UPORABA ZDRAVIL V ZADNJEM TEDNU ŽIVLJENJA

Lubajnšek, Nadja

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Naslov:	UPORABA ZDRAVIL V ZADNJEM TEDNU ŽIVLJENJA
Avtorji:	ID Lubajnšek, Nadja (Avtor) ID Takač, Iztok (Mentor) Več o mentorju... ID Gönc, Vida (Komentor)
Datoteke:	MAG_Lubajnsek_Nadja_2015.pdf (1,18 MB) MD5: 490C6232A2F86AC6E02D60B2213780EB
Jezik:	Slovenski jezik
Vrsta gradiva:	Magistrsko delo/naloga
Tipologija:	2.09 - Magistrsko delo
Organizacija:	FZV - Fakulteta za zdravstvene vede
Opis:	Uvod: Na Oddelku za ginekološko onkologijo in onkologijo dojk UKC Maribor se dnevno srečujemo s pacientkami v paliativni oskrbi (PO). Mnogo pacientk še vedno ostane v akutni obravnavi, izvajajo se agresivni diagnostični postopki, analgetična terapija velikokrat ni urejena, aplicirajo se draga zdravila. Namen raziskave je bil ugotoviti, kakšne kakovostne PO so deležne naše pacientke. Raziskovalna metodologija: Raziskava je potekala retrogradno. Podatki so bili zbrani iz medicinske in negovalne dokumentacije pacientk, ki so v obdobju od januarja 2011 do decembra 2013 umrle na Oddelku za ginekološko onkologijo in onkologijo dojk UKC Maribor. Obdelani so bili s programom Microsoft Excel in statističnim programom IBM SPSS 20. V raziskavo je bilo vključenih 150 pacientk. Za analizo je bilo primernih le 85 primerov. Rezultati: Povprečna starost pacientk je bila 64,3 leta. Vključene so bile pacientke z rakom dojke, endometrija, jajčnikov, materničnega vratu, vulve in drugo. Najpogostejša pot vnosa zdravil je bila skozi usta in v podkožje, slabi polovici pa je bila aplicirana parenteralna infuzija v žilo. Kot ključna zdravila v PO so bili v ospredju opioidi, v skupini analgetikov so to bili močni opioidi, kamor spada morfin. Aplikacija kemoterapij je bila nizka, le dobre 4 %. Razlike v aplikaciji opioidov in analgetikov v letih 2012 in 2013 ter aplikaciji podkožne in intravenozne infuzije v letih 2011 in 2013 se niso izkazale kot statistično pomembne (p ˃ 0,05). Sklep: V raziskavi smo ugotovili, da so pacientke po načelih PO primerno prejemale zdravila skozi usta in v podkožje, uporaba morfina je bila na prvem mestu ključnih zdravil v PO, aplikacija kemoterapij je bila v zadnjem tednu nizka. Žal pa so pacientke bile prevečkrat izpostavljene odvzemom krvi in prejemanju zdravil v žilo.
Ključne besede:	paliativna oskrba, paliativna medicina, onkološki pacient, zdravila, zdravstvena nega
Kraj izida:	Maribor
Založnik:	[N. Lubajnšek]
Leto izida:	2015
PID:	20.500.12556/DKUM-48400
UDK:	616-093.75(043.2)
COBISS.SI-ID:	2127524
NUK URN:	URN:SI:UM:DK:TIOIFBH4
Datum objave v DKUM:	20.07.2015
Število ogledov:	2479
Število prenosov:	343
Metapodatki:
Področja:	FZV
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Sekundarni jezik

Jezik:	Angleški jezik
Naslov:	MEDICINES USE IN THE LAST WEEK OF LIFE
Opis:	Introduction: At the Department for gynaecological oncology and breast oncology of UKC Maribor we are daily facing female patients in palliative care (PC). Many patients still remain in acute treatment, aggressive diagnostic procedures are being carried out, analgesic therapy is often not regulated and expensive drugs are being administered. The purpose of the thesis was to find out the quality of PC of the discussed female patients. Research methodology: The research took place retrogradely. The data was collected from the medical and care documentation of patients, who died at the Department for gynaecological oncology and breast oncology of UKC Maribor during January 2011 and December 2013. The data was processed with the software Microsoft Excel and the statistical software IBM SPSS 20. The research sample consisted of 150 female patients, of which only 85 cases were suitable for further analysis. Results: The average age of female patients was 64.3 years. Included were female patients with breast cancer, endometrial, ovarian, cervical cancer, cancer of the vulva and others. The most common administration of drugs was oral and subcutaneous, and almost half of them received a parenteral infusion into the vain. The key-medications in PC were opioids; in the group of analgesics these were heavy opioids including morphine. The application of chemotherapy was low, only 4 %. Differences in the administration of opioids and analgesics in 2012 and 2013 and the administration of subcutaneous and intravenous infusions in 2011 and 2013 did not prove to be statistically important (p ˃ 0.05). Conclusion: In the research we found that patients were administered medication orally and subcutaneously according to the PC principles; morphine was on top of the key-medications in PC; the application of chemotherapy in the final week was low. However, patients were too often exposed to blood collection and intravascular administration of medication.
Ključne besede:	palliative care, palliative medicine, oncology patient, medication, health care

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