Title Zdravstvena njega oboljelih od Bulimije nervoze
Title (english) Helath care of patients suffering from Bulimia nervosa
Author Nikolina Horvat
Mentor Marija Božičević (mentor)
Committee member Rudolf Milanović (predsjednik povjerenstva)
Committee member Marija Božičević (član povjerenstva)
Committee member Nikola Bradić (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Nursing) Koprivnica
Defense date and country 2016-10-05, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract U svijetu u kojem živimo, izloženi smo stalnom izvoru informacija od strane medija i interneta, koji nameću kult mršavosti i dijeta, brišući sve više spolnu diferencijaciju i atribute ženstvenosti.
Poremećaji hranjenja obilježeni su teškim smetnjama u prehrambenim navikama i ponašanju. Spadaju u najčešće psihičke poremećaje i povezani su s brojnim tjelesnim komplikacijama koje nose i rizik ranije smrti. Bulimija nervoza i anoreksija nervoza dva su glavna oblika poremećaja hranjenja.
Bulimija se često opisuje kao sindrom prežderavanja/pražnjenja, a sastoji se od epizoda prežderavanja nakon kojega slijedi inducirano povraćanje ili zloupotreba laksativa. Bulimiju karakterizira želja za mršavosti, no to se postiže drukčijim ritualima od anoreksije. Njihova želja za hranom je prejaka da bi ju svladale te se prejedaju, nakon čega zbog osjećaja krivnje i velikog straha povraćaju. Uzroke se može pronaći u biološkim, psihološkim i socijalnim čimbenicima.
Međutim, zbog prejedanja i pražnjenja, kod osoba s bulimijom česte su fiziološke posljedice, kao upale grla i ždrijela, otečene žlijezde slinovnice, te razaranje zubnog enamela kiselim sadržajem povraćevine. Također je moguće oštećenje crijevne stjenke, nutritivni deficiti i dehidracija. Smanjena koncentracija kalija i drugi poremećaji elektrolita mogu ugroziti život, jer osobe s bulimijom mogu doživjeti zastoj srca što dovodi do iznenadne smrti.
Liječenje ima dvostruki cilj: vraćanje u režim normalne prehrane i navika hranjenja te liječenje psiholoških i obiteljskih problema povezanih s poremećajem hranjenja. U liječenju bulimije bitno je korigirati ponašanje i razbiti krug neumjerenog jela i povraćanja, uz korekciju percepcije i neadekvatne ekspresije emocija.
Medicinske sestre kao osobe koje provode najviše vremena sa pacijentom imaju važnu ulogu u liječenju. Stvaranjem pozitivne atmosfere i zadobivanjem povjerenja pacijenata, ishodi liječenja su pozitivni. Naglasak je na edukaciji ne samo oboljele osobe nego i njezine obitelji i zajednice u kojoj živi. Prevencija bulimije nervoze, a i ostalih poremećaja hranjenja leži u edukaciji i osvještavanju svakog pojedinca o posljedicama.
Abstract (english) In the world we live, we are exposed to a constant source of information by the media and the Internet, which imposed a cult of thinness and dieting, wiping more sexual differentiation and attributes of femininity.
Eating disorders are characterized by severe disturbances in eating habits and behavior. They are the most common mental disorders and are associated with a number of physical complications that involve the risk of early death. Bulimia nervosa and anorexia nervosa are the two main forms of eating disorders.
Bulimia is often described as a syndrome of overeating / discharging, and it consists of episodes of overeating followed by induced vomiting or misuse of laxatives. Bulimia is characterized by a desire for thinness, but this is achieved by different rituals than anorexia. Their desire for food is too strong to overcome it and than they overeat, after which, because of the guilt and the great fear, they vomiting. The causes can be found in the biological, psychological and social factors.
However, due to overeating and discharging, people with bulimia often have physiological effects, like sore throats and throat, swollen salivary glands, and the destruction of tooth enamel due to the acidic contents during vomiting. It is also possible damage to the intestinal wall, nutritional deficiencies and dehydration. Decreased levels of potassium and other electrolytes disorders can be life threatening, because people with bulimia may experience a cardiac arrest leading to sudden death.
Treatment has two goals: the return to normal diet and eating habits and treatment of psychological and family problems associated with eating disorders. In the treatment of bulimia, it is important to correct behavior and break the cycle of the excessive eating and vomiting, corrected perception and inadequate expression of emotion.
Nurses as persons who spend the most time with the patient play an important role in the treatment. By creating a positive atmosphere and gaining the trust of patients, outcomes are positive. The emphasis is on educating not only the person's care and her family but also on the community in which he lives. Prevention of bulimia nervosa, and other eating disorders lies in educating and raising the awareness of every individual about the consequences.
Keywords
bulimija nervoza
liječenje
medicinska sestra
Keywords (english)
bulimia nervosa
treatment
nurse
Language croatian
URN:NBN urn:nbn:hr:122:490313
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 2016-11-15 13:40:33