Title Zdravstvena njega bolesnika s krvarenjem iz gornjeg dijela probavnog sustava
Title (english) Health care of patients suffering from bleeding from the upper part of the digestive system
Author Ivana Živković
Mentor Ivo Klarin (mentor)
Committee member Dario Nakić (predsjednik povjerenstva)
Committee member Ivo Klarin (član povjerenstva)
Committee member Kristina Bačkov (član povjerenstva)
Granter University of Zadar (Department of Health Studies) Zadar
Defense date and country 2020-11-02, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Uvod: Gastrointestinalno krvarenje označava pojavu krvi u probavnom sustavu. Krvarenje može biti vidljivo (manifestno) ili skriveno (okultno) te može potjecati iz gornjeg ili donjeg dijela probavnog sustava. Kliničke manifestacije gastrointestinalnog krvarenja ovise o intenzitetu i lokaciji krvarenja. Krvarenje se manifestira hematemezom, melenom te hematokezijom. Kao jedno od najčešćih hitnih stanja, akutno gastrointestinalno krvarenje zahtijeva ranu detekciju i pristup specifičnim terapijskim metodama.
Cilj rada: Prikazati ulogu medicinske sestre u skrbi za bolesnika s krvarenjem iz gornjeg dijela probavnog sustava, pobliže objasniti probleme koji se javljaju te ukazati na simptome i znakove istih. Također, prikazati rezultate statističke obrade podataka pacijenata koji su u 2019. godini liječeni na Odjelu intenzivne internističke skrbi, Opće bolnice Zadar s dijagnozom krvarenja iz gornjeg dijela probavnog sustava.
Rezultati: Analizom raspoloživih statističkih podataka utvrđeno je da je na Odjelu intenzivne internističke skrbi hospitalizirano 87 bolesnika s dijagnozom akutnog krvarenja iz gornjeg dijela probavnog sustava, od čega 63 muškarca te 24 žene. Prosječna dob bolesnika iznosila je 70,02 godine. Najčešće mjesto krvarenja, s 40% pojavnosti, zauzima ulkus dvanaesnika. Slijede ga ulkus želuca (33%), varikoziteti jednjaka i gastritis (8%) te varikoziteti želuca s tek 1% pojavnosti. U prosjeku, hospitalizacija je trajala 8,8 dana s postotkom smrtnosti od 9,2%.
Rasprava: Sestrinska skrb teži pravovremenom prepoznavanju alarmantnih simptoma i znakova, a samim time i sprječavanju nastanka komplikacija i razvoja hemoragičnog šoka.
Zaključak: Muški spol, starija životna dob, prisutnost popratnih bolesti i način života faktori su rizika za razvoj bolesti. Pacijenti s gastrointestinalnim krvarenjem zahtijevaju rano otkrivanje regije koja je odgovorna za krvarenje, postizanje hemodinamske stabilnosti, zaustavljanje krvarenja i sprečavanje epizoda ponovnog krvarenja.
Abstract (english) Introduction: Gastrointestinal bleeding is indicated by the appearance of blood in the digestive system. Bleeding can be visible (manifest bleeding) or hidden (occult bleeding) which may originate from the upper or lower digestive tract. Clinical manifestations of gastrointestinal bleeding depend on the intensity and location of bleeding. Bleeding is manifested by hematemesis, melena and haematochezia As one of the most common emergencies, acute gastrointestinal bleeding requires early detection and access to the specific therapeutic methods.
Objective: To show a nurse's role in the patients care with bleeding from the upper part of the digestive system, to explain in more detail the issues that occur by pointing to the symptoms and signs of those issues. The objective is also to show the results of statistical processing of data of patients who were treated in 2019 at the Department of Intensive Internal Care, General Hospital of Zadar with a diagnosis of bleeding from the upper part of the digestive system.
Results: The analysis of available statistical data has shown that 87 patients with a diagnosis of acute upper gastrointestinal bleeding were hospitalized at the Department of Intensive Internal Care, of which 63 were men and 24 were women. The middle age of patients was 70.02 years. The most common site of bleeding, with manifestation of 40%, is occupied by duodenal ulcer. It is followed by gastric ulcer (33%), oesophageal varices and gastritis (8%) and gastric varices with manifestation of only 1%. Hospitalization lasted 8.8 days with a mortality rate of 9.2%.
Discussion: Nursing care seeks to recognize alarming symptoms and signs in a timely manner, and to prevent complications and the development of haemorrhagic shock.
Conclusion: Male sex, older age, the presence of comorbidities and lifestyle are factors of risk for the development of the illness. Patients with gastrointestinal bleeding require early detection of the region which is responsible for bleeding, achieving hemodynamic stability, stopping the bleeding and preventing re-bleeding episodes.
Keywords
gastrointestinalno krvarenje
gornji dio probavnog sustava
endoskopija
zdravstvena njega
Keywords (english)
gastrointestinal bleeding
upper part of digestive system
endoscopy
health care
Language croatian
URN:NBN urn:nbn:hr:162:827711
Study programme Title: Nursing Study programme type: university Study level: undergraduate Academic / professional title: sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Access restricted to students and staff of home institution
Terms of use
Created on 2020-11-12 13:59:42