Holistički pristup u zbrinjavanju pacijenta s urostomom

master's thesis

• Title (english): Holistic approach in the care of urostomy patients
• Author: Radmila Vrbat
• Mentor: Željko Kaštelan (mentor)
• Committee member: Žarko Rašić (predsjednik povjerenstva)
• Committee member: Tomislav Meštrović (član povjerenstva)
• Committee member: Željko Kaštelan (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Urology); Zagreb
• Defense date and country: 2021-09-24, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Urology

Abstract

Mokraćni mjehur četvrto je najčešće sijelo karcinoma kod muškaraca, a
deveto najčešće kod žena u Hrvatskoj. Karcinom mokraćnog mjehura najčešća je
indikacija za odstranjenje mokraćnog mjehura. Nakon odstranjenja neophodno je
formirati alternativni put odvođenja urina radi očuvanja bubrežne funkcije. Urostoma
je operativno izveden otvor koji omogućava drenažu urina kroz trbušnu stjenku na
površinu trbuha. Ubraja se u skupinu inkontinentnih derivacija. Kombinacija maligne
bolesti, radikalnog operativnog zahvata te prirode derivacije dovodi do narušavanja
fizičkog, psihičkog i socijalnog integriteta bolesnika. Kako bi posljedice novonastale
situacije bile što manje ključno je liječenje i skrb provesti pravovremeno, u skladu s
holističkim načelima. Temelj holističkog pristupa zdravlju jest da čovjeka promatra
kao individuu sa svim svojim osobitostima i potrebama. Ideju holizma prvi put
spominje otac suvremene medicine Hipokrat (460. - 377. pr.n.e.). U skrbi za
bolesnika s urostomom koriste se postupci utemeljeni na dokazima koji omogućuju
individualni pristup bolesniku sukladno njegovim potrebama. Takva skrb doprinosi
smanjenju postoperativnih komplikacija i bržem oporavku te ujedno smanjenju
troškova liječenja. Rezultat holističkog djelovanja jest jačanje nade, dostojanstva,
samodiscipline, osjećaja autonomije, vitalnosti i socijalnog rasta što u konačnici
dovodi do potpunog oporavka bolesnika i postizanja kvalitete života što sličnije onoj
prije pojave bolesti.

Abstract (english)

The bladder is the fourth most common cancer in men and the ninth in women
in Croatia. Bladder cancer is the most common indication for bladder removal. After
removal, it is necessary to form an alternative route of urine collection in order to
preserve renal function. Urostomy is an operatively performed opening that allows
the drainage of urine through the abdominal wall to the surface of the abdomen, it
belongs to the group of incontinent derivations. The combination of malignant
disease, radical surgery and the nature of derivation leads to a violation of the
physical, mental and social integrity of the patient. In order to minimize the
consequences of the new situation, it is crucial to carry out treatment and care in a
timely manner, in accordance with holistic principles. The basis of a holistic approach
to health is to view man as an individual with all his peculiarities and needs. The idea
of holism was first mentioned by the father of modern medicine, Hippocrates (460. –
377. BC). In the care of patients with urostomy, evidence-based procedures are used
that allow individual access to the patient according to his needs. Such care
contributes to the reduction of postoperative complications and faster recovery, as
well as the reduction of treatment costs. The result of holistic action is the
strengthening of hope, dignity, self-discipline, a sense of autonomy, vitality and social
growth, which ultimately leads to complete recovery of the patient and achieving a
quality of life as similar as possible to the disease.

• Keywords: urostoma; holizam; sestrinstvo
• Keywords (english): urostoma; holism; nursing
• Language: croatian
• URN:NBN: urn:nbn:hr:105:892425
• 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: 2022-06-07 12:31:53