Representation of Nursing Diagnosis in Patients with Liver Cirrhosis

Cilj: Provedeno istraživanje ima za cilj istražiti zastupljenost sestrinskih dijagnoza kod bolesnika sa medicinskom dijagnozom ciroze jetre. Istraživanjem se želi utvrditi: koje su se sestrinske dijagnoze javile kod oboljelih od ciroze jetre; koja je najčešća sestrinska dijagnoza kod oboljelih od ciroze jetre te koji su se sestrinsko – medicinski problemi javili kod oboljelih od ciroze jetre. Metode: Istraživanje je provedeno na slučajnom uzorku bolesnika na Zavodu za gastroenterologiju i hepatologiju KBC-a Split u vremenskom periodu od ožujka do srpnja 2015. godine, pomoću upitnika sastavljenog u suradnji s mentoricom. Sudjelovao je 31 ispitanik. Prikupljeni podatci iz upitnika su uneseni u Microsoft Excel tablice prema unaprijed pripremljenom kodnom planu. Za obradu je korištena deskriptivna statistika. Rezultati: Najveći broj bolesnika koji boluje od ciroze jetre je alkoholne etiologije (61%). Najzastupljenija dobna skupina bolesnika je između 40 - 49 godina života. Niti jedan bolesnik nije bio mlađi od 41 godinu ni stariji od 81 godinu. Najviši broj bolesnika je bio hospitaliziran između 6 - 10 dana. Kod više od polovice ispitanika javile su se sljedeće sestrinske dijagnoze: smanjeno podnošenje napora, manjkav unos hrane, VR za oštećenje tkiva, VR za oštećenje respiratorne funkcije i VR za infekciju. Nije zanemariv i udio sljedećih sestrinskih dijagnoza (48%): povećan volumen tekućina, SMBS eliminacija, nesanica, poremećaj spavanja, poremećaj tjelesnog izgleda, te neučinkovito pridržavanje zdravstvenih preporuka. Najzastupljenija sestrinska dijagnoza koja se pojavila kod ispitanika je SPN u 94% ispitanih. Najzastupljeniji SMP koji su se javili kod ovih bolesnika su VR za krvarenje u 68% ispitanika te VR za otežano disanje u 48% ispitanika. Zaključci: Ukupno 94% bolesnika je imalo SPN. Najzastupljeniji SMP je bio VR za krvarenje u 68% ispitanika te VR za otežano disanje u 48% ispitanika. Istraživanje je provedeno na malom uzorku i trebalo bi ga napraviti na većem uzorku u suradnji sa medicinskim sestrama - tehničarima iz Gastroenterološke sekcije, kako bi smo dobili relevantnije podatke te poboljšali zdravstvenu njegu kod bolesnika sa medicinskom dijagnozom ciroze jetre.Introduction and Aim: The study aims to explore the representation of nursing diagnosis in patients with a medical diagnosis of cirrhosis of the liver. With the study should be determine: which are the nursing diagnoses occurred in patients with cirrhosis of the liver; which is the most common nursing diagnosis in patients with cirrhosis of the liver and which are nursing - medical problems (NMP) reported in patients with cirrhosis of the liver. Material and methods: The study was conducted on the random sample of patients at the Department of Gastroenterology and Hepatology, Clinical Hospital Center Split in the period from March to July 2015, using a questionnaire, prepared in cooperation with the mentor. It participated 31 patients. The data from the questionnaire was entered into a Microsoft Excel table to the previously prepared a code plan. For processing was use descriptive statistics. Results: Majority of the patients who suffers from cirrhosis of the liver is alcoholic etiology (61%). The most common age group of patients is between 40-49 years of life. None of the patients were not younger than 41 years is not older than 81 years. The highest number of patients had been hospitalized between 6-10 days. In more than half of respondents have occurred the following nursing diagnosis: reduced of exercise tolerance, deficient intake of food, high risk for tissue damage, high risk for damage respiratory function and high risk for infection. It is not a negligible share of the following nursing diagnosis (48%): increased volume of liquid, self deficit care elimination, insomnia, sleep disorders, impaired body image, and ineffective adherence to health recommendations. The most common nursing diagnosis that occurred in the reduced of exercise tolerance patients in 94% of the respondents. The most represented NMP that occurred in these patients are high risk for bleeding in 68% of subjects and the high risk for shortness of breath in 48% of subjects. Conclusion: Overall, 94% of patients had reduced of exercise tolerance. The most represented NMP was high risk for bleeding in 68% of subjects and the high risk of shortness of breath in 48% of subjects. The study was conducted on a small sample and should be done on a larger sample, in cooperation with the nurses - technicians from Gastroenterologists sections, how would we get relevant information and improve health care in patients with medical diagnosis cirrhosis of the liver