Kompleksnost zdravstvene skrbi za pacijenta nakon radikalne operacije karcinoma jednjaka

master's thesis

• Title (english): The complexity of patient care after radical esophageal cancer surgery
• Author: Marta Dananić
• Mentor: Vedran Cesarec (mentor)
• Committee member: Hrvoje Silovski (predsjednik povjerenstva)
• Committee member: Marko Jakopović (član povjerenstva)
• Committee member: Vedran Cesarec (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Surgery); Zagreb
• Defense date and country: 2021-09-17, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Karcinom jednjaka je bolest s visokom smrtnošću, zbog kasnog dijagnosticiranja.
Zloćudni tumor lako metastazira u limfne čvorove i hematogeno u udaljene organe.
Liječenje je dugotrajno, a najčešće obolijevaju osobe nakon 50. godine života.
Muškarci obolijevaju četiri puta češće nego žene, s tendencijom porasta zbog
promjene životnih navika. Glavni faktori rizika su pušenje, pretjerana konzumacija
alkohola i iritacija vrućim napicima i neodgovarajućom hranom. Najučinkoviti način
liječenja je kirurški, ezofagektomijom. Postoje slučajevi kad se kirurški pristup može
kombinirati s kemoradioterapijom. Ovaj rad prikazuje kompleksnost zdravstvene
njege, posebno zbog mogućih komplikacija. Kompleksnost se vidi općenito u procesu
liječenja, s naglaskom na vrijeme bolesnika provedeno u Jedinici intenzivnog
liječenja. Medicinska sestra je važan član tima i uključena je u liječenje bolesnika od
prijema u bolnicu i dijagnosticiranja bolesti do postoperativne zdravstvene njege i
nadzora bolesnika nakon otpusta. Mora biti upoznata sa svim postupcima njege
bolesnika, s naglaskom na invazivni i neinvazivni monitoring vitalnih funkcija,
nutriciju, analgeziju i toaletu traheobronhalnog stabla uz prevenciju komplikacija.

Abstract (english)

Esophageal cancer is a disease with high mortality, due to late diagnosis. The
malignant tumor easily metastasizes to lymph nodes and hematogenously to distant
organs. The treatment is long-term, and people after the age of 50 are most often
affected. Men get sick four times more often than women, with a tendency to
increase due to changing life habits. The main risk factors are smoking, excessive
alcohol consumption and irritation with hot drinks and inappropriate food. The most
effective treatment is a surgery, esophagectomy. There are cases where a surgical
approach can be combined with chemoradiotherapy. This paper presents the
complexity of health care, especially due to possible complications. Complexity is
seen in general in the treatment process, with an emphasis on patient's time spent in
the Intensive Care Unit. The nurse is an important member of the team and is
involved in the treatment of patients from admission to the hospital and diagnosis of
the disease to postoperative health care and follow-up of patients after discharge.
She must be familiar with all patient care procedures, with an emphasis on invasive
and non-invasive monitoring of vital functions, nutrition, analgesia, and care of the
tracheobronchial tree with complication prevention.

• Keywords: jednjak; karcinom; ezofagektomija; zdravstvena njega
• Keywords (english): esophagus; cancer; esophagectomy; health care
• Language: croatian
• URN:NBN: urn:nbn:hr:105:885585
• 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: 2022-06-17 11:43:55