Title Specifičnost sestrinske skrbi kod ingvinalne hernije
Title (english) Specificities of nursing care in inguinal hernia
Author Antonio Gužvinec
Mentor Marijana Neuberg (mentor)
Committee member Ivana Herak (predsjednik povjerenstva)
Committee member Marijana Neuberg (član povjerenstva)
Committee member Marin Šubarić (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Nursing) Koprivnica
Defense date and country 2019-10-28, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Ingvinalne hernije su vrlo česti problem u moderno vrijeme. Općenito, kila ili hernija jest
izbočenje kroz prirođeni ili stečeni otvor, koje trajno ili prolazno sadržava ili može sadržavati
dijelove trbušnih organa. Najčešće nastaje zbog urođenih slabosti mekotkivnih struktura
(trudnoća, operacije na području abdomena, pretilost) ili povećanja intraabdominalnog tlaka
(kihanje, ascites, jak kašalj). Kila se sastoji od prstena, kilne vrećice i kilnog sadržaja, koji pak
može biti crijevo, omentum, itd. Ingvinalna hernija u pravilu zahtijeva kirurško liječenje –
hernioplastiku. Kod kirurškog liječenja, provodi se otvaranje hernijske vreće i reponiranje
hernijskog sadržaja u trbušnu šupljinu. Operacijske zahvate ingvinalne hernije dijelimo na
tenzijske (navlačenje okolnog tkiva na hernijski otvor, stvaranje ožiljka koji zatim sprječava
recidiv hernije), beztenzijske (koristi se sintetički kirurški materijal u obliku mrežice) te
laparoskopske (nekoliko malih rezova u operacijskom polju umjesto jednog većeg reza).
Kirurški operacijski zahvat je oblik liječenja koji narušava fizički i psihički integritet čovjeka, a
svrha fizičke i psihičke pripreme bolesnika je da što lakše podnese operacijski zahvat te da se što
brže i bolje oporavi i vrati normalnim dnevnim aktivnostima. Upravo medicinske sestre u
pripremi bolesnika za operacijski zahvat, ali i u poslijeoperacijskoj zdravstvenoj njezi, imaju
veliku ulogu jer najviše vremena provode sa bolesnicima te su spona između bolesnika i njegove
obitelji. Poslijeoperacijska zdravstvena njega usmjerena je na otklanjanje simptoma (bol,
povraćanje, mučnina) i prepoznavanje komplikacija te što ranije postići samostalnost bolesnika u
zadovoljavanju vlastitih potreba. Medicinska sestra u dogovoru s bolesnikom planira i provodi
zdravstvenu njegu i sestrinske intervencije, a savjetovanje i edukacija su najčešća intervencija.
Abstract (english) Inguinal hernias are a very common problem in modern times. Hernia is a projection through
a natural or acquired opening which permanently or transiently contains or may contain parts of
abdominal organs. It happens more often due to congenital wekness of the soft tissue structured
(pregnancy, abdominal surgery, obesiti) or an increase in intra-abdominal pressure (sneezing,
ascites, severe cough). The hernia consists of a ring, hernia sac and hernia contents, which in
turn can be a bowel, omentum, etc. Inguinal hernia usually requires surgical treatment –
hernioplasty. In surgical treatment, the hernial saci s opened and the herniated contents are
reponated into the abdominal cavity. Operations of the inguinal hernia are divided into tension
(pulling the surrounding tissue into the herniated opening, creating a scar that prevents hernia
recurrence), non-tensioning (we use synthetic mesh surgical material) and laparoscopic (several
small incisions in the operative field instead of a large incision). Surgery is a form of treatment
that impairs the physical and mental integrity of a person, and the purpose of preparing the
patient physically and psychologically is to endure surgery as quickly as possible and to recover
and return to normal daily activities as quickly and efficiently as possible. It is nurses who play a
major role in preparing patients for surgery and in post-operative health care, since they spend
most of their time with patients and are a link between the patient and his family. Post-operative
health care is focused on the elimination of symptoms (pain, vomiting, nausea) and the
recognition of complications and, as soon as possible, the patient's independence in meeting his
own needs. The nurse, in consultation with the patient, plans and implements health care and
nursing interventions, and counseling and education are the most common interventions.
Keywords
ingvinalna hernija
medicinske sestre
hernioplastika
prijeoperacijska zdravstvena njega
poslijeoperacijska zdravstvena njega
Keywords (english)
inguinalhernia
nurse
hernioplastic
preoperative health care
postoperative health care
Language croatian
URN:NBN urn:nbn:hr:122:006305
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 2019-11-18 08:48:32