20.500.12556/DKUM-39582 FUNKCIONALNA INSULINSKA TERAPIJA PRI SLADKORNEM BOLNIKU NA INSULINSKI ČRPAKI FUNCTIONAL INSULIN THERAPHY IN A DIABETIC PATIENT ON AN INSULIN PUMP Teoretična izhodišča: Funkcionalna insulinska terapija pri sladkornem bolniku na insulinski črpalki pripomore, da bolnik doseže najbolje urejeno glikemijo. Osnova funkcionalne insulinske terapije je štetje ogljikovih hidratov v prehrani, pomembna pa so tudi redna testiranja bazalnih odmerkov insulina, test OH faktorja ter preverjanja korekcijskega faktorja. Namen: Namen diplomskega dela je predstaviti funkcionalno insulinsko terapijo pri sladkornem bolniku na insulinski črpalki in z raziskavo ugotoviti, v kolikšni meri se sladkorni bolniki na insulinskih črpalkah poslužujejo funkcionalne insulinske terapije, kater teste izvajajo največkrat, ter kako jim je bila s strani zdravstvenega osebja funkcionalna insulinska terapija razložena. Raziskovalna metodologija: V diplomskem delu smo uporabili deskriptivno metodo dela. Podatke raziskave smo pridobili s pomočjo anketnega vprašalnika. V raziskavi je sodelovalo 50 sladkornih bolnikov na insulinski črpalki iz Društva diabetikov tipa 1 Slovenije na športno izobraževalnem vikendu na Pokljuki, maja 2012. Rezultati: Z raziskavo smo ugotovili, da se večina anketiranih sladkornih bolnikov na insulinski črpalki poslužuje funkcionalne insulinske terapije za boljšo urejenost sladkorne bolezni, vendar jih večina teh za boljšo urejenost sladkorne bolezni izvaja le testiranja bazalnih odmerkov, medtem ko korekcijski in OH faktor preverjajo le redki. Ogljikove hidrate v prehrani štejejo skoraj vsi anketirani sladkorni bolniki. Ugotovili smo tudi, da je velika večina bolnikov zadovoljnih z razlago o funkcionalni insulinski terapiji s strani zdravstvenega osebja, ter da se je njihova kakovost življenja z njeno uporabo izboljšala. Sklep: Sladkorni bolniki na insulinski črpalki funkcionalno insulinsko terapijo poznajo, preverjajo bazalne odmerke, štejejo ogljikove hidrate, vendar je ne uporabljajo v celoti. Le redki opravljajo tudi test korekcijskega in OH faktorja. Medicinske sestre morajo takšne bolnike opomniti in jih ponovno podučiti o pomembnosti izvajanja vseh testov, jih motivirati in spodbuditi k sodelovanju pri polnem vodenju svoje bolezni. Theoretical basis: A functional insulin therapy with a diabetic using the insulin pump helps the patient achieve the most orderly glycaemia possible. The basis of functional insulin therapy is a counting of carbohydrates in the food, while regular testing of basal doses of insulin, a test of carbohydrate factor and the verification of correction factor are also essential. Purpose: The purpose of this dissertation is to present a functional insulin therapy for a diabetic using the insulin and find out through research, how often diabetics using insulin pumps also implement functional insulin therapy, which tests they perform most often and how it has been explained to them by the medical personnel. Research methodology: In this dissertation, we used a descriptive method of work. The research information had been acquired through a survey. The research involved 50 diabetics using the insulin pump, contacted through the Type 1 Diabetes Association, surveyed at the sports educational weekend at Pokljuka, in may 2012. Results: The research has shown that the majority of surveyed patients using the insulin pump also do implement the functional insulin therapy for a better management of their diabetes, but most of them, for this purpose, only carry out the testing of basal doses, while the correction and carbohydrate factor are verified by few. The carbohydrates in food are counted by almost all surveyed diabetes patients. We also found out that most of the patients are happy with the explanations on the functional insulin therapy, given to them by the medical personnel and that using it has improved their quality of life. Conclusion: Diabetes patients using the insulin pump know functional insulin therapy, verify the basal doses, count carbohydrates, but do not implement it in its entirety. Only few of them perform the correction and carbohydrate factor tests. Nurses must remind such patients and educate them repeatedly on the importance of carrying out all of the tests, motivate them and encourage them to cooperate in a full management of their diabetes. sladkorna bolezen sladkorni bolnik zdravljenje insulinska črpalka funkcionalna insulinska terapija štetje ogljikovih hidratov. diabetes diabetes patient insulin pump functional insulin therapy carbohydrate counting. true false false [A. Tišič] Slovenski jezik Angleški jezik Diplomsko delo 2013-02-02 10:05:12 2013-02-28 13:25:01 2022-05-12 23:03:50 2021-04-22 03:27:39 2013 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.379 1887396 URN:SI:UM:DK:VGLBWCNZ VS_Tisic_Andreja_2013.pdf VS_Tisic_Andreja_2013.pdf 1 7C7452AEB092E85BA0D9FE306BE97314 10d10515869d71c300857b49a5cbe1558e7b60a87e0215e73c72a8990e30c8b6 29374ade-7c09-11eb-bb7a-00155d0001ca 20.500.12556/dkum/c0b4b1bd-d3f7-4f42-857c-1112ca32ce97 https://dk.um.si/Dokument.php?lang=slv&id=53613 Fakulteta za zdravstvene vede 0 0 0