20.500.12556/DKUM-16000 PSIHOLOŠKA PODPORA PACIENTKAM PRI GINEKOLOŠKIH MALIGNIH OBOLENJIH PSYCHOLOGICAL SUPPORT OF WOMEN PATIENTS WITH MALIGNANT GYNECOLOGICAL DISEASE Uspešna operacija maligne ginekološke bolezni za večino pacientk ne pomeni zaključek zdravljenja, saj temu pogosto sledita kemoterapija in/ali obsevanje, ki prizadeneta žensko tako fizično kot psihično. Obremenitve, ki so jim pacientke po operaciji izpostavljene, uspešneje premagujejo, če so že od začetka zdravljenja deležne podpore medicinskega osebja, svojcev in širšega okolja. V diplomskem delu smo predstavili psihične težave, s katerimi se pacientke srečujejo v času negotovosti, ko se pri njih potrjuje maligno ginekološko obolenje. V teoretičnem delu diplomskega dela smo opisali najpogostejša ginekološka maligna obolenja, kako le ta vplivajo na fizično in zlasti psihično počutje pacientk in kako jim nuditi psihično podporo. V empiričnem delu smo s pomočjo anonimne ankete, ki smo jo izvedli od aprila do junija 2010, na dan odpusta v domačo nego, med oseminšestdesetimi pacientkami, ki so bile operirane v celjski bolnišnici zaradi malignega ginekološkega obolenja ugotovili, da je večina pacientk, ob spoznanju, da imajo raka, občutilo strah, nekoliko manj pa jih je občutilo žalost in jezo. Visok odstotek anketiranih je iskalo krivdo za bolezen v sebi. Četrtina anketirank ni dobro razumela informacij v zvezi z diagnozo in tudi ni zahtevala dodatnih informacij. Anketirane pacientke so razmišljale tudi o prihodnost in so bile zaskrbljene, ker niso vedele, kako bodo »funkcionirale« po končanem zdravljenju, kako jih bosta sprejela partner in okolica, pojavi se tudi strah pred bolečino. Dobra komunikacija in pristen odnos, poln empatije in zaupanja med medicinskimi sestrami in pacientkami, lahko reši marsikateri problem, prežene strah in pomiri pacientke ter pripomore k hitrejšemu okrevanju in boljšemu počutju v času zdravljenja. For a great majority of patients, a successful operation of a malign gynaecological illness does not mean the end of the treatment as it is often followed by chemotherapy and/or ray therapy which affect the victim physically as well as psychically. They successfully undergo the post-operational therapy in case they have shared the support of the medical staff, the family members and their wider environment since the very beginning of the treatment. In the diploma task we have presented psychic disorders that the patints are confronted with in the period of uncertainty during which the diagnosis of malign gynaecological illness was being confirmed. In the theoretical part of the diploma task we have dealt with the most frequent malign gynaecological illnesses and how these affect the patients' physical and especially psychic state of health and moreover, we have focused on how to offer them psychic support. From the empirical point of view, including an anonymous opinion questionnaire, which was being performed from April to June – 2010 on the day of dismissal from hospital into home care, among 68 patients that underwent the opration in the Celje hospital because of malign gynaecological illness, we have found out that the majority of patients, acqainted with the cancer diagnosis, felt fear while some of them felt sadness and anger. A high percentage of the patients inquired searched out the cause of illness within their own nature. A quarter of them did not understand their diagnosis and did not need further information. The participants of the questionnaire also thought about their future and were worried as they could not imagine how to continue to live normally after the treatment and wondered how they would be accepted by the partner and the environment. Fear of pain also arises. A proper communication and honest relationship, full of empathy and confidence between nurses and patients, can solve many a problem, remove fear, calm patients and help to recover faster. Furthermore, it improves the state of health during the patient's treatment. maligna obolenja spolovil pacientka medicinska sestra psihična podpora malign illness of genitals the patient the nurse psychic support true true false [M. Slemenšek] Slovenski jezik Angleški jezik Diplomsko delo 2010-09-27 22:32:27 2010-11-17 08:45:22 2022-04-13 07:47:01 2023-12-20 03:12:00 2010 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 618.1-089 1644196 URN:SI:UM:DK:HRNKCL2M VS_Slemensek_Marjana_2010.pdf VS_Slemensek_Marjana_2010.pdf 1 6E827C64F07716E3C02D5E1F33850D5D ede4a546561d13935871cce19728fce8a51ee7682d91622de3d0de2848806e7d 89ddef59-7c04-11eb-bb7a-00155d0001ca 20.500.12556/dkum/98730ec2-0917-42e7-b7a5-ac57950bd15f https://dk.um.si/Dokument.php?lang=slv&id=18101 Fakulteta za zdravstvene vede 0 0 0