Child tonsillectomy

Pri otroku se najpogosteje srečujemo s ponavljajočimi anginami in povečanimi nebnicami, kar lahko privede do tonzilektomije. Tonzilektomija je operativni poseg, pri katerem otroku odstranijo povečane mandlje. Sama operacija je za otroka in starše zelo boleča in stresna. Pomembno je, da starše seznanimo z zadostno količino informacij, kako pripraviti otroka na hospitalizacijo in operacijo. Poskrbeti je potrebno za otrokovo dobro počutje in občutek varnosti v času hospitalizacije ter starše vključiti v vse aktivnosti zdravstvene nege. Podati jim moramo tudi navodila kako skrbeti za otroka po odpustu iz bolnišnice v domačo oskrbo. Namen diplomske naloge je bil predstaviti proces dela medicinske sestre pri otroku, ki je napoten na tonzilektomijo. Z raziskavo smo ugotovili, kako medicinska sestra neguje otroka pred in po operativnem posegu na otorinolaringološkem oddelku v eni izmed Splošnih bolnišnic v Sloveniji, kjer sobivajo s starši ter proces dela MS s starši otrok. Uporabili smo kvantitativno metodologijo dela z anketnim vprašalnikom odprtega in zaprtega tipa, ki smo ga razdelili 16 zaposlenim. Z vprašalnikom smo ugotovili, da medicinska sestra kakovostno neguje otroka pred in po operativnem posegu ter, da staršem posveti veliko svojega časa. Pri zdravstveni negi sodelujejo tudi starši. Najpogostejše težave s katerimi se srečuje pri zdravstveni negi otrok so razvajenost otrok in bruhanjeneupoštevanje navodil zdravstvenega osebja s strani staršev in neješčnost otrok. Pomembna je tudi zdravstvena vzgoja staršev, saj starši pripomorejo k temu, da otrok bolje sodeluje pri zdravstveni negi.With children we often encounter recurrent tonsillitis and tonsillar hypertrophy, which can resolve in a tonsillectomy. Tonsillectomy is a surgical procedure to remove enlarged tonsils. The surgery itself is very painful and stressful for children and their parents. It is very important to inform and prepare the parents with enough information on how to prepare their child for hospitalization and the surgery. It is necessary to take care of the children\u27s well being and the feeling of safety while hospitalized, as well as to include the parents in all the activites of health care. We need to give them instructions on how to take care of the children, once they have been released from the hospital. The purpose of this thesis was to present the process of work of a nurse, working with children undergoing tonsillectomy. With a research, at the department of otorhinolaryngology in one of the general hospital in Slovenia, we found out how a nurse cares for children before and after surgery and how the nurse communicates with the children\u27s parents. We used quantitative methodology of work with a questionnaire of open and closed type, which was distributed to 16 employees. With a questionnaire we found out, that a nurse takes care for children before and after the surgery with a quality care, and spends a lot of time with children\u27s parents. The most common problems that a nurse faces while taking care of the children are spoiled children and vomitingparents not obeying the instructions and children not wanting to eat. It is important that the parents are well educated on all the activities of health care, because that helps the children to better cooperate while being taken care of