Nursing care of a patient with colostomy, who doesn\u27t shere his diagnosis with family

Diplomska naloga predstavlja študijo primera pacientke s kolostomo, ki ne deli diagnoze z družino. Pacientka se je oddaljila od moža, mu ne zaupa težave, skrbi. Medosebni odnosi so se po operaciji močno spremenili. Pacientka se srečuje s strahom pred izgubo moža. Namen diplomskega dela je bil ugotoviti in seznaniti se z razlogi, ki povzročajo pacientki težave in ji pomagati da se odpre družini in jim ponovno zaupa. V diplomskem delu smo si zastavili tri cilje, in sicer: seznaniti se z zdravstveno nego pacienta s kolostomougotoviti telesno, duševno ter socialno stanje pacientaseznaniti se z medosebnimi odnosi med pacientom in družino. Obravnavali smo pacientko, ki je preživela črevesnega raka in se srečuje z novo nastalimi težavami. Osredotočili smo se na medosebne odnose med pacientko in družino. Z metodo preučevanja primera smo preučilimedosebne odnose v družini, s pacientko pa smo opravili intervju na osnovi vprašalnika odprtega tipa. Pridobljene informacije smo pisno analizirali. Z opravljenim intervjujem smo ugotovili, da so odnosi med pacientko in možem zelo slabi. Pacientka ne zaupa možu, mu ne pove kako se počuti, kakšne težave ima ter zavrača pomoč moža. Pacientko je strah, da bo preveč obremenila moža s težavami in jo bo mož zapustil. Na zastavljena raziskovalna vprašanja smo dobili odgovore, da je telesno in socialno stanje pacientke dobro. Duševno stanje pacientke pa je slabo, saj občuti strah pred izgubo moža in nemoč odpreti se možu in mu ponovno zaupati.This thesis presents a study on a patient with colostomy, that doesn’t want to share her diagnosis with her family. She has distanced herself from her husband and is afraid she might lose him. Their relationship has changed after her surgery. Purpose of this thesis is to get to know the type of care the patient is receiving, to determine her physical, mental and social condition and to observe the patients relationship with her family. The patient had bowel cancer and is now facing with unfamiliar problems. Based on open type questionnaire we interviewed our patient, focusing on her relationship with her family. With the interview we found out, that she has bad relationship with her husband, mainly because she keeps her problems to herself and is refusing his help. The patients physical and social condition is good, but not her mental health. She feels helpless she thinks that is a burden to husband and her family. It is very hard for this type of patients to accept the condition and the fact that they need intestinal stoma. In fear that they will her their loved ones, they keep problems to themselves and mostly refuse help. After retuning to home environment, adapting to new way of life, patient gets a lot of support from home care nurses, that teaches the patient about diet, physical activity, and encourages the patient to accept help from her family