju ovisno o uzroku
PAH, važno je što prije isključiti druge etiologije i postaviti dijagnozu kako bi se što prije
započelo liječenje. Liječenje PAH-a značajno se promijenilo u posljednjih petnaestak godina.
U prošlosti je medijan preživljenja bolesnika oboljelih od IPAH-a iznosio tri do pet godina, no
njihova se prognoza promijenila uslijed sve prezicnijih dijagnostičkih tehnika, razvoja
specijalizirane terapije i započimanja liječenja u ranijoj fazi bolesti. Lijekovi se koriste u
različitim kombinacijama, a pojavljuju se u obliku tableta, inhalacija, intravenskim te
potkožnim oblicima. Iako su novi lijekovi zaslužni za poboljšanje kvalitete života kod
bolesnika oboljelih od PAH-a, fokus je na unaprijeđenju zdravstvene skrbi u procesu liječenja.
Medicinske sestre i tehničari kao članovi multidisciplinarnog tima imaju ključnu ulogu u
liječenju bolesnika oboljelih od PAH-a. Podrška oboljelima kao i edukacija o primjeni lijekova
jedna je od glavnih uloga medicinske sestre/tehničara.

Abstract (english)

Pulmonary arterial hypertension (PAH) is a rare and progressive disease characterized by an
increase in pulmonary artery pressure. According to the World Health Organization (WHO)
classification, it can be idiopathic (IPAH), hereditary, caused by drugs and toxins and
associated with connective tissue diseases, human immunodeficiency virus infection, portal
hypertension, congenital heart defects and schistosomiasis. The symptoms of PAH are similar
to those of asthma or the heart failure, so it is very often misdiagnosed. Given the poor
prognosis of the disease and differences in the management according to different underlying
causes, it is important to rule out/confirm other etiologies as soon as possible and start the
treatment as soon as possible. PAH treatment has changed dramatically in the last fifteen years.
In the past, the median survival of the patient with IPAH was three to five years from the time
of diagnosis. However, their prognosis improved with the improvement of diagnostic
techniques, earlier initiation of the treatment and the development of specialized therapy. Drugs
are used in various combinations, and they come in the form of tablets, inhalations, intravenous
and subcutaneous forms. Although the new drugs are credited with improving the quality of
life for patients with PAH, the focus has been on undisturbed health care in the treatment.
Nurses and technicians, as members of a multidisciplinary team, have a key role in the
treatment of patients with PAH. Patient support and medication education is one of the main
roles of the nurse / technician

• Keywords: plućna arterijska hipertenzija; unapređenje kvalitete skrbi; multidisciplinarni tim
• Keywords (english): pulmonary arterial hypertension; improvement of quality of care; multidisciplinary team
• Language: croatian
• URN:NBN: urn:nbn:hr:105:428186
• 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: 2021-05-10 10:52:42