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Title:ZDRAVSTVENA OBRAVNAVA STAREJŠIH Z DEPRESIJO V AMBULANTI DRUŽINSKE MEDICINE - VLOGA IZVAJALCEV ZDRAVSTVENE NEGE
Authors:ID Mežan, Maja (Author)
ID Lapanja, Aljoša (Mentor) More about this mentor... New window
Files:.pdf DIP_Mezan_Maja_2024.pdf (2,92 MB)
MD5: 27201B357AACE3CDE0737469DB801AF0
 
Language:Slovenian
Work type:Bachelor thesis/paper
Organization:UNM FZV - University of Novo mesto - Faculty of Health Sciences
Abstract:Teoretična izhodišča: Depresija je med starejšimi precej razširjena duševna motnja, čeprav velikokrat zaradi pridruženih kroničnih bolezni in upada kognitivnih funkcij ostaja neodkrita in nezdravljena. Zato je pomembno informiranje celotne populacije, da ob zaznavi prvih simptomov pri sebi ali drugem poiščejo strokovno pomoč. V ambulantah družinske medicine morajo biti takšni pacienti prepoznani, da se jim lahko zagotovita podpora in zdravljenje. Namen diplomske naloge je bil proučiti vlogo izvajalcev zdravstvene nege pri obravnavi starejših z depresijo v ambulanti družinske medicine. Metode: Raziskava je temeljila na kvantitativnem raziskovalnem pristopu in deskriptivni metodi dela. Primarni podatki za analizo so bili pridobljeni s tehniko anketiranja, pri čemer je bil uporabljen strukturirani anketni vprašalnik. Vzorec je bil namenski in je zajemal 100 pacientov, opredeljenih v ambulanti družinske medicine na primarni ravni, starejših od 65 let, z nizko, srednjo ali visoko ogroženostjo za razvoj depresije ali z že potrjeno diagnozo. Za izvedbo ankete smo pridobili soglasje zavoda (Medicinski center Mirjam Vide Katič, dr. med., spec. spl. med.). Rezultati: Z raziskavo ugotavljamo, da se je pri 70 (70 %) anketiranih depresija v preteklosti že pojavila, 46 (46 %) pa jih meni, da so na pojav depresije vplivali stresni dejavniki iz otroštva. 45 (45 %) starejših anketirancev čez dan pogosto opaža spremembe razpoloženja, občutek žalosti, potrtosti in jokavosti ima občasno 47 (47 %) anketirancev, medtem ko se z izgubo zanimanja in veselja do vsakodnevnih aktivnosti pogosto srečuje 40 (40 %) anketiranih. Težave s koncentracijo in spominom ima pogosto 46 (46 %) anketiranih starejših pacientov. Ugotavljamo, da ima 63 (63 %) anketirancev vedno zaupanje v medicinsko sestro, glede umirjenega in prijetnega komuniciranja medicinske sestre se je za odgovor vedno opredelilo 52 (52 %) anketiranih. S pridobljenimi rezultati potrjujemo dejstvo, da sta zaupanje in spoštljiv medsebojni odnos ključnega pomena pri obravnavi depresije pri starejših pacientih. Razprava: Ugotavljamo pomembnost čimprejšnje prepoznave simptomov depresije, ki se pogosto ne kažejo specifično in jih zaradi pridruženih bolezni pri starejših pogosto spregledamo. S tem ko vključimo varovalne dejavnike za depresijo, se osredotočimo na dejavnike tveganja, ki jih moramo v čim večji meri izločiti iz okolja, ker negativno vplivajo na starejše, njihovo zdravljenje in ohranjanje čim boljšega duševnega zdravja. Pozitiven odnos, ki ga pacient občuti v ambulanti družinskega zdravnika, je bistvenega pomena, saj tako lažje komunicira in pokaže čustva, s tem pa ga lažje usmerimo v pravo obliko zdravljenja in ohranjanja dobrega počutja.
Keywords:depresija, starejši, medicinska sestra, simptomi
Year of publishing:2024
PID:20.500.12556/ReVIS-10864 New window
COBISS.SI-ID:202082563 New window
Publication date in ReVIS:09.10.2024
Views:178
Downloads:2
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Secondary language

Language:English
Title:HEALTH TREATMENT OF THE ELDERLY WITH DEPRESSION IN THE FAMILY MEDICINE CLINIC - THE ROLE OF NURSING PROVIDERS
Abstract:Theoretical introduction: Depression is a widespread mental disorder among the elderly, although it often remains undiagnosed and untreated due to associated chronic diseases and decline in cognitive functions. Therefore, it is important to inform the entire population that they should seek professional help when they notice the first symptoms in themselves or others. In family medicine clinics, such patients must be recognized so that they can be provided with support and treatment. The purpose of the thesis was to examine the role of nursing care providers in the treatment of elderly people with depression in a family medicine clinic. Methods: The research was based on a quantitative research approach and a descriptive method of work. The primary data for analysis was obtained through a survey technique using a structured survey questionnaire. The sample was purposive and included 100 patients identified in a family medicine clinic at the primary level, aged 65 years or older, with a low, medium or high risk of developing depression or with a confirmed diagnosis. We obtained the consent of the institute to conduct the survey (Medicinski center Mirjam Vide Katič, dr. med., spec. spl. med.). Results: The research shows that 70 (70%) respondents have experienced depression in the past. 46 (46%) respondents believe that the occurrence of depression was influenced by stressful factors from childhood. 45 (45%) respondents experience mood swings throughout the day, 47 (47%) respondents occasionally feel sad, depressed and tearful. 40 (40%) respondents experience loss of interest and joy in everyday activities. 46 (46%) respondents struggle with poor concentration or memory loss. According to our research, 63 (63%) respondents trust their nurse. Good and calm communication with their nurse has been experienced by 52 (52%) respondents. With the obtained results, we can confirm that trust and mutual respect between the nurse and patient are crucial for the optimal treatment of depression in elderly patients. Discussion: It is very important to identify the symptoms of depression as early as possible, which often do not manifest specifically and are often overlooked in the elderly due to associated diseases. By including protective factors for depression, the main focus is on risk factors that we need to eliminate as much as possible from the environment, because they negatively affect the elderly, their treatment and the best possible mental health should be always maintained. The positive attitude that the patient feels in the family doctor's clinic is essential, because it makes easier to communicate, to show emotions, and with this, it is easier to direct the patient to the right form of treatment and his well-being.
Keywords:depression, elderly, nurse, symptoms


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