Title Zdravstveni odgoj bolesnika sa šećernom bolesti tipa I
Title (english) HEALTH EDUCATION OF PATIENTS WITH DIABETES MELLITUS TYPE 1
Author Lucijana Ripić
Mentor Ante Buljubašić (mentor)
Committee member Matea Dolić (predsjednik povjerenstva)
Committee member Vesna Antičević (član povjerenstva)
Committee member Ante Buljubašić (član povjerenstva)
Granter University of Split (University Department of Health Studies) Split
Defense date and country 2016-07-19, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences
Abstract Šećerna bolest (ŠB) predstavlja veliki javnozdravstveni problem. U Republici Hrvatskoj (RH) prema dostupnim podacima od ŠB boluje preko 400.000 osoba, odnosno svaka deseta osoba. ŠB uzrok je preuranjene smrti 5 milijuna oboljelih na svijetu, te je u RH na sedmom mjestu ljestvice vodećih uzroka smrti s prisutnim trendom porasta u nekoliko posljednjih desetljeća. ŠB tipa I je tip bolesti kada tijelo više ne proizvodi inzulin jer su stanice gušterače zadužene za proizvodnju inzulina potpuno uništene.
Medicinska sestra koja radi s oboljelima od ŠB treba biti educirana za provođenje zdravstvenog odgoja, ali i za prepoznavanje potencijalnih komplikacija bolesti. U životu oboljelog od ŠB medicinska sestra ima veliku važnost jer provodi edukaciju oboljelog, ali i obitelji oboljelog, posebno ako je riječ o djetetu ili o osobi s kognitivnim oštećenjima. Edukacija je proces koji počinje tijekom prve hospitalizacije kada se otkriva bolest, te se nastavlja kroz redovite kontrole. Bitan cilj samog zdravstvenog odgoja kod ove bolesti je što ranije i što bolje emocionalno prilagođavanje i prihvaćanje novootkrivene bolesti od strane cijele obitelji. Ciljevi u radu medicinske sestre s oboljelima od ŠB tip I su:
5) postizanje boljeg općeg zdravstvenog stanja bolesnika;
6) sprječavanje nastanka komplikacija bolesti;
7) postizanje i održavanje idealne tjelesne težine;
8) postizanje i održavanje razine GUK-a što bliže normalnim vrijednostima.
Postoje brojne sestrinske dijagnoze koje se mogu javiti kod oboljelog od ŠB, a najčešće su:
• Nepridržavanje zdravstvenih preporuka u/s neprihvaćanjem bolesti;
• Nepravilna prehrana u/s nedostatkom volje;
• Umor u/s osnovnom bolesti;
• Strah u/s novotkrivenom bolesti, promjenom načina života i primjenom inzulina;
• Bespomoćnost u/s novotkrivenom bolesti;
• VR za oštećenje integriteta kože u/s osnovnom bolesti i primjenom inzulinske terapije;
• VR za infekciju u/s primjenom inzulinske terapije i provođenjem samokotrole GUK-a;
• Neupućenost u/s načinom života, terapijom, prehranom, osnovnom bolesti.
Međutim, kod oboljelih postoji i mogućnost pojave sestrinsko medicinskih problema kao što su:
• VR za hipoglikemiju u/s primjenom inzulinske terapije, povećanom tjelesnom aktivnosti, preskakanjem obroka, neupućenosti
• VR za hiperglikemiju u/s preskakanjem uzimanja inzulinske terapije, nepravilnom prehranom, neupućenosti.
Potrebno je izabrati pravi način provođenja edukacije i prepoznati jake strane bolesnika kako bi se razvio njegov potencijal u samozbrinjavanju. Također je važno prepoznati i slabe strane u samozbrinjavanju kako bi se uključila bolesnikova socijalna podrška da mu pomogne u samokontroli bolesti. Budući da je ŠB doživotna bolest i zatijeva promjenu načina života, možemo zaključiti da uz pomno planiranje svakodnevnih aktivnosti i uz dobru edukaciju bolesnik može normalno živjeti i upravljati svojim životom. U protivnom, bolest je ta koja će preuzeti kontrolu.
Abstract (english) Diabetes mellitus (DM) represents a huge public health problem. According to available date, there is more than 400 000 people in Croatia who are suffering from DM, or every tenth person. DM is a cause of premature death of 5 milion patients in the world, and it is in Croatia on seventh place in the ranking of leading causes of death, with upward trend in the last few decades. Diabetes mellitus type I is a type of disease when body doesn't produce insulin at all, because cells of pancreas that are in charge for producing insulin are completely destroyed.
A nurse who works with patients should be educated to conduct health education, but also to recognize potential complications of patients. In the life of patient nurse has a huge importance,because she conducts education of patient and his family, especially if it comes to a child or a person with a cognitive impairments. Education is a process that begins during the first hospitalization when the disease is detected and then it continues through regular check-ups. An important goal of health education of this disease is early and as good as possible emotionally adjustment and acceptance of newly discovered disease by the whole family. Objectives in the work of nurses with patient with DM are:
1. achieving a better general medical health of patient
2. prevention of complication of disease
3. achieving and maintaining ideal body weight
9) achieving and maintaining GUK levels as close to the normal values.
There are many nursing diagnosis that may occur by patient who has a DM, but the most often are:
• Noncompliance with medical treatment recommendations r/t not accepting disease;
• Unbalanced diet r/t a lack of will; Tiredness r/t a basic disease;
• Fear r/t the newly discovered disease, lifestyle changes and taking insulin;
• Helplessness r/t the newly discovered disease;
• High risk of damage to the integrity of the skin r/t a basic disease and the application of insulin therapy;
• HR for infection r/t the application of insulin therapy and the implementation of self control of GUK;
• Lack of knowledge r/t a lifestyle, therapy, nutrition and a basic disease.
However, patients have possibility to get some nursing-medical diagnosis like:
• HR for hypoglycemia r/t the use of insulin therapy, increased physical activity, skipping meals lack of knowledge ;
• HR for hyperglycemia r/t a skipping of taking insulin therapy, unbalanced diet, lack of knowledge.
The nurse should choose the appropriate way of conducting education and recognize strengths of patient so she can help him build up his potential in self-care. It is also important to recognize weaknesses of patient, so the nurse can include social support of the patient who will help him in self-control disease. Diabetes mellitus is a lifetime disease and it requires a lifestyle change, so we can conclude that patient can live normally and have control over his life by carefully planning his everyday activities and by right education. Otherwise, the disease is one that will take control.
Keywords
Šećerna bolest (ŠB)
inzulin
edukacija
samokontrola bolesti
Keywords (english)
Diabetes mellitus (DM)
insulin
education
self-control disease
Language croatian
URN:NBN urn:nbn:hr:176:454327
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 2020-05-23 09:19:25