Title Aktivnosti medicinske sestre u primjeni enteralne prehrane u bolesnika nakon operacije karcinoma želuca
Title (english) Nursing activities in the application of enteral nutrition in patient after gastric cancer surgery
Author Anđelka Jazidžija
Mentor Mario Marendić (mentor)
Committee member Mario Marendić (član povjerenstva)
Committee member Nikša-Siniša Matas (član povjerenstva)
Committee member Matija Borić (predsjednik povjerenstva)
Granter University of Split (University Department of Health Studies) (Chair of Nursing) Split
Defense date and country 2023-07-25, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Želudac kao organ probavnog sustava ima zadaću prihvata, pripreme i obrade hrane za daljnju probavu. Njegove osnovne funkcije najčešće su narušene kad nastupi bolest. Jedan od najčeščih karcinoma u svijetu s visokim mortalitetom je karcinom želuca. To je multifaktorska bolest koja nastaje kao posljedica složene intereakcije između čimbenika domaćina, čimbenika okoliša i infekcije H. pylori. Epidemiološke studije pokazale su razlike s obzirom na anatomsku lokalizaciju tumora kao i histološki tip karcinoma. Karcinom želuca češće je smješten u antrumu i donjoj trećini korpusa želuca, a rjeđe u gornje dvije trećine, posebno u kardiji. Češći je na maloj krivini nego na velikoj. Početni simptomi su nespecifični i uglavnom se javljaju u kasnijem stadiju bolesti. Incidencija jako varira i raste s dobi bolesnika. Dijagnoza se najčešće postavlja endoskopijom sa sustavnim biopsijama sumnjivih lezija. Danas je dostupno nekoliko metoda liječenja: resekcija, kemoterapija, radioterapija ili kombinacija navedenih metoda, a odabir ovisi o veličini, smještaju i proširenosti tumora, odnosno o stadiju bolesti i o općem stanju bolesnika. Kirurška metoda liječenja može biti kurativna ili palijativna. Prognoze za ishod bolesti su jako loše. Protokoli poboljšanog oporavka nakon operacije (ERAS) multidisciplinarni su sustav skrbi bolesnika koja se temelji na dokazima i koji je pokazao izuzetnu učinkovitost u smanjenju kirurških komplikacija, skraćivanju duljine bolničkog boravka, smanjenje fizičke i psihičke traume za bolesnika, a sve u svrhu da brzo postignu funkcionalni oporavak. Zdravstvena njega bolesnika je usmjerena na prije, peri i poslijeoperacijsku skrb. Uloga sestre izuzetno je bitna kod prehrane bolesnika jer je enteralna prehrana prvi izbor bilo putem komercijalnih pripravaka na usta ili putem hranilice na nazojejunalnu sondu. Primarni čimbenik koji otežava postoperativno enteralno hranjenje je intolerancija na hranu. Bolesnici nakon gastrektomije izloženi su riziku od pothranjenosti, a loš nutritivni status negativno utječe na kliničke ishode bolesnika te je bitna uloga sestre i u edukaciji o prehrani.
Abstract (english) As an organ of the digestive system, the stomach has the task of accepting, preparing and processing food for further digestion. Its basic functions are most often impaired when a disease occurs. One of the most common cancers in the world with high mortality is stomach cancer. It is a multifactorial disease resulting from a complex interaction between host factors, environmental factors and H. pylori infection. Epidemiological studies have shown differences with regard to the anatomical localization of the tumor as well as the histological type of cancer. Gastric cancer is more often located in the antrum and the lower third of the body of the stomach, and less often in the upper two thirds, especially in the cardia. It is more common on a small curve than on a large one. The initial symptoms are non-specific and mostly appear in the later stages of the disease. The incidence varies greatly and increases with the age of the patient. The diagnosis is most often established by endoscopy with systematic biopsies of suspicious lesions. Today, several treatment methods are available: resection, chemotherapy, radiotherapy or a combination of the aforementioned methods, and the choice depends on the size, location and extension of the tumor, that is, on the stage of the disease and on the general condition of the patient. The surgical method of treatment can be curative or palliative. The prognosis for the outcome of the disease is very poor. Enhanced Recovery After Surgery (ERAS) protocols are a multidisciplinary, evidence-based patient care system that has demonstrated exceptional effectiveness in reducing surgical complications, shortening the length of hospital stay, reducing physical and psychological trauma for patients, all with the goal of quickly achieving functional recovery. recovery. Patient health care is focused on pre-, peri- and post-operative care. The nurse's role is extremely important in patient nutrition, because enteral nutrition is the first choice, either through commercial oral preparations or through a nasojejunal feeding tube. The primary factor complicating postoperative enteral feeding is food intolerance. Patients after gastrectomy are exposed to the risk of malnutrition, and poor nutritional status negatively affects the clinical outcomes of patients, and the nurse's role in nutrition education is also important..
Keywords
karcinom želuca
ERAS protokol
zdravstvena njega bolesnika
enteralna prehrana
Keywords (english)
gastric cancer
ERAS protocol
patient care
enteral nutrition
Language croatian
URN:NBN urn:nbn:hr:176:356098
Study programme Title: Nursing (university/undergraduate) 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 2023-07-25 11:36:50