20.500.12556/ReVIS-14064 UPORABNOST ADAPTACIJSKEGA MODELA CALLISTE ROY PRI ADAPTACIJI PACIENTA S HERNIJO DISKA THE USEFULNESS OF THE THEORETICAL MODEL OF CALLISTA ROY IN THE ADAPTATION OF A PATIENT WITH A HERNIATED DISC Teoretična izhodišča: Bolečina v hrbtenici je najpogosteje razširjena vrsta bolečine med populacijo. V manjšem odstotku primerov je razlog za to hernija diska. Vzroki za hernijo so: degenerativne spremembe, nenadni ali nepravilni gibi, akutne poškodbe, premikanje težkih bremen, neprestano sedenje itd. Zdravljenje poteka s protibolečinsko in/ali protivnetno terapijo, počitkom, fizioterapijo in tudi z operacijo, kateri sledi rehabilitacija. Za zagotavljanje primerne zdravstvene nege pacienta s hernijo Callista Roy v svojem teoretičnem modelu poudarja, da je človek večdimenzionalno bitje, ki iz svojega notranjega in zunanjega okolja prejema dražljaje, ki vplivajo na njegovo počutje, vedenje in zdravstveno nego. Ključno vlogo pri tem ima diplomirana sestra, ki dražljaje prepozna, jih poskuša usmerjati ter pripravi in izvaja individualen načrt zdravstvene nege, da bi pacient dosegel cilj zdravljenja hernije diska. Namen raziskave je proučiti uporabnost teoretičnega modela Calliste Roy pri adaptaciji pacienta s hernijo diska. Metode: Uporabljena sta bila kvalitativni raziskovalni pristop in deskriptivna metoda dela. Primarne podatke smo pridobili s tehniko intervjuvanja. Izbrani instrument za zbiranje podatkov je bil strukturirani intervju. Vzorec je bil namenski in je vključeval paciente, ki so se ali se še vedno vodijo v nevrološki ambulanti zaradi hernije diska. Intervjuje smo izvedli z 10 osebami, ki smo jih razdelili v dve skupini: paciente s hernijo diska (pet oseb) in zdravstvene delavce (pet oseb). Intervjuji so bili izvedeni v obdobju od februarja do aprila 2026. Rezultati: Pacienti s hernijo diska so sprva podvrženi medikamentni terapiji, počitku in fizioterapiji. V primeru, da navedeno nima učinka, se na podlagi preiskav in testov odločimo za operacijo. Ne glede na vrsto zdravljenja, pacienti ostajajo previdni pri obsegu in načinu gibanja, zaradi strahu, da ne pride do ponovitve hernije. Medicinske sestre pravijo, da sta največja izziva pri delu s pacienti s hernijo diska obvladovanje bolečine in motivacija pacienta. Medicinske sestre poznajo in v določeni obliki tudi uporabljajo teoretični model Roy pri svojem delu na nevrološkem oddelku. Razprava: Diplomirane medicinske sestre kot največja izziva pri obravnavi in negi pacienta s hernijo prepoznavajo obvladovanje bolečine in motivacijo pacienta. Pri svojem delu uporabljajo načela in koncepte teoretičnega modela Roy, čeprav ne navajajo, da bi sledile predpisanim šestim korakom, ki jih navaja model. Theoretical background: Back pain is the most common type of pain in the population. In a small percentage of cases, the cause is a herniated disc. The causes of herniation are: degenerative changes, sudden or irregular movements, acute injuries, moving heavy loads, constant sitting, etc. Treatment is with analgesic and/or anti-inflammatory therapy, rest, physiotherapy and also surgery, followed by rehabilitation. To ensure appropriate health care for a patient with a hernia, Callista Roy emphasizes in her theoretical model that a person is a multidimensional being who receives stimuli from his internal and external environment that affect his well-being, behavior and health care. A key role in this is played by a registered nurse who recognizes the stimuli, tries to direct them and prepares and implements an individual health care plan so that the patient can achieve the goal of treating a herniated disc. The purpose of the research is to examine the usefulness of Callista Roy's theoretical model in the adaptation of a patient with a herniated disc. Methods: A qualitative research approach and a descriptive work method were used. Primary data were obtained using the interview technique. The selected instrument for data collection was a structured interview. The sample was purposive and included patients who were or are still being treated in a neurological clinic due to a herniated disc. Interviews were conducted with 10 people, who were divided into two groups: patients with a herniated disc (five people) and healthcare professionals (five people). The interviews were conducted in the period from February to April 2026. Results: Patients with herniated discs are initially treated with medication, rest and physiotherapy. If these do not work, surgery is considered based on examinations and tests. Regardless of the type of treatment, patients remain cautious about the extent and type of movement, for fear of recurrence of the hernia. Nurses say that the biggest challenges in working with patients with herniated discs are pain management and patient motivation. Nurses are familiar with and use the Roy theoretical model in some form in their work in the neurological department. Discussion: Registered nurses identify pain management and patient motivation as the biggest challenges in the treatment and care of a herniated disc patient. They use the principles and concepts of the Roy theoretical model in their work, although they do not state that they follow the prescribed six steps outlined in the model hernija diska zdravljenje hernije diska rehabilitacija hernije diska model Calliste Roy herniated disc herniated disc treatment herniated disc rehabilitation Callista Roy model true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-06-18 14:59:01 2026-06-18 14:59:01 2026-06-19 03:08:50 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 25201 4409$$mario_lovrinovic_diplomska_naloga.pdf 4409$$mario_lovrinovic_diplomska_naloga.pdf 1 3D0064FEAC875A140203551446B57BC1 3c3d2078a4db02de756d7636345ed236d987b11c6fe2a9da24c048fafa75fde7 18905618-6b0d-11f1-be3d-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=17050 Univerza v Novem mestu - Fakulteta za zdravstvene vede 0 0 0