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master's thesis
Uloga liječnika obiteljske medicine u praćenju bolesnika s kroničnom opstruktivnom plućnom bolesti
Zagreb: University of Zagreb, School of Medicine, 2020. urn:nbn:hr:105:068165
Lebo, Marija
University of Zagreb
School of Medicine
Department of Family Medicine

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

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Lebo, M. (2020). Uloga liječnika obiteljske medicine u praćenju bolesnika s kroničnom opstruktivnom plućnom bolesti (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:068165

Lebo, Marija. "Uloga liječnika obiteljske medicine u praćenju bolesnika s kroničnom opstruktivnom plućnom bolesti." Master's thesis, University of Zagreb, School of Medicine, 2020. https://urn.nsk.hr/urn:nbn:hr:105:068165

Lebo, Marija. "Uloga liječnika obiteljske medicine u praćenju bolesnika s kroničnom opstruktivnom plućnom bolesti." Master's thesis, University of Zagreb, School of Medicine, 2020. https://urn.nsk.hr/urn:nbn:hr:105:068165

Lebo, M. (2020). 'Uloga liječnika obiteljske medicine u praćenju bolesnika s kroničnom opstruktivnom plućnom bolesti', Master's thesis, University of Zagreb, School of Medicine, accessed 26 April 2024, https://urn.nsk.hr/urn:nbn:hr:105:068165

Lebo M. Uloga liječnika obiteljske medicine u praćenju bolesnika s kroničnom opstruktivnom plućnom bolesti [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2020 [cited 2024 April 26] Available at: https://urn.nsk.hr/urn:nbn:hr:105:068165

M. Lebo, "Uloga liječnika obiteljske medicine u praćenju bolesnika s kroničnom opstruktivnom plućnom bolesti", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2020. Available at: https://urn.nsk.hr/urn:nbn:hr:105:068165

Metadata
TitleUloga liječnika obiteljske medicine u praćenju bolesnika s kroničnom opstruktivnom plućnom bolesti
Title (english)The role of family physician in monitoring patients with chronic obstructive pulmonary disease
AuthorMarija Lebo
MentorKsenija Kranjčević (mentor)
Committee memberGoranka Petriček (predsjednik povjerenstva)
Committee memberVenija Cerovečki Nekić (član povjerenstva)
Committee memberKsenija Kranjčević (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Family Medicine)
Zagreb
Defense date and country2020-07-17, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Public Health and Health Care
Family Medicine
Abstract
Kronična opstruktivna plućna bolest (KOPB) progresivna je upalna bolest koja zahvaća dišne puteve i plućni parenhim. Glavni rizični čimbenici za KOPB su pušenje, pasivno izlaganje duhanskom dimu te profesionalna izloženost organskim i anorganskim prašinama. Kronični upalni odgovor, koji je kod pacijenata s KOPB-om modificiran, uzrokuje patološke promjene dišnih puteva, plućnog parenhima i plućnih krvnih žila. Ove promjene dovode do sužavanja dišnih puteva, a posljedično i do ograničenja protoka zraka. Najčešći simptom KOPB-a je zaduha, a moguća je i pojava kašlja, a napredovanjem bolesti pacijenti sve teže podnose tjelesni napor. Zlatni standard u dijagnosticiranju i praćenju KOPB-a je spirometrija. Nakon dijagnoze, potrebno je procijeniti u kojoj se GOLD skupini po težini simptoma i opstrukcije pacijent nalazi, a zatim prema tome prilagoditi terapiju. U procjeni stadija bolesti koriste se i razni upitnici. Egzacerbacije KOPB-a i komorbiditeti koji ga prate pogoršavaju kliničku sliku, cjelokupno pacijentovo zdravlje i kvalitetu života. Terapija KOPB-a temelji se na bronhodilatatorima, a u nekim slučajevima dodaju se inhalacijski kortikosteroidi. Nefarmakološke metode uključuju prestanak pušenja kao najvažniju mjeru, plućnu rehabilitaciju, cijepljenje protiv gripe i pneumokoka, edukaciju o samozbrinjavanju bolesti i terapiju kisikom u pojedinih pacijenata. U praćenju pacijenata koji boluju od KOPB-a liječnici obiteljske medicine imaju ključnu ulogu. Dugogodišnje poznavanje pojedinog pacijenta i njegovog odnosa prema vlastitoj bolesti prednost je koju nemaju specijalisti na sekundarnoj ili tercijarnoj razini zdravstvene zaštite. Ipak, i liječnici obiteljske medicine suočavaju se s brojnim problemima u praćenju, poput nedostatka vremena za kvalitetne konzultacije te nesuradljivosti i zanemarivanja bolesti od strane samog pacijenta.
Abstract (english)
Chronic obstructive pulmonary disease (COPD) is a progressive inflammatory disease that affects the airways and lung parenchyma. The main risk factors for COPD are smoking, passive exposure to tobacco smoke and occupational exposure to organic and inorganic dusts. The chronic inflammatory response, which is modified in patients with COPD, causes pathological changes in the airways, pulmonary parenchyma, and pulmonary blood vessels. These changes lead to narrowing of the airways and consequently to the restriction of the airflow. The most common symptom of COPD is dyspnea, but coughing is also frequent. As the disease progresses, patients find it increasingly difficult to tolerate physical exertion. Spirometry is the gold standard in diagnosing and monitoring COPD. After the COPD is diagnosed, it is necessary to assess patient's GOLD group regarding the severity of the symptoms and airflow obstruction and to adjust therapy. Various questionnaires are also used to assess the stage of the disease. Exacerbations of COPD and the comorbidities worsen the clinical picture, the health status and patient's quality of life. COPD treatment includes various bronchodilators, and in some cases inhaled corticosteroids are prescribed. Nonpharmacological therapy consists of smoking cessation as the most important step, pulmonary rehabilitation, influenza and pneumococcal vaccination, self-management education and oxygen therapy. Family physicians play the key role in monitoring patients with COPD. Long-term knowledge of an individual patient and his attitude towards his own disease is an advantage that specialists at the secondary or tertiary level of health care do not have. However, family physicians also face a number of problems during the monitoring, such as lack of time for quality consultations, non-cooperative and unmotivated patients.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:068165
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2021-04-12 08:37:17