20.500.12556/DKUM-44182 KAKOVOST ŽIVLJENJA IN SPOSOBNOST SPREJEMANJA SLADKORNE BOLEZNI V STAROSTI QUALITY OF LIFE AND THE ABILITY OF ACCEPTING DIABETES IN OLD AGE Sladkorna bolezen tipa 2 je ena izmed najbolj razširjenih kroničnih bolezni, ki se je ne da ozdraviti in pacienta spremlja do konca življenja. Pogosto prizadene starejše ljudi. V teoretičnem delu smo predstavili sladkorno bolezen, njene simptome ter zaplete in metode zdravljenja. S pravočasnim odkritjem simptomov, ozaveščanjem in sodelovanjem med pacientom in zdravnikom pomembno vpliva na upočasnitev napredovanja sladkorne bolezni in na preprečevanje zapletov, pacientu pa omogoča kakovostno življenje. V empiričnem delu sta predstavljena starostnika, moški in ženska, oba s sladkorno boleznijo tipa 2, ter težave in ovire, s katerimi se pacienta vsakodnevno spopadata. Predstavili smo dve študiji primera s pomočjo vodenega razgovora. Namen empiričnega dela je bil prikazati morebitne razlike med spoloma glede sprejemanja sladkorne bolezni, prilagoditve nanjo in sposobnost njenega obvladovanja ter vpliv na kakovost njunega življenja v domačem okolju. V študiji primera ugotavljamo, da sprejemanje sladkorne bolezni vzbuja pri obeh pacientih strah zaradi občutka, da se bolezni ne da pozdraviti, hkrati sta obremenjena z rednim spremljanjem bolezni in omejitvami v vsakdanjem življenju. Sladkorna bolezen tipa 2 ima lahko negativni vpliv na kakovost življenja starostnikov ne glede na spol, ko pride do kroničnih zapletov. Povišan krvni sladkor lahko sčasoma vodi v okvare žilnega sistema, okvare na očeh, ledvicah in živčevju, okvare večjih žil. Napredovanje ali slabo vodenje bolezni povzroči tudi okvare na žilju nog, kar lahko pripelje do diabetične gangrene in s tem možne amputacije. Ko pacienti zaradi poslabšanja bolezni več ne obvladujejo v celoti, jih ta psihično, fizično in socialno obremenjuje, vse to pa posledično postopno negativno vpliva na kakovost življenja. Diabetes type 2 is one of the most widespread chronic diseases that cannot be cured and accompanies the patient until the end of his life. It often affects old people. In the theoretical part we have introduced diabetes, its symptoms and healing methods. Timely revealed symptoms, disease awareness and the cooperation between patient and doctor have an important impact on slowing down the progression of diabetes and on the prevention of complications and, thus, enable patients health-related quality of life. In the empirical part we have presented two old people, a man and a woman, both with diabetes type 2 being confronted with difficulties and disabilities in everday life. We have presented two research studies of a care by the help of a guided conversation. The intention of the empirical part was to present eventual differences between the two sexes in regard to the disease acceptance, to the adaptation to the disease, to the ability to cope with it and to its impact on the quality of their life in the home environment. In the study of the case we have established that the diabetes acceptance incites fear in both patients, because of the feeling that the disease cannot be cured, at the same time they are burdened with regular disease monitoring and restrictions in everyday life. When chronic complications appear, diabetes type 2 can have, irrespective of sex, a negative impact on the quality of life of older people. The increased blood sugar can gradually lead to the damage of the nervous system, to the damage of eyes, kidneys and larger veins. The progression or failure of treatment of the disease may damage leg veins what can lead to diabetic gangrene or even to amputation. When patients, owing to worsening of the disease, are not completely in control of diabetes anymore, then they are physically and socially burdened, and as a consequence all this gradually affects negatively the quality of life. sladkorna bolezen kakovost življenja vzdrževanje bolezni starostniki diabetes quality of life disease care old people true true false [P. Mlakar] Slovenski jezik Angleški jezik Diplomsko delo 2014-04-24 18:28:55 2014-06-13 13:51:59 2022-05-12 03:07:06 2021-04-30 03:33:19 2014 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.379:616-053.9(043.2) 2019492 URN:SI:UM:DK:1TCGNFXE VS_Mlakar_Patricija_2014.pdf VS_Mlakar_Patricija_2014.pdf 1 77D167C985389963D4C3611003C05514 72b9db3bbe000513fa4db464a99f761ebc12dbf4a2a6c6765d9fa30cf5355e8f ce338cdb-7c0a-11eb-bb7a-00155d0001ca https://dk.um.si/Dokument.php?lang=slv&id=63365 Fakulteta za zdravstvene vede 0 0 0