Title ZASTUPLJENOST KLINIČKIH ZNAKOVA I SIMPTOMA U BOLESNIKA S AUTIZMOM I NJIHOV UTJECAJ NA SESTRINSKU SKRB
Title (english) PRESENCE OF CLINICAL SIGNS AND SYMPTOMS IN PATIENTS WITH AUTISM AND THEIR IMPACT ON NURSING CARE
Author Ivona Poša
Mentor Matea Šarić (mentor)
Committee member Ante Buljubašić (predsjednik povjerenstva)
Committee member Rahela Orlandini (član povjerenstva)
Committee member Matea Šarić (član povjerenstva)
Granter University of Split (University Department of Health Studies) Split
Defense date and country 2014-09-25, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Cilj: Provedeno istraživanje imalo je za identificirat prisutne simptome i znakove kod osoba s autizmom te postaviti vjerojatne sestrinske dijagnoze kod osoba s autizmom.
Metode: Istraživanje je provedeno nad štićenicima “Centra za autizam” u Splitu tijekom svibnja 2014. godine, pomoću upitnika izrađenog u suradnji s mentoricom u kojem je onuđeno 45 simptoma i znakova autizma. Upitnik su ispunjavale medicinske sestre koje skrbe o štićenicima Centra. Prikupljeni podatci su uneseni putem MS Office programa. Podatci su analizirani i prikazani uz pomoć MS Excel-a.
Rezultati: Sudjelovalo je 30 ispitanika. Prosječna životna dob ispitanika je 15 (10–31). 17 ispitanika ima smanjeni interes za maštovite i kreativne igre, 16 ispitnika jede samo određenu vrstu hrane. 14 ispitanika učestalo ponavlja tjelesne pokrete, ima bijesne ispade, ne govori i/ili ponavlja riječi. Kod nijednog ispitanika nije zabilježen obrnuti izgovor riječi ni izražen talent u kiparstvu, a kod jednog ispitanika je zabilježeno biranje hrane po boji, a ne povrsti, talent u matematici, sklonost ozljeđivanju u igri, korištenje besmislene rime te izbjegavanje fizičkog kontakta.
Zaključci: Veliku ulogu u tretmanu osoba s autizmom ima medicinska sestra. Skrb za osobe s autizmom iznimno je zahtjevna zbog velikog broja simptoma i znakova koji su prisutni kod njih, a otežavaju pristup i provođenje određenih postupaka. Vjerojatne sestrinske dijagnoze kod osoba s autizmom su: poremećaj misaonog procesa, smetnje pamčenja, VR za socijalnu izolaciju/osamljenost, beznadnost, bespomoćnost, kronična smetenost te poremećaj prehrane/neuravnotežena prehrana. Uzrok svih ovih sestrinskih dijanoza je osnovno stanje/bolest, odnosno autizam. Istraživanje je provedeno na malom uzorku te bi bilo poželjno provesti ga u svim centrima za autizam RH. Potrebno je izraditi kategorizaciju osoba s autizmom o kojima se skrbe medicinske sestre kako bi se odredila potreba za zdravstvenom njegom, odnosno potreban broj medicinskih sestara i samim time omogućiti što veću kvalitetu života osobama s autizmom.
Abstract (english) Aim: The purpose of this study is to identify the presence of symptoms and signs of autism and set nursing diagnosis for autistic people.
Materialandmethods: A study was conducted proteges “Center for Autism” in May 2014 in Split using a questionnaire developed in collaboration with the mentor with 45 symptoms and signs of autism were offered. The questionnarie was completed by the nurses who care for protégée of center. The collected data were recorded using MS Office programs. Data were analyzed and displayed using MS Excel.
Results: The conducted study included 30 people. Their average age was 15 (10-31). 17 patients have a reduced interest in imaginative and creative games, 16 patients only eat certain types of food. 14 patients frequently repeat body movements, have angry outbursts, don`t talk / or repeat words. In none of the patients was recorded odd pronunciation of words or expressive talent in sculpture. In one of the patients it was noticed choosing food by color, not by type, talent in mathematics, tendency to hurt himself during playing games, using meaningless rhymes and avoiding physical contact.
Conclusion: Major role in treatment of autistic people has the nurse. Caring for people with autism is exceptionally difficult because of the large number of signs and symptoms which make it difficult for the nurse to approach and take certain actions. The likely nursing diagnosis in people with autism include: disorder of thinking process, memory disturbances, VR for social isolation/loneliness, hopelessness, helplessness, confusion and chronic eating disorder/unbalanced nutrition. The cause of all these nursing diagnosis is the underlying condition/disease or autism. The study was conducted on the small amont of people , so it would be recomended to implement it in all centers for autism in Croatia. It is necessary to be made a categorization of people with autism cared by nurses to determine the need for health care, or the required number of nurses and thereby provide the highest possible quality of life for people with autism.
Keywords
autizam
rani znakovi autizma
dijagnostika
prognoza autističnog poremećaja
sestrinska skrb
Keywords (english)
autism
early signs of autism
diagnostics
prognosis of autistic disorder
nursing care
Language croatian
URN:NBN urn:nbn:hr:176:388904
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 2016-09-12 11:12:05