| Abstract | Cilj rada: Prikazati proces zdravstvene njege bolesnika s operacijom grkljana i utvrđene
sestrinske dijagnoze u procesu zdravstvene njege. Planirane i provedene intervencije u
poslijeoperacijskoj zdravstvenoj njezi usmjerene su na rješavanje bolesnikovih problema.
Opis slučaja: Tijekom hospitalizacije, uz pomoć procjene fizičkog i psihičkog stanja,
bolesniku su utvrđene sestrinske dijagnoze u procesu zdravstvene njege: visok rizik za
neuravnoteženu prehranu: manji unos od tjelesnih potreba u/s terapijskim mirovanjem unosa
hrane i tekućine i otežanim gutanjem; smanjena mogućnost obavljanja osobne higijene u/s
smanjenom pokretljivošću ruku i vrata; otežana komunikacija u/s anatomskim nedostatkom
grkljana; akutna bol u/s kirurškom ranom i visok rizik za oštećenje sluznice usne šupljine u/s
terapijskim mirovanjem unosa hrane i tekućine na usta. Nakon provedenih intervencija bolesnik
je dnevno unosio 1500 ml hrane nazogastričnom sondom, uspostavio je normalnu mogućnost
gutanja i nije gubio na težini. Samostalno je oprao i posušio lice, trup, ruke, gluteuse, noge i
genitalije, a uz pomoć medicinske sestre oprao je i posušio kosu i leđa. Uz pomoć pomagala za
komunikaciju uspješno je komunicirao s drugima. A nakon primjene propisanog analgetika,
verbalizirao je manju razinu intenziteta bola. Za vrijeme terapijskog mirovanja unosa hrane i
tekućine na usta nije razvio znakove oštećenja sluznice usne šupljine.
Zaključak: Kvalitetna zdravstvena skrb bolesnika sa zloćudnim tumorom grkljana utemeljena
je na znanstvenim spoznajama i stručnim kompetencijama zdravstvenog osoblja. Holističkim
pristupom medicinska sestra promatra bolesnika kao cjelinu te mu kontinuirano pruža fizičku,
psihičku, socijalnu i duhovnu pomoć u rješavanju problema iz procesa zdravstvene njege. |
| Abstract (english) | Objectives: This paper aims to present the nursing process for patients with laryngeal surgery,
the established nursing diagnoses within the nursing process, and the planned interventions
during the patient's postoperative care aimed at resolving their problems.
Case: The following nursing diagnoses were established based on the patient's physical and
psychological assessment during hospitalization: unbalanced diet: Less than body requirements
associated with reduced food intake; deficit in food intake associated with nasogastric tube and
limited arm and neck mobility; deficit in hygiene associated with limited arm and neck mobility;
limited verbal communication associated with laryngectomy; acute pain associated with change
of position; risk for impaired oral mucosa associated with inability to take oral food. After the
procedures performed, the patient did not lose weight and consumed 1500 ml of food daily via
a nasogastric tube. The patient washed and dried his face, chest, abdomen, arms, buttocks, legs,
and genitals. Assisted by the nurse, he washed and dried his hair, neck, and back. With the help
of a communication aid, he was able to successfully communicate with others. After
administration of the prescribed analgesic, the patient verbalized decreased pain intensity.
During the postoperative inability to eat orally, the patient did not develop any signs of oral
mucosal impairment.
Conclusion: High-quality health care for patients with malignant laryngeal tumor is based on
scientific evidence and the professional expertise of the medical team. With a holistic approach,
nurses consider patients as a whole and provide them with continuous physical, psychological,
social, and spiritual help in solving problems in the care process. |
