SANTRAUKA Pacientų su žarnyno stomomis stacionarinės priežiūros poreikiai ir slaugos ypatumai Slaugos magistrantūros studentė Turba Ž. Darbo vadovas – doc. Simutis G. Vilniaus universitetas, Medicinos fakultetas, Vidaus ligų pagrindų ir slaugos katedra Vilnius, 2006 birželio 14 Pacientų su žarnyno stomomis problemos ir priežiūros poreikiai pooperaciniu periodu yra aktualus šiuolaikinės slaugos klausimas. Darbo tikslas: nustatyti, kokie yra pacientų su žarnyno stomomis stacionarinės priežiūros poreikiai ir slaugos ypatumus pooperaciniu periodu. Darbo uždaviniai: 1. Anketavimo būdu nustatyti pacientų problemas po žarnyno stomos suformavimo operacijos ankstyvuoju pooperaciniu periodu. 2. Ištirti pacientų lūkesčius po žarnyno stomos suformavimo operacijos. 3. Įvertinti, ar atitinka slaugytojų teikiamos priežiūros paslaugos pacientų poreikius po žarnyno stomos suformavimo operacijos. 4. Nustatyti priežiūros ypatumus pacientų po žarnyno stomos suformavimo operacijos. 5. Įvertinti slaugytojų kompetencijas slaugant pacientus su žarnyno stomomis. Tyrimui buvo panaudotas anketinės apklausos ir statistiniai dokumentų analizės metodai. Apklausai naudoti du klausimynai. Apklausta 30 pacientų po žarnyno stomos suformavimo operacijos ir 64 slaugytojos dirbančios pilvo chirurgijos skyriuose Vilniaus miesto klinikinėse ligoninėse. Atlikta 73 ligos istorijų statistinė analizė. Rezultatai ir išvados: 1. Dažniausios pacientų problemos po žarnyno stomos suformavimo operacijos yra nerimas, baimė... [toliau žr. visą tekstą] / SUMMARY Requirements of hospital care and nursing features in patients with intestinal stomas Master Final Work by Nursing Department Student Turba Ž. Research Adviser–Docent Simutis G. Vilnius University, Medical Faculty, General Medicine Practice and Nursing Department Vilnius, June 14, 2006 The problems of patients with intestinal stomas and the requirements of their care after surgery are the major questions in the nursing nowadays. Aim of the investigation: to define the hospital care needs and nursing features for patients who underwent surgery with the formation of intestinal stomas. Tasks of the investigation: 1. To define problems during early postoperative period after stoma formation using the method of survey. 2. To analyze the expectations of patients after stoma formation. 3. To evaluate if the nursing services are efficient for patients after intestinal stoma formation. 4. To define nursing features after intestinal stoma formation. 5. To evaluate the competence of nurses in providing care for patients with intestinal stoma formation. The methods of survey using two questionnaires and statistic analysis of documents were used. 30 patients with intestinal stomas and 64 nurses of surgical departments in Vilnius hospitals were questioned. The analysis of 73 cases was performed. Results and conclusions: 1. The most common problems after intestinal stoma formation are fear and concern with the quality of life (70%), postoperative pain (67%), lack of knowledge of... [to full text]

Stomos suformavimo operacija – viena labiausiai traumuojančių asmenį psichologiškai, todėl labai svarbu, kad būsimas stomuotas pacientas būtų tinkamai paruoštas pokyčiams, įvyksiantiems po operacijos bei gyvenimui su stoma. Lietuvoje stomuotų pacientų priežiūra vis dar yra nepakankama. Ši darbo tema pasirinkta siekiant atkreipti dėmesį į tai, kad reikalinga organizuota ir kvalifikuota pagalba stomą turintiems pacientams. Darbo tikslas – įvertinti perioperacinį pacientų stomos priežiūros apmokymą ir informavimą. Darbo uždaviniai: 1. Įvertinti pacientų apmokymą bei informavimą prieš stomos suformavimo operaciją. 2. Įvertinti pacientų apmokymą bei informavimą po stomos suformavimo operacijos. 3. Nustatyti slaugytojos veiklos svarbą bei kokybę perioperaciniu laikotarpiu. 