| Abstract | Oduvijek je postojala potreba za njegom bolesnih, siromašnih i napuštenih osoba, zbog čega možemo reći da je srž sestrinstva upravo skrb za nemoćne, koja se temeljila i temelji se na suosjećanju, ljudskosti i ljubavi. Veliki porast kroničnih bolesti i različitih vrsta malignih oboljenja uzrokovan je produžetkom životne dobi, promjenom stila života te socijalnog i ekonomskog stanja stanovništva. Stoga se od društvene zajednice zahtijeva pružanje cjelovite, organizirane, sustavne i integrirane skrbi za oboljele i nemoćne. U radu su opisani važnost, prednosti i specifičnosti rada zdravstvene njege u kući. Zdravstvena njega u kući specifična je djelatnost u kojoj medicinske sestre/medicinski tehničari pružaju zdravstvenu njegu uglavnom najtežim bolesnicima u njihovim kućama i zbrinjavaju ih. Prednosti pružanja usluge zdravstvene njege u kući su: rasterećuju se troškovi liječenja u bolničkom sustavu, ne prekida se proces skrbi, njega se obavlja u poznatom okruženju, povećava se osjećaj sigurnosti i zadovoljstva korisnika usluga, njegu prate i članovi obitelji, pristup je holistički i individualan. Osobe koje od svih profila zdravstvenih djelatnika najviše vremena provode s pacijentima su medicinske sestre. One daju sve od sebe kako bi se povezale s pacijentom i članovima obitelji tako da mogu kreirati povjerljive, funkcionalne odnose s njima, koji imaju svrhu ili su usmjereni prema nekom ishodu. Stoga je potrebno pažljivo slušati pacijenta, poticati produktivnu komunikaciju, pristup i suradnju u planiranju zdravstvene skrbi. Cilj ovog istraživanja je ispitati zadovoljstvo pacijenata i njihovih obitelji kvalitetom pružanja postupaka zdravstvene njege u kući, stavove prema kvaliteti usluga primarne zdravstvene zaštite, zadovoljstvo brzinom obavljanja dijagnostičkih postupaka te liječnikom primarne zdravstvene zaštite. Nadalje, istraživanjem ćemo dobiti uvid u strukturu spola i dobi pacijenata, kao i njihovih članova obitelji. Također, istražit će se razina samostalnosti pacijenta i mogućnosti vođenja brige o samom sebi, najčešći razlozi i učestalost dolazaka medicinskih sestara te koja se skupina ispitanika iz grupe članova obitelji najčešće brine o pacijentu. Ispitivanje je provedeno putem ankete na području Međimurske županije, na uzorku od 60 sudionika, od kojih 41 (68%) pripada skupini članova obitelji pacijenata kod kojih se provodi zdravstvena njega u kući. |
| Abstract (english) | There has always been a need to take care of the sick, poor and abandoned, which is why we can say that the core of nursing is care for the powerless which was based on and is still based on compassion, humanity and love. A large increase in chronic and different kinds of malign diseases is caused by life extension, changes in lifestyle, and social and economic state of the population. Therefore, there is an expectation from the social community to offer complete, organized, systematic and integrated care for the ill and the powerless. In this thesis the importance, advantages and specifications of home health care work are described. Home health care is a specific activity in which nurses take care of and provide health care mainly to the most severely ill patients in their homes. The advantages of offering health care services in home are: expenses of treatment in hospitals are unburdened, process of care is not discontinued, care is being provided in a familiar setting, feelings of safety and satisfaction of service users with provided care are enhanced, care is accompanied by family members, approach is holistic and individualistic. Out of all health profession profiles, nurses are those who spend the most time with patients. They give their all to make connections with patients and their family members, so that they can create trusting, functional relationships with them, which have a purpose or are oriented toward a certain outcome. Therefore, nurses should carefully listen to the patient, encourage productive communication, approach and cooperation while planning health care. The aim of this study is to examine the satisfaction of patients and their families with the quality of provided home health care services, their attitudes toward the quality of primary health care services, satisfaction with the speed of carrying out diagnostic procedures and their primary health care doctor. Furthermore, the study will give insight into the structure of sex and age of patients and their family members. In addition, the level of patients’ independence and ability to take care of themselves, the frequency and most common reasons for nurse visitations and which participants group from the family members group takes care of the patient most often will be examined. A survey in the area of Međimurje County was used to conduct the research, on a sample of 60 participants ,41 (68%) of them belong to the group of family members. |
