Title Uloga medicinske sestre u edukaciji bolesnika s dijagnozom masne jetre
Title (english) The role of nurse in education of patients with fatty liver disease
Author Nikolina Kapec
Mentor Melita Sajko (mentor)
Committee member Jurica Veronek (predsjednik povjerenstva)
Committee member Melita Sajko (član povjerenstva)
Committee member Nenad Kudelić (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Nursing) Koprivnica
Defense date and country 2018-09-24, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Masna jetra nije bolno stanje i ima nespecifične znakove kao što su umor, ponekad bol ispod desnog rebrenog luka, a rijetko povraćanje i mučnine. Eventualni simptomi koji se još mogu javiti su oticanje trbuha, ikterus, povišena tjelesna temperatura, gubitak koncentracije i gubitak apetita.
Ukoliko se ne liječi, moguće su komplikacije. Najvažniji dio liječenja je prehrana. Preporuča se izbjegavati masnu, slanu i prženu hranu, povećati unos voća i povrća i povećati tjelesnu aktivnost. Prognoza bolesti je dobra i zadovoljavajuća ukoliko se pacijent pridržava uputa koje je dobio od medicinske sestre u vidu edukacije.
Cilj ovog rada bio je objasniti i definirati masnu jetru. U radu je opisana anatomija i fiziologija jetre, patologija i patofiziologija masne jetre te su definirani čimbenici rizika. Opisana je klinička slika, dijagnoza bolesti i liječenje. Najvažniji dio rada obuhvaća prehrana pacijenata s dijagnozom masne jetre, sestrinske dijagnoze i intervencije te edukacija medicinske sestre. Edukacija medincinske sestre čini izuzetno važan dio pacijentova liječenja jer upravo medicinska sestra osoba je od koje će pacijent zatražiti suradnju i savjet nakon dijagnosticiranja bolesti. Kod bolesnika s dijagnozom alkoholne masne jetre kao uzrok bolesti najčešće se ističe konzumacija alkohola, no ova bolest može biti i posljedica debljine, šećerne bolesti ili predoziranja lijekovima. Uzrok nealkoholne masne jetre skup je metaboličkih sindroma – pretilost, dijabetes, hipetrigliceridemija i hipertenzija, a u podlozi je rezistencija na inzulin. Kod oboljelih od masne jetre bitan je zdrav život. Preporuča se umjerena tjelesna aktivnost uz dogovor s liječnikom. Ukoliko se pacijent ne pridržava uputa, može doći do komplikacija.
Abstract (english) Fatty liver is a condition that does not cause pain and has nonspecific symptoms like fatiuge, sometimes pain below right rib and rarely nausea and votmiting. Possible symptoms that could also be noticed are abdominal swelling, icterus, incrased body temperature, concentration and appetite loss.
Complications are possible if not treated. The most important part od the treatment is nutrition. It is recommended to avoid fat, salty and fried food, increase fruit and vegetable intake and increase physical activitiy. Disease prognosis is good and satisfactory if the patient adheres to the instructions given by the nurse in the form of eduaction.
This study aimed to explain and define the fatty liver disease. Liver anatomy and phsiology, pathology and pathophysiology of fatty liver are described and risk factors are determined in this study. Clinical presentation, diagnosis and treatment of the disease are stated. The most important part of this study involves a diet of the patient with a fatty liver disease, nurse's diagnosis and intervention and education of the nurse. Education of the nurse is an extremely important part od the patient's treatment because the nurse is the pearson from whom patient will seek co-operation and advice after diagnosing the disease. In patients with an acoholic fatty liver disease, the most common cause of the disease is alcohol consumption, but it colud also be a consequence of obesity, diabetes or drug overdose. The cause of a non-alcoholic fatty liver disease is a set of metabolic disorders- obesity, diabetes, hypertriglyceridemia and hypertension with insulin resistance in the background. A healthy lifestyle is important for people with a fatty liver disease. Moderate physical activity is recommended in consulation with the physician. Complication may occur if the patient does nost adhere to the instructions.
Keywords
masna jetra
ciroza jetre
pravilna prehrana
tjelesna aktivnost
Keywords (english)
fatty liver
liver cirrhosis
nutrition
physical activity
Language croatian
URN:NBN urn:nbn:hr:122:041004
Study programme Title: Nursing Study programme type: professional Study level: undergraduate Academic / professional title: stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2018-10-22 13:42:01