20.500.12556/ReVIS-11987 ZDRAVSTVENA OBRAVNAVA PACIENTA Z OSTEOPOROZO MEDICAL TREATMENT OF A PATIENT WITH OSTEOPOROSIS Teoretična izhodišča: Osteoporoza je kronična presnovna bolezen kosti, ki predstavlja pomembno javnozdravstveno težavo. Zanjo so značilne zmanjšana kostna masa ter spremembe v mikroarhitekturi kostnega tkiva, kar vodi do krhkosti kosti in tudi večje verjetnosti za njihove zlome. Izziv pri osteoporozi predstavlja dejstvo, da pogosto ostane dolgo neprepoznana oziroma se prepozna šele ob prvem zlomu. Namen raziskave je bil preučiti zdravstveno obravnavo pacienta z osteoporozo na primarni ravni zdravstvenega varstva – z vidika medicinskih sester v patronažnem varstvu, referenčnih ambulantah in centrih za krepitev zdravja. Metode: Uporabili smo kvalitativni raziskovalni pristop in deskriptivno metodo dela. Podatki so bili zbrani s polstrukturiranimi intervjuji šestih diplomiranih medicinskih sester, ki delujejo na primarni ravni zdravstva. Podatki so bili vsebinsko analizirani, odgovori intervjuvancev pa kodirani in interpretirani. Rezultati: Pacienti z osteoporozo se pri zdravstveni obravnavi soočajo predvsem z bolečinami, zmanjšano gibljivostjo, psihičnimi težavami, strahom pred padci ter pomanjkanjem informacij. Medicinske sestre pri tem poudarjajo pomembnost zgodnjega prepoznavanja, zdravstvenovzgojnega dela in sodelovanja v preventivnih ter terapevtskih aktivnostih. Kot največje izzive navajajo slabo ozaveščenost pacientov, pomanjkanje kadra oziroma časa ter omejen dostop do specialistične obravnave. Razprava: Rezultati potrjujejo, da je vloga medicinske sestre pri celostni obravnavi pacienta z osteoporozo izredno pomembna. Treba je okrepiti preventivne dejavnosti in interdisciplinarno sodelovanje ter izboljšati dostopnost do ustreznih informacij in storitev. Introduction: Osteoporosis is chronic metabolic bone disease that represents a significant public health problem. It is characterized by reduced bone mass and changes in the microarchitecture of bone tissue, which leads to increased bone fragility and a higher probability of fractures. The problem with this disease is that it often remains unrecognized for a long time or is recognized only after the first fracture. The purpose of the study was to investigate the medical treatment of patients with osteoporosis at the primary health care level, from the perspective of nurses in community care, referral clinics and health promotion centers. Methods: We used a qualitative research approach and a descriptive work method. Data were collected through semi–structured interviews with six graduate nurses working at the primary level. The data were analyzed content–wise, and the interviewees' responses were coded and interpreted. Results: Patients with osteoporosis face pain, reduced mobility, psychological problems, fear of falls and lack of information during medical treatment. Nurses emphasize the importance of early recognition, health education and participation in preventive and therapeutic activities. They cite poor patient awareness, lack of staff and time and limited access to specialist treatment as the biggest challenges. Discussion: The results confirm that the role of nurses in the comprehensive treatment of patients with osteoporosis is extremely important. Preventive activities and interdisciplinary cooperation need to be strengthened and access to appropriate information and services improved. osteoporoza zdravstvena nega medicinska sestra preventiva kronična bolezen pacient. osteoporosis nursing care nurse prevention falls chronic disease patient. true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-07-19 18:42:45 2025-07-19 18:42:46 2025-09-01 14:06:43 0000-00-00 00:00:00 2025 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 21357 246387715 DIP_Horvaticek_Bernardka_2025.pdf DIP_Horvaticek_Bernardka_2025.pdf 1 F81F510C43D8C55CAABC500F81B02A3A 58f0319ef854e2698902721eaac1ea161e63bf58986f09386ad328b1d94c4544 65fa459f-64bf-11f0-9bb7-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=13908 Univerza v Novem mestu - Fakulteta za zdravstvene vede 0 0 0