4. Palyginti pacientų su kolostomom ir ileostomom apmokymą ir informavimą. Tyrimo objektas – pacientų stomos priežiūros apmokymas ir informavimas. Tyrimas atliktas Vilniaus universiteto Onkologijos instituto abdominaliniame chirurgijos skyriuje. Tirti pacientai, kuriems per 2005 metus (2005m. sausio 1d. – 2005 m. gruodžio 31d.) dėl tiesiosios žarnos vėžio buvo suformuota kolostoma arba ileostoma. Duomenys buvo renkami apklausos būdu, anonimiškai anketuojant stomuotus pacientus priešpaskutinę arba paskutinę jų gulėjimo stacionare dieną. Sudarytoje anketoje reikėjo atsakyti į 25 klausimus. Tokiu būdu buvo surinkta 110 anketų iš galimų 137 anketų per 2005 metus. Remiantis atlikto tyrimo duomenimis, priešoperacinis... [toliau žr. visą tekstą] / Operation on stoma formation is one of the most psychologically traumatic so it is of vital importance to ensure that would-be patient with stoma is prepared for changes after operation and life with stoma. The attendance of such patients is still insufficient in Lithuania. This subject was chosen with intention to spotlight the need for organized and qualified help for people with stoma. Objective - assessment of preoperative care and induction of patients with stoma. Tasks: 1. Evaluate the induction and training of patients before operation on stoma formation; 2. Evaluate the induction and training of patients after operation on stoma formation; 3. Estimate the importance and quality of nursing during preoperative care; 4. Compare the induction and training of patients with Colostoma and Ileostoma. Research objective – training and induction of patients on stoma care. Research was conducted in the Abdominal Surgery Department of Oncological Institute of Vilnius University. Patients who due to rectum cancer had colostoma and ileostoma formed during 2005 (the 1st of January 2005 – the 31st of December 2005) were examined. An anonymous questionnaire of 25 questions was given for in-patients during their last days in hospital to gather data. Thus, 110 forms of 137 possible were collected during year 2005. According to research preoperative induction of patients on care of stoma is much lesser (28,2 %) compared to induction after operation (90,9 %). In 78 % of cases the optimal... [to full text]

<p>Uvod. Uprkos činjenici da je kolostoma intervencija koja se izvodi sa visokim procentom uspe&scaron;nosti, ona za pacijenta predstavlja naru&scaron;avanje njegovog fizičkog i psiholo&scaron;kog integriteta, &scaron;to utiče na predstavu o samom sebi, socijalne i funkcionalne kapacitete i ima veliki uticaj na kvalitet života pacijenta. Ciljevi. Ciljevi istraživanja bili su procena kvaliteta života kod bolesnika sa trajnom kolostomom, procena depresivnosti kod bolesnika sa trajnom kolostomom i procena uticaja depresivnosti na kvalitet života kod bolesnika sa trajnom kolostomom. Metodologija. Istraživanje je bilo dizajnirano po tipu prospektivne studije, sprovedeno u Ambulanti za koloproktologiju Poliklinike Kliničkog centra Vojvodine. U prvoj fazi istraživanja pregledom pacijenata i operacionih lista na Klinici za abdominalnu, endokrinu i transplantacionu hirurgiju Kliničkog centra Vojvodine i broja kolostoma urađenih u periodu između 1.9.2015. godine i 1.8.2016. godine iz operacionih protokola izdvojeni su svi pacijenti kojima je u tom periodu izvedena trajna kolostomija i potom procenjena podobnost za uključivanje u studiju. Ispitanici su anonimno popunjavali upitnik mesec, tri i &scaron;est meseci nakon operacije. Instrument se sastojao od nekoliko celina kojima su ispitivani sociodemografski podaci, kvalitet života, skala telesnog izgleda, skala samopo&scaron;tovanja i Bekova skala depresije. Statistička obrada podataka urađena je u program SPSS for Windows v18. Primenom metoda deskriptivne statistike numeričke kontinuirane varijable prezentovane su kao srednje vrednosti i standardne