Title (croatian) Obitelj i akutna bolest
Title (english) Family and acute disease
Author Jasna Grković
Author's institution University of Rijeka Faculty of Medicine (Department of Psychiatry and Psychological Medicine)
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Psychiatry
Abstract (croatian) Akutna bolest jednog od članova obitelji predstavlja značajni stresni životni događaj
ili situaciju unutar obitelji. Iznenadna bolest stvara previranja na koja obitelj često ne može
adekvatno odgovoriti ili se nositi s promjenama u zahtjevima funkcioniranja. Bez obzira o kojoj
akutnoj bolesti ili stradavanju se radi, primjerice srčanom udaru, moždanom udaru, prometnoj
nesreći, iznenadnoj bolesti i sl., ono predstavlja akutni životni događaj vezan uz prekid uobičajenog
tijeka života unutar svakodnevice obitelji (Holmes-Raheova ljestvica stresnih događaja
stavlja povredu ili bolest na šesto mjesto bodovanja stresnosti). Stres zbog bolesti člana
obitelji uvijek je nasljednik dotadašnjih iskustava obiteljskog života i njene povijesti funkcioniranja
i pokretač je promjena, kako u strategijama suočavanja, tako i u značenju bolesti koje
obitelj pridodaje stresnom zbivanju. Bolest mijenja aktualnu obiteljsku situaciju samom činjenicom
da se jedan član obitelji razbolio. Ozbiljnija tjelesna bolest najčešće je komplicirana neugodnim
emocijama svih članova obitelji – anksioznošću i depresijom, prilagodbenim teškoćama
i nesnalaženjem u promjeni i preraspodjeli uloga koje se nameću i pojavljuju unutar
obitelji nakon razbolijevanja jednog od članova. Radi se zapravo o seriji stresova koji mogu izazvati
psihološke i fiziološke stresne odgovore unutar obitelji kao cjeline. Svaka obitelj reagira
adaptirajući se koliko je god to moguće iz njenih resursa u teškoj situaciji. Strategije suočavanja
mogu biti različite: od aktivnog suočavanja, distanciranja, traženja socijalne podrške i prihvaćanja
odgovornosti do izbjegavanja i negiranja problema. Liječnici koji neposredno liječe
bolesnika najvažniji su u pružanju informacija obitelji jer time znatno smanjuju stresnost akutnih
zbivanja i omogućavaju prevladavanje nesigurne i uzdrmane obiteljske situacije.
Abstract (english) Acute illness of a family member represents an important stressful event for the
whole family. Usually, the family confronted with a sudden illness, cannot adequatly cope
with new demands for change in functioning. No matter which acute illness or injuries are
involved – heart attack, stroke or traffic accident, sudden illness is an acute life event associated
with the termination of the usual course of everyday life within the family (Holmes –
Rahe Scale of stressfull events puts the injury or disease to sixth place scoring stressfulness).
Stress due to illness of a family member always is the succesor of the previous family life experiences
and its history of driving changes, as well as the meaning of illness which family
adds to new stressors. The fact that one family member became ill, changes the whole current
family situation. Serious physical illness is often complicated by unpleasent emotion of
all family members – anxiety, depression, adaptive difficulties and disorientation, as well as
with a change in redistribution of roles that occurs within the family. It is actually a series of
stresses that can cause psychological and physiological responses in most family members.
Each family will react according to their specific resources. Coping mechanisms are various
– from active coping, distancing, getting social support and taking responsability to avoidance
or denial of the problem. Doctors who treat patients directly, are the most important
in providing information to family members, reducing their anxieties and in such way helping
them to overcome the unsafe and shaken family situation.
Keywords (croatian)
akutna bolest
obitelj
strategije suočavanja
Keywords (english)
acute disease
coping strategies
family
Language croatian
Publication type Professional paper - Review paper
Publication status Published
Peer review Peer review
Publication version Published version
Journal title Medicina Fluminensis : Medicina Fluminensis
Numbering vol. 46, no. 3, pp. 273-277
p-ISSN 0025-7729
URN:NBN urn:nbn:hr:184:314988
Publication 2010-09-13
Document URL http://hrcak.srce.hr/59251
Type of resource Text
Access conditions Open access
Terms of use
Created on 2017-05-09 14:20:23