Title Perioperacijska zdravstvena skrb za bolesnike s glijalnim tumorima Title (english) Perioperative health care for patients with glial tumors Author Paula Kanižaj Mentor Ivana Herak (mentor) Committee member Marijana Neuberg (predsjednik povjerenstva)Committee member Ivana Herak (član povjerenstva) Committee member Ivan Koprek (član povjerenstva) Granter University North Defense date and country 2023-09-21, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract U svijetu 10% primarnih zloćudnih novotvorina kod ljudi čine primarni zloćudni tumori središnjeg živčanog sustava (CNS-a), odnosno, primarni intrakranijalni i intraspinalni tumori. Etiologija tumora središnjeg živčanog sustava do dan danas nije u potpunosti razjašnjena. Kao mogući etiološki faktori nastanka tumora smatraju se genetski čimbenici, kemijski čimbenici, virusne infekcije te traume. Osim navedenog postoje i slučajevi onkogeneze u središnjem živčanom sustavu uzrokovane ionizantnim zračenjem, kemoterapijom i imunosupresijom. Zloćudne novotvorine CNS-a kod čovjeka izazivaju pojavu široke lepeze simptoma i znakova koje se može podijeliti na simptome koji nastaju zbog same lokalizacije tumora i na simptome koji se pojavljuju zbog povišenja intrakranijalnog tlaka. Primarni terapijski pristup tumorima središnjeg živčanog sustava u pravilu je neurokirurški. Do danas je dokazano da kirurške metode otklanjanja zloćudne novotvorine CNS-a, pa tako i glijalnih tumora ne dovode do izlječenja bolesnika, ali uvelike smanjuju pojavu neugodnih simptoma stoga se smatra da je zloćudnu novotvorinu CNS-a potrebno kirurški tretirati kad god je to moguće. Povoljne prognoze, što se tiče kirurškog liječenja, postižu se kod benignih novotvorina CNS-a smještenih na anatomskim strukturama dostupnim neurokirurgu. Prilikom planiranja operacijskog zahvata bitno je razmotriti prihvatljiv rizik od kasnijeg neurološkog deficita. Prognoza bolesnika s tumorima središnjeg živčanog sustava u potpunosti ovisi o patohistološkom nalazu vrste i gradusu zloćudnosti neoplazme. Širok je djelokrug rada medicinske sestre/tehničari koja ima, između ostalog, značajnu ulogu u perioperacijskoj zdravstvenoj njezi bolesnika s glijalnim tumorom. Gliomi su primarni tumori mozga za koje se smatra da potječu od neuroglijalnih matičnih ili progenitornih stanica. Rad medicinskih sestara u području perioperacijske zdravstvene njege, osobito bolesnika s glijalnim tumorima, mora biti zasnovan na profesionalnim standardima prakse, a sama perioperacijska skrb bolesnika uključuje prijeoperacijsku skrb bolesnika, skrb i nadzor tijekom izvođenja operacijskog zahvata te zdravstvenu njegu nakon operacijskog zahvata. Holistički pristup, empatičnost i profesionalnost samo su neke od odlika medicinskog osoblja u provođenju i pružanju kvalitetne zdravstvene skrbi.
Abstract (english) In the world up to 10% of primary malignant neoplasms in humans are primary malignant tumors of the central nervous system (CNS), that is, primary intracranial and intraspinal tumors. The etiology of tumors of the central nervous system has not been fully elucidated to this day. Genetic factors, chemical factors, viral infections and trauma are considered as possible etiological factors of tumor formation. In addition, there are also cases of oncogenesis in the central nervous system caused by ionizing radiation, chemotherapy and immunosuppression. Malignant neoplasms of the CNS cause the appearance of a wide range symptoms and signs that can be divided into symptoms that arise due to the localization of the tumor itself and symptoms that appear due to an increase in intracranial pressure. The primary therapeutic approach to tumors of the central nervous system is usually neurosurgical. Till today, it has been proven that surgical methods of removing CNS malignancies, including glial tumors, do not cure patients, but greatly reduce the occurrence of unpleasant symptoms, therefore it is considered that CNS malignancies should be treated surgically whenever possible. Favorable prognoses, are achieved with benign neoplasms of the CNS located on anatomical structures accessible to the neurosurgeon. When planning an operation, it is important to consider the acceptable risk of a later neurological deficit. The prognosis of patients with tumors of the central nervous system depends entirely on the pathohistological findings of the type and degree of malignancy of the neoplasm. The range of work of a nurse/technician is wide, and has, among other things, a significant role in the perioperative health care of patients with a glial tumor. Gliomas are primary brain tumors that originate from neuroglial stem or progenitor cells. Nurses that work in the perioperative health care must be based on professional practice standards, and perioperative patient care also includes preoperative patient care, care and supervision during the operation, and post-operation health care. A holistic approach, empathy and professionalism are just some of the characteristics of the medical staff in the implementation and provision of quality health care.
Keywords
glijalni tumori
perioperacijska zdravstvena njega
medicinska sestra/tehničar
Keywords (english)
glial tumors
perioperative health care
nurse/technician
Language croatian URN:NBN urn:nbn:hr:122:918455 Study programme Title: Nursing Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2023-11-23 17:34:13
