Title Sestrinska skrb u liječenju dojenačkih hemangioma
Title (english) Nursing care in the treatment of infantile hemangiomas
Author Andrea Žamić
Mentor Arnes Rešić (mentor)
Committee member Mario Podrug (predsjednik povjerenstva)
Committee member Ivana Bokan (član povjerenstva)
Committee member Arnes Rešić (član povjerenstva)
Granter University of Split (University Department of Health Studies) Split
Defense date and country 2023-09-25, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences
Abstract : Hemangiomi su dobroćudne vaskularne neoplazme koje se najčešće javljaju kod novorođenčadi i dojenčadi u prvih nekoliko tjedana ili mjeseci života. Većina ih ima benigni tijek i spontano se povlače tijekom vremena. Klinička slika dojenačkih hemangioma može varirati, ovisno o tipu, podtipu i lokalizaciji hemangioma. Dijagnoza se postavlja na osnovu anamneze i kliničkog pregleda. U većini slučajeva, dojenački hemangiomi ne zahtijevaju posebno liječenje i dovoljno je praćenje. Međutim, u nekim slučajevima, posebno kod većih, brzo rastućih ili kompliciranih hemangioma, koriste se različiti modaliteti liječenja: farmakoterapija (propranolol, timolol), skleroterapija, laserska terapija i kirurški zahvati. Sestrinska skrb za djecu oboljelu od dojenačkih hemangioma igra važnu ulogu u pružanju podrške roditeljima i njege djeteta. To uključuje edukaciju obitelji o hemangiomima, praćenje hemangioma, provođenje liječenja, prevenciju i liječenje komplikacija. Uz rano prepoznavanje, pravilno praćenje i podršku obitelji, većina dojenačkih hemangioma ima dobar ishod. Uloga medicinske sestre u praćenju uključuje redovite procjene veličine, lokalizacije, boje, teksture i eventualnih komplikacija (zahvaćanje vitalnih struktura, ulceracije). Medicinske sestre su uključene u uvođenje i provođenje terapije betablokatorom tijekom hospitalizacije te u ambulantno praćenje u mjesečnim intervalima gdje se prati uspješnost liječenja i korekcija doze lijeka. U slučaju nastanka trajnih ožiljaka i estetskog nagrđivanja, hemangiomi mogu imati značajan emocionalni i psihološki utjecaj na pacijente u kasnijoj životnoj dobi i njihove obitelji. Medicinske sestre su važan dio tima u liječenju i praćenju terapijskih ishoda djece s hemangiomima.
Abstract (english) Hemangiomas are benign vascular neoplasms that most often occur in newborns and infants in the first few weeks or months of life. Most of them have a benign course and resolve spontaneously over time. The clinical picture of infant hemangiomas can vary, depending on the type, subtype and localization of the hemangioma. The diagnosis is made on the basis of history and clinical examination. In most cases, infantile hemangiomas do not require special treatment and monitoring is sufficient. However, in some cases, especially with larger, fast-growing or complicated hemangiomas, different treatment modalities are used: pharmacotherapy (propranolol, timolol), sclerotherapy, laser therapy and surgery. Nursing care for children with infantile hemangiomas plays an important role in providing support to parents and care of the child. This includes family education about hemangiomas, monitoring of hemangiomas, implementation of treatment, prevention and treatment of complications. With early recognition, proper follow-up and family support, most infantile hemangiomas have a good outcome. The nurse's role in follow-up includes regular assessments of size, localization, color, texture and possible complications (involvement of vital structures, ulceration). Nurses are involved in the introduction and implementation of beta-blocker therapy during hospitalization and in outpatient follow-up at monthly intervals, where the success of the treatment and the correction of the drug dose are monitored. In the case of permanent scarring and aesthetic disfigurement, hemangiomas can have a significant emotional and psychological impact on patients and their families later in life. Nurses are an important part of the team in the treatment and monitoring of therapeutic outcomes of children with hemangiomas.
Keywords
: Dojenački hemangiomi
propranolol
zdravstvena njega
Keywords (english)
infantile hemangiomas
propranolol
healthcare
Language croatian
URN:NBN urn:nbn:hr:176:693185
Study programme Title: Nursing (university/undergraduate) Study programme type: university Study level: undergraduate Academic / professional title: sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2023-09-27 09:51:11