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Title:Kakovost življenja bolnika s perkutano endoskopsko gastrostomo
Authors:ID Bratušek, Urška (Author)
ID Nerat, Jasmina (Mentor) More about this mentor... New window
Files:.pdf VS_Bratusek_Urska_2019.pdf (1004,78 KB)
MD5: BD76D1C10A7A8D10786A03100AED41DA
PID: 20.500.12556/dkum/d8bdf5e1-cc29-4898-ae21-4d96c29d5c5c
 
Language:Slovenian
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:FZV - Faculty of Health Sciences
Abstract:Izhodišča: Vstavitev perkutane endoskopske gastrostome je manjši kirurški poseg, opravljen v lokalni anesteziji, pri katerem se del želodca pričvrsti na trebušno steno, vstavi se gastrostomska cevka, s pomočjo katere se bolnik prehranjuje. Vstavitev je navadno izvedena zaradi nezmožnosti hranjenja per os ali zaradi rakavega obolenja, najpogosteje gre za rak glave ali vratu. Namen zaključnega dela je ugotoviti, kakšna je kakovost življenja bolnika z vstavljeno perkutano endoskopsko gastrostomo. Raziskovalne metode: Uporabljen je sistematičen pregled strokovne in znanstvene literature. Potek iskanja literature je predstavljen v PRISMA diagramu. Glede na zastavljeno raziskovalno vprašanje, je iskanje literature potekalo po vnaprej zastavljenih vključitvenih in izključitvenih kriterijih. V analizo je zajetih 15 raziskav. Rezultati: Z analizo literature smo ugotovili, da perkutana endoskopska gastrostoma ne vpliva na izboljšanje kakovosti življenja, pa tudi na zmanjšanje kakovosti življenja ne. Zaradi nezmožnosti hranjenja per os gre predvsem za olajšanje težav, saj perkutana endoskopska gastrostoma vzdržuje prehranjenost in telesno težo. V prvih mesecih po vstavitvi je prisotnih veliko težav. Največje težave povzroča spoprijemanje bolnika s perkutano endoskopsko gastrostomo, slabost, hiter občutek sitosti, okužba, krvavenje in zatekanje želodčnega soka ob vstopnem mestu gastrostomske cevke. Nekje po šestih mesecih pa bolniki začnejo perkutano endoskopsko gastrostomo doživljati tudi pozitivno. Diskusija in zaključek: Na posameznikovo življenje perkutana endoskopska gastrostoma najprej zaradi številnih sprememb in težav, do katerih pride po vstavitvi, vpliva negativno. Kasneje pa vpliva pozitivno, saj lajša posledice določene bolezni in s tem izboljša kakovost življenja bolnika.
Keywords:Rak, prehranjevanje, gastrostomska cevka, zapleti, kvaliteta življenja.
Place of publishing:Maribor
Publisher:[U. Bratušek]
Year of publishing:2019
PID:20.500.12556/DKUM-74432 New window
UDC:616.34-089.86(043.2)
COBISS.SI-ID:2526372 New window
NUK URN:URN:SI:UM:DK:6ZFQ8S14
Publication date in DKUM:01.10.2019
Views:1245
Downloads:164
Metadata:XML DC-XML DC-RDF
Categories:FZV
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Licences

License:CC BY 4.0, Creative Commons Attribution 4.0 International
Link:http://creativecommons.org/licenses/by/4.0/
Description:This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.
Licensing start date:27.08.2019

Secondary language

Language:English
Title:Quality of life in patients with percutaneous endoscopic gastrostomy
Abstract:Background: Percutanous endoscopic gastrostomy is small and non invasive surgical procedure, carried out in local anesthesia. Part of a stomach is attached to the stomach wall. Then the gastrostomy tube is inserted. The patient can eat through the tube. Inability to eat orally or cancer, mostly head and neck cancer, are the reasons for insertion. The purpose of the final work is to determine the quality of life of patients with percutaneous endoscopic gastrostomy. Research methods: Systematic review of the professional and scientific literature was used. The course of literature search is presented in the PRISMA flow diagram. According to the research question, the search for literature was based on predetermined inclusion and exclusion criteria. In literatue analysis was used 15 researches. Results: With the analysis of professional literature, we found that percutaneous endoscopic gastrostomy does not increase the quality of life and also does not decrease the quality of life. Percutaneous endoscopic gastrostomy helps to maintain nutritional status and to gain weight. In first few months there are many difficulties. The biggest problem for patients represents handling with percutaneous endoscopic gastrostomy, nausea, feeling full quickly, infection, bleeding and leaking of gastric acid around the gastrostomy tube. After six months the patients are also experiencing the positive sides of percutaneous endoscopic gastrostomy. Discussion and conclusion: In first months percutaneous endoscopic gastrostomy has negative impact on patient life, because of many different cahanges in every day activities. Later by mantaining their nutritional stastus, percutaneous endoscopic gastrostomy impacts positive on patient life. Percutaneous endoscopic gastrostomy decreases consequences of ilness and with that increases the quality of life.
Keywords:Cancer, eating, gastrostomy tube, complications, quality of life.


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