20.500.12556/ReVIS-13968 UPORABA ADAPTACIJSKEGA MODELA PRI BOLNIKU S SLADKORNO BOLEZNIJO APPLICATION ON THE ADAPTATION MODEL IN A PATIENT WITH DIABETES Teoretična izhodišča: Sladkorna bolezen je kronična bolezen, ki zahteva trajne prilagoditve življenjskega sloga in obvladovanje zapletov, zato je pri bolnikih ključna celostna podpora. Royev adaptacijski model posameznika obravnava kot celostno bitje in poudarja prilagajanje na fiziološkem, psihološkem, socialnem in medosebnem področju. Model omogoča medicinskim sestram, da z individualno prilagojeno nego, izobraževanjem in svetovanjem podpirajo bolnikovo samopodobo, socialno vključenost in sposobnost obvladovanja stresa, kar prispeva k uspešnejšemu prilagajanju na kronično bolezen in zmanjšanju tveganja za zaplete. Namen raziskave je preučiti uporabo Royevega adaptacijskega modela pri obravnavi bolnikov s sladkorno boleznijo v klinični praksi zdravstvene nege. Metode: Izvedli smo kvalitativno raziskavo s pomočjo polstrukturiranega intervjuja. Glede na cilje smo sestavili predlogo za intervju, ki je bila sestavljena iz dveh delov in je vsebovala 24 vprašanj. Prvi del se je nanašal na sociodemografske podatke intervjuvancev (spol, starost, delovna doba, izobrazba), drugi del pa na vprašanja, povezana s poznavanjem in uporabo adaptacijskega modela pri bolniku s sladkorno boleznijo med diplomiranimi in srednjimi sestrami v zdravstveni negi. V raziskavo smo zajeli namenski vzorec 4 diplomiranih medicinskih sester in 4 srednjih medicinskih sester, ki imajo več kot eno leto delovnih izkušenj s področja diabetoloških pacientov. Rezultati: Rezultati raziskave pokažejo, da medicinske sestre pri obravnavi bolnika s sladkorno boleznijo uporabljajo elemente Royevega adaptacijskega modela predvsem posredno, skozi celostno in individualno obravnavo. Pri ocenjevanju bolnika upoštevajo fiziološke, psihološke in socialne dejavnike ter uporabljajo klinične kazalnike, kot so HbA1c, nihanje glukoze, sodelovanje bolnika in njegova sposobnost samovodenja bolezni. Samoocena znanja o teorijah zdravstvene nege je bila večinoma srednja do dobra, pri čemer diplomirane medicinske sestre izkazujejo več teoretičnega znanja in pogostejšo uporabo modelov kot srednje medicinske sestre. Razprava: Ugotovitve v raziskavi potrjujejo, da Royev adaptacijski model v klinični praksi ni sistematično implementiran, temveč se uporablja implicitno kot del vsakodnevnega kliničnega razmišljanja. Kljub prisotnosti njegovih elementov v praksi ostaja razkorak med teorijo in njeno uporabo. Rezultati poudarjajo potrebo po boljšem povezovanju teoretičnega znanja z delom v kliničnem okolju ter po dodatnem strokovnem izobraževanju. S tem bi lahko izboljšali uporabo modelov zdravstvene nege, okrepili celostno obravnavo bolnika ter prispevali k večji kakovosti in učinkovitosti zdravstvene nege pri bolnikih s kroničnimi boleznimi. Theoretical background: Diabetes is a chronic disease that requires permanent lifestyle adjustments and management of complications, making comprehensive support for patients essential. The Roy Adaptation Model views the individual as a holistic being and emphasizes adaptation on physiological, psychological, social, and interpersonal levels. The model enables nurses to support patients’ self-image, social inclusion, and stress management through individualized care, education, and guidance, contributing to more effective adaptation to the chronic disease and reducing the risk of complications. The aim of this study is to investigate the use of the Roy Adaptation Model in the care of patients with diabetes in clinical nursing practice. Methods: We conducted a qualitative study using a semi-structured interview. Based on the research objectives, we developed an interview guide consisting of two parts and containing 24 questions. The first part focused on the participants’ sociodemographic data (gender, age, work experience, education), while the second part included questions related to knowledge and use of the Adaptation Model in caring for patients with diabetes among registered nurses and vocational nurses in clinical nursing practice. The study involved a purposive sample of 4 registered nurses and 4 vocational nurses, each with more than one year of experience working with diabetic patients. Results: The results of the study show that nurses, in the management of patients with diabetes mellitus, use elements of the Roy Adaptation Model mainly indirectly, through holistic and individualised care. In patient assessment, they consider physiological, psychological, and social factors, and use clinical indicators such as HbA1c levels, glucose variability, patient cooperation, and the ability of self-management. Self-assessment of knowledge regarding nursing theories was mostly moderate to good, with registered nurses demonstrating greater theoretical knowledge and more frequent use of nursing models compared to nursing technicians. Discussion: The findings of the study confirm that the Roy Adaptation Model is not systematically implemented in clinical practice, but is instead used implicitly as part of everyday clinical thinking. Despite the presence of its elements in practice, a gap between theory and its application remains. The results highlight the need for better integration of theoretical knowledge into clinical work and for additional professional education. This could improve the use of nursing models, strengthen holistic patient care, and contribute to higher quality and more effective nursing care for patients with chronic diseases. sladkorna bolezen kronična bolezen adaptacija bolnika Royev model zdravstvena nega samopodoba vloga medicinske sestre diabetes chronic disease patient adaptation Roy’s Adaptation Model nursing care self-image role of the nurse. true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-06-02 19:48:24 2026-06-02 19:48:24 2026-06-03 03:27:36 0000-00-00 00:00:00 2026 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 1970-01-01 25017 4381$$nina_jovanovic_diplomska_naloga_.pdf 4381$$nina_jovanovic_diplomska_naloga_.pdf 1 B27F625F1D676298F23CB6ED5583CB76 ae9b0fdc0f36fca4111729f63285bfeeb3bb846f49d2d3b7ed17113e86e83005 40e42be3-5eab-11f1-8e51-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=16934 Univerza v Novem mestu - Fakulteta za zdravstvene vede 0 0 0