devijacije (SD) sa rasponom vrednosti, dok su kategorijske varijable prikazane kao apsolutne i relativne vrednosti, odnosno distribucije frekvencija. Za utvrđivanje značajnosti razlika koru&scaron;ćeni su &chi;2 test za opisne varijable, a za numeričke varijable parametrijski testovi (t-test i jednosmerna analiza varijanse ANOVA) i neparametrijski testovi (Man-Whitney test i Kruskal Wallis test). Za ponovljena merenja (3 meseca i 6 meseci) kori&scaron;ćeni su odgovarajući testovi uparenosti za ponovljena merenja. Rezultati. Vrednosti kvaliteta života imale su statistički značajan porast trećeg i &scaron;estog meseca u nakon operativnog izvođenja kolostome u odnosu na anketiranje sprovedeno mesec dana nakon operacije. Skala telesnog izgleda i skala samopo&scaron;tovanja takođe su imale značajno vi&scaron;e vrednosti tri i &scaron;est meseci nakon operacije poredeći sa vrednostima mesec dana nakon izvođenja kolostome. Prvog meseca udeo osoba sa depresivnim tegobama iznosio je 57,1%, da bi u narednim fazama istraživanja do&scaron;lo do značajnog pada (41,1% trećeg i 32,1% &scaron;estog meseca). Zaključak. Najlo&scaron;ije vrednosti svih parametara iskazane su mesec dana nakon operacije, ali vremenom dolazi do statističkog porasta vrednosti. Bolesnici koji imaju znake depresivnosti imaju značajno lo&scaron;iji kvalitet života od bolesnika sa trajnom kolostomom koji nemaju znake depresivnosti.</p> / <p>Introduction. Despite the fact that colostomy can be described as an intervention with high success rates, for the patient it represents deterioration of their physical and psychological integrity, which influence the body self image, social and functional capacities and influence the quality of life. Aim. Assessment of quality of life of patients with the permanent colostomy, assessment of depression among patients with the permanent colostomy and assessment of depression influence on quality of life of the patients with the permanent colostomy. Methodology. This was a prospective study performed at the Ambulance for coloproctology at the Polyclinic of Clinical Center of Vojvodina. In the first phase evaluation of patients and medical records of colostomies between 1.9.2015-1.8.2016. at the Clinic for abdominal, endocrine and transplantation surgery in the Clinical Center of Vojvodina was performed. Patients who were selected were assessed for enrolment in the study. Participants anonymously fulfilled the questionnaire a month, three months and six months after the surgery. The study instrument comprised of several parts (sociodemographic data, quality of life assessment, body image scale, self esteem scale and Beck&rsquo;s depression inventory. Survey data were analysed in SPSS 18.0. Descriptive analysis included the total value expressed in absolute and relative numbers, mean values and standard deviation. The &chi;2 test, Man-Whitney test, Kruskal Wallis test, t-test and one-way ANOVA were used to test for difference between sub groups. For repeated measuring appropriate tests were performed. Results. Quality of life was statistical significantly improved three and six months after the surgery, comparing to a survey performed one month after colostomy. Body image scale and Self esteem scale also showed significantly higher values three and six months after colostomy, comparing to the first month. A month after the surgery percentage of participants with depressive symptoms was the highest (57.1%), but in the next phases of the survey significant decline was observed (41,1% three and 32,1% six months after the surgery). Conclusion. The lowest parameters were observed a months after the surgery, but they significantly improved three and six months later. Colostomy patients with depressive symptoms had significantly worst quality of life comparing to their peers without depressive symptoms.</p>