Title Sestrinska skrb za bolesnika oboljelog od shizofrenije
Title (english) Nursing care for a patient with schizophrenia
Author Dorja Meštrić
Mentor Marija Božičević (mentor)
Committee member Irena Canjuga (predsjednik povjerenstva)
Committee member Melita Sajko (član povjerenstva)
Committee member Marija Božičević (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Nursing) Koprivnica
Defense date and country 2020-09-21, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Naziv shizofrenija dolazi od kombinacije grčkih riječi shizeiu – rascijepati i fren – razum. Eugen Bleuler 1991. godine uvodi naziv shizofrenija, a cilj je bio zamijeniti negativno značenje bolesti. Shizofrenija duševna je bolest koja oboljeloj osobi ne dopušta da razlikuje realno od nerealnog doživljaja ili iskustva, ometa svakodnevno razmišljanje te osjećajne doživljaje prema drugima i narušava normalno društveno funkcioniranje. Simptomi koji su javljaju kod ove bolesti su deluzije, halucinacije, iluzije, dezorganizacija i osiromašenje psihičkih funkcija.. Simptome bolesti dijelimo na pozitivne i negativne. Bolest se javlja između 15. i 35. godine života, te ju prepoznajemo po ranim simptomima, ponekad ti simptomi izostaju pa se bolest uoči tek u akutnoj fazi, samo početak bolesti je postupan ili nagao. Za dijagnozu shizofrenije potrebno je da simptomi kod bolesnika budu prisutni barem šest mjeseci te da postoji prodromalna faza koja traje jos 5 mjeseci, pri čemu neki simptomi perzirstiraju, no u blažem obliku. Shizofrenija se liječi lijekovima, međutim oni nisu dovoljni kako bi se kod bolesnika postigla najveća moguća razina samostalnosti u daljnjem životu, stoga se koriste i psihosocijalne metode. U sam proces liječenja od velike je važnosti uključiti bolesnikovu obitelj, okolinu i zajednicu kako bi povratak u normalan život i sam oporavak bio što brži i kvalitetniji. Shizofrenija je najviše stigmatizirana duševna bolest, uzrokuju ju predrasude, stigmatizacija za sobom povlači i diskriminaciju što na kraju nosi negativne posljedice na bolesnika i njegovu obitelj. Medicinska sestra osoba je koja najviše vremena provodi uz bolesnika oboljelog od shizofrenije, stoga ona jedina može uočiti probleme iz područja zdravstvene njege. Sestrinska dokumentacija također je od velike važnosti i prvi korak u zbrinjavanju bolesnika. Da bi se problem riješio medicinska sestra odabire najprikladnije sestrinske intervencije koje su usmjerene na pacijenta i individualizirane za njega samog. Dobar i kvalitetan odnos povjerenja između medicinske sestre i bolesnika predstavlja najvažniju karakteristiku kvalitetne zdravstvene njege.
Abstract (english) The name schizophrenia comes from a combination of the Greek words shizeiu - to split and fren - reason. Eugen Bleuler has introduced the name schizophrenia in 1991 and the goal was to replace the negative meaning of the disease. Schizophrenia is a mental illness that does not allow a sick person to distinguish the real from the unreal experience, interferes with daily thinking and emotional experiences towards others and disrupts normal social functioning. The symptoms that occur in this disease are delusions, hallucinations, illusions, disorganization and impoverishment of mental functions. The symptoms of the disease are divided into positive and negative. The disease occurs between the ages of 15 and 35, and we recognize it by its early symptoms, sometimes these symptoms are absent, so the disease is noticed only in the acute phase, only the beginning of the disease is gradual or sudden. The diagnosis of schizophrenia requires that the patient's symptoms be present for at least six months and that there is a prodromal phase that lasts for another 5 months, with some symptoms maintaining, but in a milder form. Schizophrenia is treated with drugs, but they are not enough to achieve the highest possible level of independence in patients later in life, so psychosocial methods are also used. It is of great importance to involve the patient's family, environment and community in the treatment process so that the return to normal life and recovery is as fast and high quality as possible. Schizophrenia is the most stigmatized mental illness, it is caused by prejudice, stigmatization entails discrimination, which ultimately has negative consequences for the patient and his family. A nurse is the person who spends the most time with a patient with schizophrenia, so she is the only one who can notice problems in the field of health care. Nursing documentation is also of great importance and the first step in patient care. To solve the problem, the nurse selects the most appropriate nursing interventions that are patient-centered and individualized for himself. A good and quality relationship of trust between the nurse and the patient is the most important characteristic of quality health care.
Keywords
shizofrenija
simptomi
liječenje
stigma
medicinska sestra
bolesnik
Keywords (english)
schizophrenia
symptoms
treatment
stigma
nurse
patient
Language croatian
URN:NBN urn:nbn:hr:122:227523
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 2020-11-13 12:13:23