Uloga medicinske sestre u liječenju i skrbi bolesnika s upalnom bolesti crijeva

master's thesis

• Title (english): Nursing role in treatman and care of patient with inflammatory bowel disease
• Author: Valentina Martinelli
• Mentor: Krešimir Luetić (mentor)
• Committee member: Edvard Galić (predsjednik povjerenstva)
• Committee member: Jasenka Markeljević (član povjerenstva)
• Committee member: Krešimir Luetić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2023-07-18, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract

Upalna bolest crijeva ili „IBD“ prema engleskom izrazu „Inflammatory Bowel Disease“
označava kroničnu upalnu bolest crijeva koja može zahvatiti bilo koji dio probavnog sustava,
ali može imati posljedice i na ostale organske sustave u tijelu. Upalnu bolest crijeva
karakteriziraju različiti klinički simptomi i nepredvidivi tijek bolesti. Upalnu bolest crijeva
podijelili smo na Crohnovu bolest, ulcerozni kolitis i neklasificiranu upalnu bolest crijeva.
Karakteristični simptomi upalne bolesti crijeva su bolovi u trbuhu, učestale proljevaste stolice
s primjesama krvi, gubitak na tjelesnoj težini, anemija, nadutost. Uzrok bolesti je nepoznat, ali
prema različitim teorijama utjecaj na razvoj bolesti imaju genetski faktori kao i
imunodeficijencija. Liječenje je farmakološko, nefarmakološko i kirurško. Važno je kontrolirati
bolest jer neodgovarajuće liječenje može dovesti do komplikacija te značajno narušiti kvalitetu
života bolesnika. Bolesniku treba pristupiti individualno te stvoriti odnos povjerenja koji se
razvija kroz dobru komunikaciju. Uloga medicinske sestre/tehničara u liječenju bolesnika od
upalne bolesti crijeva je od izuzetne važnosti. Najvažnija uloga medicinske sestre je uzimanje
kvalitetne anamneze od pacijenta kako bi mogla definirati sestrinske dijagnoze i intervencije
koje mora primijeniti kod tog pacijenta. Medicinska sestra ima važnu ulogu u edukaciji
pacijenta o njegovoj bolesti, pravilnoj prehrani te primjeni terapije s kojom se bolesnici s
upalnom bolesti crijeva susreću. Uloga medicinske sestre je posebno važna kod aplikacije same
terapije odnosno primjene biološke terapije i praćenja stanja bolesnika.

Abstract (english)

Inflammatory bowel disease or more commonly abbreviated „IBD“ according to the English
term „Inflammatory Bowel Disease“ refers to chronic inflammatory bowel disease that can
affect any part of the digestive system, but can also affect other organ system in the body.
Inflammatory bowel disease is characterized by different clinical symptoms and unpredictable
course of the disease. Inflammatory bowel disease is divided into Crohn´s disease, ulcerative
colitis, and unclassified inflammatory bowel disease. Usual symptoms of inflammatory bowel
disease are abdominal pain, frequent diarrhea accompanied by blood, weight loss, anemia,
bloating. The etiology of disease is unknown, but according to various theories genetic factors
as well as immunodeficiency influence the development of the disease. Treatment is
pharmacological, non-pharmacological and surgical. It is important to control the disease
because inadequate treatment can lead to complications and significantly impair the quality of
life of patients. The patient should be approached individually and a relationship of trust should
be created through good communication. The role of the nurse in treating patients with
inflammatory bowel disease is of great importance. It is important for the nurse to take a good
anamnesis of the patient in order to be able to define the nursing diagnoses and interventions
she must apply. The nurse has an important role in educating patient about his disease, proper
nutrition and therapy. The role of the nurse is especially important in the application of the
therapy itself, especially application of biological therapy and monitoring the patient`s
condition.

• Keywords: upalna bolest crijeva; probavni sustav; medicinska sestra; Crohnova bolest; ulcerozni kolitis
• Keywords (english): inflammatory bowel disease; digestive system; nurse; Crohn`s disease; ulcerative colitis
• Language: croatian
• URN:NBN: urn:nbn:hr:105:477239
• 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: 2024-04-18 11:05:25