Zdravstvena njega bolesnika s karcinomom larinksa

master's thesis

• Title (english): Care of patiens with laryngeal carcinoma
• Author: Marko Sabljak
• Mentor: Mario Bilić (mentor)
• Committee member: Drago Prgomet (predsjednik povjerenstva)
• Committee member: Mirko Ivkić (član povjerenstva)
• Committee member: Mario Bilić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Othorhinolaryngology and Head and Neck Surgery); Zagreb
• Defense date and country: 2014-09-18, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Nursing

Abstract

Rad nastoji dotaknuti širinu sestrinskog pristupa kako u prepoznavanju tako i rješavanju problema iz područja procesa sestrinske skrbi kod bolesnika s karcinomom larinksa. U uvodnom dijelu prikazane su osnove anatomije i fiziologije larinksa, vrste i mehanizmi te načini konzervativnog i operacijskog liječenja karcinoma larinksa. Nakon toga se opisuje zbrinjavanje i zdravstvena njega bolesnika s karcinomom larinksa od početka hospitalizacije, s pristupom bolesniku kroz proces zdravstvene njege i naglaskom na holistički pristup. Posebnosti zdravstvene njege opisane su i razdvojene kroz prijeoperacijsko i poslijeoperacijsko razdoblje. U posebnom dijelu donosi se prikaz sestrinske skrbi kroz dokumentaciju zdravstvene njege izrađene tijekom završnih vježbi. Prijeoperacijsko razdoblje u bolesnika je obilježeno osjećajima tjeskobe i straha koji su prisutni kroz cijelu bolest, njezino liječenje i rehabilitaciju. U radu je istaknuta važnost kvalitetne psihološke i fizičke prijeoperacijske pripreme koja uvelike utječe na poslijeoperacijsku prilagodbu i očekivanja bolesnika. Ističe se važnost uspostavljanja odnosa podrške i povjerenja te pružanje točnih i potpunih informacija bolesniku i njegovoj obitelji kako bi se uklonili osjećaji tjeskobe i straha koji su često uzrokovani neupućenošću, netočnim informacijama i utjecajem različitih predrasuda, kako bolesnika tako i njegove obitelji. Opisane su zajedničke intervencije medicinske sestre i drugih članova zdravstvenog tima koje se provode u najboljem interesu za oporavak bolesnika kroz multidiscplinirani pristup. U poslijeoperacijskom razdoblju u bolesnika je prisutna smanjena prohodnost dišnih putova zbog prisutnosti hipersekrecije te visok rizik za infekciju. Smanjena je i mogućnost hranjenja zbog uvođenja nazogastrične sonde koja također ima psihološku pozadinu zbog novonastalih promjena u funkcijama gutanja.
U radu su dijelom prikazani psihosocijalni problemi, kao što su poremećaj samopercepcije te poteškoće u socijalizaciji bolesnika. Navedene su i važnosti samostalnosti i edukacije bolesnika u aktivnostima samozbrinjavanja kao bitnog čimbenika za prihvaćanje samog sebe te ponovnu socijalizaciju bolesnika. U radu je također obrađena i uključenost bolesnikove obitelji u zdravstvenu njegu koja je od neprocjenjive važnosti za bolesnikov oporavak, ali i daljnju socijalizaciju.

Abstract (english)

This paper will show a broad nursing approach in identifying as well in solving problems of the process of the nursing care for patients with Larinks carcinoma. Firstly, the basics of anatomy and physiology of larinks have been given as well as types, mechanisms and methods of conservative and surgical treatment of the Larinks carcinoma. Furthermore, care of patients with Larinks carcinoma with admittance to the hospital, followed by the process of nursing and patient care with special emphasis to the holistic approach. Specific features of patient care have been described and divided to pre-operative and post-operative period. A special part provides an overview of nursing through patient care documentation produced in the course of final practice. Pre-operational period of the patients is marked with anxiety and fear, which are constantly present, in treating and rehabilitation. The stress is on the importance of quality psychological and physical preparation that greatly influences the post operational adjustment and expectations of the patient. It is very important to establish the relationship of support and trust, as well as providing accurate and complete information to the patient´s family, in order to eliminate feelings of anxiety and fear, as a result of lack of knowledge, inaccurate information and prejudices. Mutual interventions (which are in the best interest of the patients´ improvement in health), of the nurse and other members of the medical staff are described through the multidisciplinary approach.
Post-operational period of the patients suffer from reduced breath, hyper secretion issues which are highly risky for infection. Ability to eat is also reduced due to applying the nasogastric tube, as a psychological problem connected with new changes in swallowing and chewing habits. This paper shows psychological problems, self-perception disorder and socialization problems of the patient. The stress is also on the importance of independence and education of the patient related to the activities of self-care as a vital factor in self-perception and socializing. This paper also describes the involvement of the patient ´s family in the medical care, which is of the great importance for the patient ´s recovery and further socialization as well.

• Keywords: larinks; karcinom; zdravstvena njega
• Keywords (english): larynx; cancer; patient care
• Language: croatian
• URN:NBN: urn:nbn:hr:105:273588
• 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: 2016-03-01 09:28:50