undergraduate thesis
The tasks of nurses in patients with Crohn's disease

Dajana Kanjir (2016)
University North
University centre Varaždin
Department of Biomedical Sciences
Metadata
TitleZadaci medicinske sestre kod bolesnika oboljelih od Crohnove bolesti
AuthorDajana Kanjir
Mentor(s)Rudolf Milanović (thesis advisor)
Abstract
Crohnova bolest je kronična upalna bolest koja može zahvatiti bilo koji dio gastrointestinalnog sustava, no najčešće tanko crijevo, odnosno terminalni ileum, nešto rjeđe debelo crijevo. Mnogi uspoređuju Crohnovu bolest za ulceroznim kolitisom. Obje su upalne bolesti crijeva, no velika je razlika što kod ulceroznog kolitisa patološka promjena zahvaća prvenstveno sluznicu dok Crohnova bolest zahvaća mukozu i submukozu te prodire u dublje slojeve stijenke. Tijek bolesti je vrlo varijabilan s brojnim remisijama i recidivima, različitim očitovanjima bolesti, čestim perianalnim, intestinalnim, ekstraintestinalnim komplikacijama, te čestim recidivima poslije kirurške resekcije bolesnog segmenta crijeva. Uzrok Crohnove bolesti nije poznat, ali se sumnja na doprinos nasljednih svojstava. Iako je Crohnova bolest dugotrajna i kronična, liječenjem se može držati pod kontrolom, te postići duga razdoblja bez remisija. Mnogi pacijenti vode kvalitetan te ispunjen život bez obzira na simptome i bolest. Uloga medicinske sestre u skrbi za kronično bolesne osobe vrlo su širokog razmjera, počevši prije svega od odgovarajućih komunikacijskih vještina, pa do složenijih procesa sestrinske skrbi za takvog pacijenta. Za rad s takvim bolesnicima potrebno je mnogo znanja, strpljivosti i empatije. Stvaranje terapijskog odnosa, socioemocionalne klime, te terapijske komunikacije između medicinske sestre i bolesnika važni su preduvjeti za postizanje sestrinskih ciljeva u skrbi za kronično oboljele bolesnike, čiju osnovnu bolest vrlo često prate i psihološke promjene, koje dodatno otežavaju osnovnu bolest.
KeywordsCrohn's disease a nurse psychological support patient education health caren gemunden process ebensee
Parallel title (English)The tasks of nurses in patients with Crohn's disease
Committee MembersHrvoje Vražić (committee chairperson)
Rudolf Milanović (committee member)
Melita Sajko (committee member)
GranterUniversity North
Lower level organizational unitsUniversity centre Varaždin
Department of Biomedical Sciences
PlaceKoprivnica
StateCroatia
Scientific field, discipline, subdisciplineBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Study programme typeprofessional
Study levelundergraduate
Study programmeNursing
Academic title abbreviationbacc. med. techn.
Genreundergraduate thesis
Language Croatian
Defense date2016-10-10
Parallel abstract (English)
Crohn's disease is a chronic inflammatory disease that can affect any part of the gastrointestinal tract, but most commonly the small intestine, i.e. the terminal ileum, less frequently the colon. Many compare the Crohn's disease to the ulcerative colitis. Both are inflammatory bowel diseases, however the difference is that in ulcerative colitis pathological changes primarily affect the mucous membrane while in Crohn's disease the mucosa and submucosa are affected, and it penetrates into the deeper layers of the wall. The course of the disease is highly variable, with many remissions and relapses, the various manifestations of the disease, frequent perianal, intestinal, extraintestinal complications, and frequent recurrence after surgical resection of the diseased segment of intestine. The cause of Crohn's disease is unknown, but is suspected to contribute to hereditary characteristics. Although considered long-term and chronic, treatment for Crohn’s disease can be kept under control and long periods without symptoms can be achieved. Many patients lead a quality and fulfilled life regardless of the symptoms and the disease. The role of nurses in the care of chronically ill people are very broad scale, starting primarily from the appropriate communication skills, to the more complex process of nursing care for such patients. It requires a lot of knowledge, patience and empathy to work with such patients.The creation of a therapeutic relationship, socioemotional climate, and therapeutic communication between nurses and patients are important prerequisites for achieving the goals of nursing in the care of chronically ill patients whose underlying disease is often accompanied by psychological changes, which further complicate the underlying disease.
Parallel keywords (Croatian)Crohnova bolest medicinska sestra psihološka potpora edukacija pacijenata proces zdravstvene njege
Resource typetext
Access conditionOpen access
Terms of usehttp://rightsstatements.org/vocab/InC/1.0/
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:122:106730
CommitterJasna Kosić