The quality of life of patients with urostomy

Izhodišča: Urostoma je kirurško narejena odprtina na koži, ki vodi k sečilom. Pridobitev urostome v veliki meri vpliva na vsakodnevne aktivnosti bolnika in slabša kakovost njegovega življenja. Namen diplomskega dela je predstaviti težave, ki jih imajo bolniki z urostomo, ter izpostaviti ukrepe, s katerimi bi lahko olajšali njihovo življenje in tako izboljšali kakovost njihovega življenja. Raziskovalne metode: Pri pisanju diplomskega dela je uporabljena deskriptivna metoda dela s študijem slovenske in tuje strokovne in znanstvene literature. Uporabljeni so primarni viri. Zbrane podatke smo grupirali, analizirali, kompilirali in na osnovi metode sinteze oblikovali odgovore na zastavljena raziskovalna vprašanja. Rezultati: Rezultati raziskav so pokazali, da pridobitev urostome v veliki meri poslabša kakovost življenja bolnika, saj je pogosto povezana s številnimi zgodnjimi in poznimi pooperativnimi zapleti. Trajno spremenjen način izločanja urina in spremenjena samopodoba vodita v nizko samospoštovanje, socialno izolacijo, negotovost glede prihodnosti ter povzročata vrsto težav pri vsakodnevnih aktivnostih. Diskusija in zaključek: Za zagotavljanje čim kakovostnejšega življenja bolnika z urostomo sta ključnega pomena dobra priprava na operacijo in dobra priprava na življenje po operaciji. Bolniki z urostomo imajo zelo različne težave in potrebe, zato jih je treba obravnavati individualno in holistično glede na njihove potrebe in specifičnosti.Backgrounds: Urostomy is a surgically created opening in the skin, leading to urinary tract. It significantly affects everyday activities of the patient and worsens the quality of their life. The purpose of the thesis is to present troubles of patients with urostomy and stress out measures, with which we could make their life easier and thus improve the quality of their life. Research methods: In the thesis is used the descriptive work method and studied the Slovenian and foreign professional and scientific literature. Primary sources are used. We grouped, analysed and compiled the collected sourcesand used the synthesis method to form answers to the set research questions. Results: The results of the researches showed that a urostomy significantly decreases the quality of the patient’s life, since it is often connected with numerous early and late post-operative complications. The permanently altered way of urine secretion and altered self-image lead to low self-respect, social isolation, uncertainty regarding the future and cause numerous troubles during everyday activities. Discussion and conclusion: Good preparation for surgery and for the life after the surgery are crucial to ensure the best quality of life for the patient with urostomy. Patients with urostomy have very different problems and needs, therefore they need to be treated individually and holistically with regards to their needs and specifics