undergraduate thesis
Nursing care of patients with lung cancer

Ivanka Đurđek (2016)
Sveučilište Sjever
Sveučilišni centar Varaždin
Odjel za biomedicinske znanosti
Metadata
TitleZdravstvena njega bolesnika s karcinomom pluća
AuthorIvanka Đurđek
Mentor(s)Melita Sajko (thesis advisor)
Abstract
Karcinom pluća obuhvaća skupinu različitih tumora koji potječu iz raznovrsnih tkiva koja se nalaze u plućima. Najčešće nastaje iz epitelnih stanica glavnih i segmentalnih bronha, a rjeđe iz malih, perifernih bronha.To je zloćudni epitelni tumor koji raste polagano i podmuklo, često bez simptoma, brzo se širi u druge organe, a rezultati liječenja su skromni. Pušenje cigareta navodi se kao glavni rizični čimbenik u nastanku karcinoma pluća, ali i aeropolucija u urbanim sredinama, izlaganje azbestu, ionizacijskom zračenju, niklu, kromu i arsenu, te pasivno pušenje pridonose razvoju te bolesti. SZO (Svjetska zdravstvena organizacija) klasificirala je karcinom pluća prema histološkoj slici u četiri skupine: karcinom pločastih stanica, karcinom malih stanica, adenokarcinom i karcinom velikih stanica. Kliničke manifestacije karcinoma pluća ovise o lokalizaciji i veličini primarnog tumora, njegovoj propagaciji na okolne strukture u toraksu, pojavi regionalnih i udaljenih metastaza, vrsti tumora, imunitetu organizma, dosadašnjim i sadašnjim bolestima, profesionalnoj izloženosti etiološkim čimbenicima, životnim navikama (pušenju), spolu, dobi i komplikacijama samog tumora. U liječenju karcinoma pluća najvažnija je pravovremena dijagnoza, a koriste se brojne invazivne i neinvazivne metode. Te metode uključuju uzimanje anamneze, fizikalni pregled, laboratorijsku obradu, određivanje tumorskih markera, citološku analizu sputuma, bronhoskopiju i analizu citopatoloških uzoraka. Za procjenu proširenosti bolesti koristi se RTG srca i pluća, CT toraksa, abdomena i mozga, UZV abdomena, scintigrafija kosti, RTG snimka skeleta kod prisutnih simptoma, citološka punkcija pleuralnog izljeva, biopsija povećanih limfnih čvorova, MR, PET-CT, medijastinoskopija i punkcija koštane srži. Temelji zdravstvene skrbi bolesnika s karcinomom pluća su rano otkrivanje, postavljanje pravovremene dijagnoze, liječenje i adekvatna zdravstvena njega, psihološka potpora i rehabilitacija.
Keywordscancer smoking prevention palliative care health care
Parallel title (English)Nursing care of patients with lung cancer
Committee MembersIvana Živoder (committee chairperson)
Melita Sajko (committee member)
Jurica Veronek (committee member)
GranterSveučilište Sjever
Lower level organizational unitsSveučilišni centar Varaždin
Odjel za biomedicinske znanosti
PlaceKoprivnica
StateCroatia
Scientific field, discipline, subdisciplineBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Nursing
Study programme typeprofessional
Study levelundergraduate
Study programmeNursing
Academic title abbreviationbacc. med. techn.
Genreundergraduate thesis
Language Croatian
Defense date2016-09-26
Parallel abstract (English)
Lung cancer comprises a group of different tumors that come from a variety of tissues that are found in the lungs. Most often arises from epithelial cells of primary and segmental bronchs, less frequently from small, peripheral bronchs. It is a malignant epithelial tumor that grows slowly and insidiously, often without symptoms, spreads rapidly to other organs, and the results of treatment are modest. Cigarette smoking is stated as a major risk factor in causing lung cancer, but aeropolucion in urban environments, exposure to asbestos, ionizing radiation, nickel, chromium and arsenic, as well as passive smoking contributes to the development of these diseases. WHO (World Health Organization) has classified the lung cancer according to histological into four groups: squamous cell carcinoma, small cell carcinoma, adenocarcinoma and large cell carcinoma. Clinical manifestations of lung cancer depend on the location and size of the primary tumor, its propagation to neighboring structures in the thorax, emergence of regional and distant metastases, tumor type, the immunity of the organism, prior and current diseases, occupational exposure to etiologic factors, life habits (smoking), gender, age and complications of the tumor. In the treatment of lung cancer the most important is the timely diagnosis and use of many invasive and non-invasive methods. These methods include history taking, physical examination, laboratory processing, determination of tumor markers, sputum citology, bronchoscopy and analysis cytopathic samples. To estimate the prevalence of disease is used X-ray of the heart and lung, CT of the thorax, abdomen and brain, ultrasound of the abdomen, bone scintigraphy, X-ray skeleton at present symptoms, pleural effusion FNA biopsy increased lymph nodes, MR, PET-CT, mediastinoscopy and puncture bone marrow. Based health care of patients with lung cancer is early detection, posting timely diagnosis, treatment and adequate medical care, psychological support and rehabilitation.
Parallel keywords (Croatian)karcinom pušenje prevencija palijativna skrb zdravstvena njega
Resource typetext
Access conditionOpen access
Terms of usehttp://rightsstatements.org/vocab/InC/1.0/
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:122:744992
CommitterJasna Kosić