TREATMENT OF A PATIENT WITH OSTEOPOROSIS IN REFERENCE AMBULANCE

Teoretična izhodišča: Osteoporoza je pogosto prikrita bolezen, saj po večini ne kaže nobenih znakov, dokler ne pride do zloma. Prizadene področje okostja, kjer se zmanjšuje količina kostne gostote, medtem ko se veča nevarnost za zlome. Večina ljudi še vedno ni dovolj seznanjena s samim obolenjem, kar se kaže v porastu osteoporoznih zlomov po vsem svetu. V namen poučevanja in seznanitve pacientov s kronično nenalezljivimi boleznimi so v Sloveniji uvedli referenčne ambulante, v katerih diplomirana medicinska sestra deluje zdravstvenovzgojno. Namen diplomskega dela je bil predstaviti vlogo diplomirane medicinske sestre pri obravnavi pacienta z osteoporozo v referenčni ambulanti ter z raziskavo ugotoviti osveščenost pacientov o osteoporozi ter njihovo zadovoljstvo s potekom dela v referenčni ambulanti. Metodologija raziskovanja: Za izdelavo diplomskega dela smo uporabili deskriptivno metodo dela. Raziskava je temeljila na kvantitativni metodologiji. Za pridobitev podatkov smo izdelali anketni vprašalnik, ki je zajemal 17 vprašanj, od tega 2 vprašanji polodprtega, 3 odprtega in 12 vprašanj zaprtega tipa. V raziskavi je sodelovalo 30 oseb z osteoporozo, ki so bile obravnavane v referenčni ambulanti. Rezultati raziskave: Analiza raziskave je pokazala dobro osveščenost anketiranih o osteoporozi, saj jih je 90 odstotkov dovolj poučenih o svoji bolezni. Vsi anketiranci so seznanjeni z osteoporozo in tudi upoštevajo ukrepe za preprečevanje napredovanja osteoporoze. 80 odstotkov anketiranih je zelo zadovoljnih z obravnavo in s svetovanjem diplomirane medicinske sestre v referenčni ambulanti. Sklep: V namen obveščanja in preventive osteoporoze ter vodenja kronično nenalezljivih bolezni so v Sloveniji pričele delovati referenčne ambulante. Ambulanta družinske medicine je tako pridobila dodatnega člana zdravstvenega tima. Diplomirane medicinske sestre, ki so ustrezno usposobljene z izobraževanji, paciente vodijo in jih s svetovanjem ustrezno usmerjajo v procesu zdravljenja. Za učinkovit proces zdravljenja je potrebno tesno sodelovanje pacienta, diplomirane medicinske sestre in zdravnika.Theoretical background: Osteoporosis is often a hidden disease because it doesn’t show any signs until a fracture. It affects areas of the skeleton where it reduces the quantity of bone density, while increasing the risk of fractures. Most people are still not sufficiently aware of the disease itself, which is reflected in the increase in osteoporotic fractures worldwide. The purpose of teaching the patients with chronic diseases are introduced in Slovenia reference clinics where nurses are working on medical education. The purpose of the thesis was to explain the role of the nurses when treating a patient with osteoporosis in reference clinic, and a survey to determine the awareness of patients about osteoporosis and patient satisfaction with the course work in the reference clinic. Research Methodology: For the thesis we used the descriptive method. The survey was based on a quantitative methodology. To obtain the data we have produced a questionnaire, which consisted of 17 questions, of which 2 are half open, 3 open and 12 closed questions. The study involved 30 people with osteoporosis, which were treated in reference clinic. Results: The analysis of the study showed a good awareness of the respondents about osteoporosis, as 90% of a sufficiently informed about their disease. All respondents are aware and taking measures to prevent the progression of osteoporosis. 80% of respondents are very satisfied with the treatment and consulting from nurses in reference clinic. Conclusion: For the purpose of informing people and the prevention of osteoporosis and management of chronic diseases Slovenia started operating the reference ambulance. The clinic of family medicine has gained an additional member of the healthcare team. Nurses, who are suitably qualified with proper education, guide the patients and counseling them with appropriate guidance in the treatment process. An effective healing process requires close cooperation of the patient, nurses and doctor