PYSIOTERAPHY AND HEALTH CARE OF RHEUMATIC PATIENTS

Reumatske bolesti predstavljaju značajan problem za zdravstvenu i širu društvenu zajednicu. Produženi životni vijek, način rada, provođenje slobodnog vremena modernog čovjeka znatno doprinose učestalosti reumatskih bolesti. Rano postavljanje dijagnoze je bitno za povoljne ishode liječenja. Liječenje reumatskih bolesti sastoji se od edukacije pacijenta, farmakoloških, nefarmakoloških postupaka te provođenje zdravstvene njege. Dobro educirani pacijenti će aktivnije sudjelovati u ostvarenju i planiranju kratkoročnih i dugoročnih ciljeva te pridonositi uspješnosti rehabilitacije. Farmakološko liječenje reumatskih bolesti utječe na simptome i znakove, progresiju, prognozu pa i sam ishod liječenja. Lijekovi koji se najčešće koriste pri liječenju ovih bolesti su nesteroidni antireumatici i kortikosteroidi. Fizikalna terapija se provodi u svrhu prevencije i liječenja reumatskih bolesti. Kod nefarmakološkog liječenja reumatskih bolesti kao najučinkovitije metode su se pokazale termoterapija, elektroterapija, balneoterapija, radna terapija te kineziterapija. Ovi modeli su usmjereni na smanjenje boli te povećanje funkcijskih sposobnosti bolesnika oboljelih od reumatskih bolesti. Cilj zdravstvene njege i sestrinske skrbi reumatskih bolesnika je što dulje održavanje bolesnikove samostalne funkcionalne sposobnosti te oporavak fizičke, psihičke i društvene funkcije bolesnika.Rheumatic diseases represent significant problem for health and wider social community. Expanded life span, mode of operation, spending leisure time of the modern man considerably contribute to the frequency of rheumatic diseases. Early diagnose renewing is essencial for favourable outcome of treatment. Treatment of rheumatic diseases consists of pacient education, pharmacological and non-pharmacological procedures and conduction of health care. A good educated patients will more actively participate in realization and planning of short term and long term goals and contribute to the efficacy of the rehabilitation. Pharmacological treatment of rheumatic diseases affects on symptoms and signs, progression, prognosis and the outcome of the treatment. Medicines that are usually used for the treatment of this diseases are non-steroidal anti-rheumatics and corticosteroids. Physical therapy is carried out in the purpose of prevention and treatment of rheumatic diseases. With nonpharmacological treatment of rheumatic diseases, the most effective shown methods were thermotherapy, electrotherapy, balneotherapy, occupational therapy and kinesitherapy. This modules are aimed on pain reduction and increase of functional ability of the patients ill of rheumatic diseases. Goal of the health care and nursing care of rheumatic patients is as long as possible observance of the patients independent functional abilities and recovery of the physical, psychological and social functions of the patient