Title Zdravstvena njega bolesnika oboljelih od ulceroznog kolitisa
Title (english) Nursing care of patients with ulcerative colitis
Author Martina Tokić
Mentor Ivo Klarin (mentor)
Committee member Ines Leto (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 2021-09-06, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Ulcerozni kolitis je upalna bolest debelog crijeva, posebno rektosigmoidne regije, obilježena multiplim površinskim ulceracijama, u čijem se kroničnom toku izmjenjuju faze remisije i egzacerbacije. Kronični ulcerozni kolitis može zahvaćati samo rektum i širi se na daljnje dijelove debelog crijeva tako da bolesnik može imati upalne promjene od proktitisa do pankolitisa. Kao entitet različit od bacilarne dizenterije prepoznat je 1859. godine (1). Incidencija ulceroznog kolitisa na svjetskoj razini je od 0,5 do 24,5 slučajeva na 100.000 stanovnika, te joj pojavnost učestalija u razvijenim zemljama. Broj novooboljelih u Hrvatskoj je približno 11 slučajeva na 100.000 stanocnika (1). Oko 15% slučajeva ulceroznog kolitisa inicijalne manifestacije nastaju unutar prvih dvadeset godina života, iako se na vrhunac incidencije nalazi između 20 i 30 godina (2). UK posljedica je abnormalne reakcije intestinalne sluznice u različitim uvjetima, od kojih su osnovni: nasljedno- konstitucionalni, okolišni te imunološki čimbenici. U uznapredovalom stadiju može izazvati lokalne i sistemske komplikacije, među kojima su najteže perforacije, nastanak raka te masivna krvarenja (2). Ovisno o aktivnosti, lokalizaciji i proširenosti bolesti odabiremo najbolji način liječenja koji odgovara pacijentovim tegobama. Osnovni postupci obuhvaćaju farmakološko, nefarmakološko te kirurško liječenje. Liječenjem želimo postići korekciju nutritivnog statusa, smanjenje upale te crijevima osigurati odmor. Lijekovi koji se najčešće primjenjuju u toj patologiji mogu se svesti na pet temeljnih kategorija: kortikosteroidi, aminosalicilati, imunosupresori ili imunomodulatori, antikolinergici te biološka terapija. (3). UC je bolest koja značajno narušava kvalitetu života, pri čemu veliku važnost ima uloga medicinske sestre koja se odnosi na pružanje autonomije i podrške kako bi pacijenti imali osjećaj kontrole nad vlastitom bolešću, te sposobnost upravljanja vlastitim stanjem pružajući tretmane koji minimalno ometaju njihov. Sestrinska skrb usmjerena je na ublažavanje simptoma i minimaliziranje komplikacija liječenja, te smanjenje anksioznosti održavanjem emocionalne ravnoteže (4).
Abstract (english) Ulcerative colitis is an inflammatory disease of the large intestine, particularly of the rectosigmoid region, characterised by multiple surface ulcerations, in which the phases of remission and exacerbation alternate chronically. Chronic ulcerative colitis can affect only rectum and extends to further parts of the colon so that the patient may have inflammatory changes from proctitis to pancolitis. It was recognized as a non-bacilar dysentery entity in 1859 (1). The incidence of ulcerative colitis at the world level ranges from 0.5 to 24.5 cases per 100,000 inhabitants, and its occurrence is more frequent in developed countries. The number of new patients in Croatia is approximately 11 cases per 100,000 inhabitants (1). About 15% of the cases of ulcerative colitis of the initial manifestation occur within the first twenty years of life, although the peak of the incident is between 20 and 30 years (2). UK is a consequence of an abnormal reaction of intestinal mucosa under various conditions, the basic of which are: hereditary - constitutive, environmental and immunological factors. In advanced stages, local and systemic complications may occur, the most severe being perforation, cancer and massive bleeding (2). Depending on the activity, localization and spread of the disease, we choose the best treatment appropriate to the patient's problems. Basic procedures include pharmacological, non-pharmacological and surgical treatment. With treatment we want to achieve a correction of nutritive status, reduce inflammation and ensure rest in the intestines. The medicines most commonly used in this pathology can be reduced to five basic categories: corticosteroids, aminosalicylates, immunosuppressors or immunomodulators, anticholinergics, and biological therapy. (3). UC is a disease that significantly impairs the quality of life, with the role of a nurse in providing autonomy and support so that patients have a sense of control over their own disease, and the ability to manage their own condition by providing treatments that minimally interfere with theirs. Sister care is aimed at alleviating symptoms and minimising treatment complications, and reducing anxiety by maintaining emotional balance (4).
Keywords
debelo crijevo
ulcerozni kolitis
upalne bolesti debelog crijeva
biološki
Keywords (english)
large intestine
ulcerative colitis
inflammatory colon diseases
biological
Language croatian
URN:NBN urn:nbn:hr:162:260896
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
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Created on 2021-10-25 09:43:21