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master's thesis
Sestrinska skrb za oboljele od multiplog mijeloma
Zagreb: University of Zagreb, School of Medicine, 2015. urn:nbn:hr:105:879806
Zlatar, Biserka
University of Zagreb
School of Medicine
Department of Internal Medicine

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

Cite this document

Zlatar, B. (2015). Sestrinska skrb za oboljele od multiplog mijeloma (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:879806

Zlatar, Biserka. "Sestrinska skrb za oboljele od multiplog mijeloma." Master's thesis, University of Zagreb, School of Medicine, 2015. https://urn.nsk.hr/urn:nbn:hr:105:879806

Zlatar, Biserka. "Sestrinska skrb za oboljele od multiplog mijeloma." Master's thesis, University of Zagreb, School of Medicine, 2015. https://urn.nsk.hr/urn:nbn:hr:105:879806

Zlatar, B. (2015). 'Sestrinska skrb za oboljele od multiplog mijeloma', Master's thesis, University of Zagreb, School of Medicine, accessed 10 November 2024, https://urn.nsk.hr/urn:nbn:hr:105:879806

Zlatar B. Sestrinska skrb za oboljele od multiplog mijeloma [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2015 [cited 2024 November 10] Available at: https://urn.nsk.hr/urn:nbn:hr:105:879806

B. Zlatar, "Sestrinska skrb za oboljele od multiplog mijeloma", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2015. Available at: https://urn.nsk.hr/urn:nbn:hr:105:879806

Metadata
TitleSestrinska skrb za oboljele od multiplog mijeloma
Title (english)Nursing care for a patients with multiple myeloma
AuthorBiserka Zlatar
MentorIgor Aurer (mentor)
Committee memberNadira Duraković
Committee memberJasenka Markeljević
Committee memberIgor Aurer
GranterUniversity of Zagreb
School of Medicine
(Department of Internal Medicine)
Zagreb
Defense date and country2015-09-30, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract
Sestrinska skrb za oboljele od multiplog mijeloma predstavlja izazov sestrinstvu. Bolest je progresivna i maligna. Početak joj je obično nespecifičan s nizom simptoma koji se mogu javiti i u drugim bolestima. Pri postavljanju dijagnoze koriste se specifični postupci, uključujući vađenje krvi, punkciju ili biopsiju koštane srži te slikovne metode u kojima sudjeluju i medicinske sestre. Liječenje ovisi o brojnim čimbenicima. U terapiji najčešće se primjenjuje kemoterapija za koju medicinske sestre trebaju biti odgovarajuće educirane, kako za samu provedbu tako i za praćenje općeg stanja bolesnika. U liječenju se još koristi ciljana protutmorska terapija, steroidi, zračenje i bifosfonati. Terapijska metoda u kojoj je vrlo važna aktivna uloga medicinskih sestara, a koja se često koristi u liječenju ove bolesti je transplantacija autolognih matičnih krvotvornih stanica. Multipli mijelom je neizlječiva bolest pa bolesnici redovito dobivaju nekoliko linija terapije čiji izbor i redoslijed ovise o stanju bolesnika, značajkama bolesti i odgovoru na ranije liječenje. Medicinske sestre dobrom edukacijom bolesnika i njegove obitelji pomažu u savladavanju psihičkih i fizičkih promjena koje prate ovu bolest i liječenje. Bolesnik veći dio vremena liječenja provodi u svom domu te je provođenje kontinuirane sestrinske skrbi od sekundarne ili tercijarne zdravstvene zaštite preko primarne zdravstvene zaštite važan proces zdravstvene njege bolesnika.
Abstract (english)
Nursing patients with multiple myeloma is a challenge. The disease is progressive and malignant; its onset is usually non-specific with a number of symptoms that can occur in other diseases. Diagnostics require specific procedures including venepuncture, bone marrow biopsy and imaging methods in which nurses participate. Choice of treatment depends on multiple factors; chemotherapy is used most frequently. Nurses need to be adequately educated for both implementation of chemotherapy and monitoring the general condition of the patient. Other treatment options include targeted therapy, steroids, radiotherapy and biphosphonates. Autologous stem cell transplantation is a therapeutic method frequently used in this disease in which active participation of nurses is of utmost importance. Since multiple myeloma is an incurable disease, patients regularly receive multiple line soft treatment; selection of order in which they are applied depend on patient's condition, disease characteristics and response to previous treatment. Nurses can aid patients and their families in coping with psychological and physical changes accompanying the disease and its therapy by providing proper education. Patients spend most of the time during treatment at home, therefore implementation of continuous nursing care, from secondary or tertiary up to primary health care, is important for the quality of the nursing process.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:879806
Study programmeTitle: Studies in Nursing
Study programme type: university
Study level: graduate
Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2016-04-21 12:57:47