| Abstract | Cilj istraživanja bio je procijeniti učestalost psiholoških dijagnoza u Sestrinskoj kategorizaciji stupnja očuvanih sposobnosti samozbrinjavanja u usporedbi sa NANDA protokolom u kardioloških bolesnika.
Materijal i metode: U retrospektivnom presječnom istraživanju analizirani su podaci iz evidencije sestrinskih otpusnih pisama na Klinici za bolesti srca i krvnih žila u KBC Split u razdoblju od 01. siječnja 2015. do 31. prosinca 2016. godine.
Rezultati: Sestrinska kategorizacija stupnja očuvanih sposobnosti samozbrinjavanja u svoju procjenu ne uključuje psihološke varijable sadržane u NANDA protokolu (P<0.001) osim varijabli sposobnost prilagodbe i osjet akutne odnosno kronične boli. Sestrinska kategorizacija stupnja očuvanih sposobnosti samozbrinjavanja uključuje uglavnom tjelesni status bolesnika a manje psihološke potrebe kardioloških bolesnika.
NANDA protokol omogućava uvid u psihološke potrebe bolesnika i stanja anksioznosti povezanih s nezadovoljenjem tih potreba. Tako je blaga anksioznost povezana je s vapajem za zdravljem (r=0.086, P<0.05), izmijenjenom prehranom (r=0,132, P<0.001) i nemogućnošću samopomoći oko kupanja odijevanja i hranjenja (r=0,215, P<0.001). Umjerena anksioznost povezana je s nemogućnošću samopomoći oko kupanja odijevanja i hranjenja (r=0,094, P<0.05). Teška anksioznost povezana je s umanjenim sposobnostima prilagodbe (r=0.154, P<0,001), s osjećajem beznađa (r=0,087, P<0.05), s intenzitetom boli (r=0,183, P<0.001), s nemogućnošću samopomoći oko kupanja odijevanja i hranjenja (r=0,083, P<0.05) i s kronično niskim samopoštovanjem (r=0,144, P<0,001). Panika je povezana s umanjenim mogućnostima prilagodbe (r=0,230, P<0,001).
Zaključak: Čini se opravdanim koristiti komplementarno obje klasifikacije i sestrinsku kategorizacija stupnja očuvanih sposobnosti samozbrinjavanja kao i NANDA protokol budući ne procjenjuju iste potrebe bolesnika (somatske i psihološke). |
| Abstract (english) | The aim of this study was to assess the frequency of psychological diagnoses in nurses categorization of the degree of patients preserved selfhelp ability levels comparing it to NANDA protocol in cardiac patients.
Materials and methods: in a retrospective cross-sectional study, data from nursing records of discharging letters at the clinic for cardiovascular diseases in KBC SPLIT have been analyzed in the period from January 01. 2015. to December 31. 2016.
Results: nurses categorization of the degree of patients preserved selfhelp ability levels does not include the psychological variable included in NANDA protocol (P<0.001) except for the ability to adapt or the sensation of acute or chronic pain. Nurses categorization of the degree of patients preserved selfhelp ability levels includes more physical status and less psychological needs of cardiac patients.
NANDA protocol gives us insight into patients psychological needs and anxiety conditions related to the fact that those needs remained unsatisfied. Mild anxiety is associated with a cry for healt (r=0.086, P<0.05), changed diet (r=0,132, P<0.001) and inability to help themselves with bathing, dressing and eating (r=0,094, P<0.05). Severe anxiety is associated with reduced abilities to adapt (r=0,154, P<0.001), feeling of dispair (r=0,087, P<0.05), intensity of pain (r=0,183, P<0.001), inability to help themselves with bathing, dressing and eating (r=0,083, P<0.05), and cronically low sense of self-esteem (r=0,144, P<0.001). Panic is associated with reduced abilities to adapt (r=0,230, P<0.001).
Conclusion: it seems justified to use both categorizationes simultaneously, nurses categorization of the degree of patients preserved selfhelp ability levels as well as NANDA protocol considering that they dont assess the same needs of the patient (somatic and psichological). |
