20.500.12556/ReVIS-14079 Zdravstvenovzgojno delo medicinske sestre pri celostni obravnavi bolnikov z malignim obolenjem Health education of the nurs in holstic care of patients with malignanat disease Teoretična izhodišča: Maligna obolenja predstavljajo pomemben javnozdravstveni problem ter zahtevajo celostno, kontinuirano in bolniku prilagojeno obravnavo. V tem procesu ima medicinska sestra pomembno zdravstvenovzgojno, podporno, svetovalno in koordinacijsko vlogo. Zdravstvenovzgojno delo bolnikom omogoča boljše razumevanje bolezni, zdravljenja, neželenih učinkov in samooskrbe, hkrati pa prispeva k večji varnosti, opolnomočenju in kakovosti življenja. Pomembno strokovno izhodišče pri načrtovanju zdravstvene nege predstavljajo teorije in modeli zdravstvene nege, ki omogočajo celostno razumevanje bolnikovih potreb. Namen magistrske naloge je bil raziskati zdravstvenovzgojno delo medicinske sestre pri celostni obravnavi bolnikov z malignimi obolenji. Metoda: Raziskava je temeljila na kvantitativnem raziskovalnem pristopu, pri čemer sta bili uporabljeni deskriptivna in analitična metoda raziskovanja. Podatki so bili zbrani s spletnim anketnim vprašalnikom 1KA. V raziskavo je bilo vključenih 201 izvajalcev zdravstvene nege, zaposlenih na primarni, sekundarni in terciarni ravni zdravstvene dejavnosti. Zbrani podatki so bili obdelani s programoma IBM SPSS Statistics in Microsoft Excel. Pri analizi podatkov so bile uporabljene metode deskriptivne statistike, Spearmanov korelacijski koeficient, Kruskal-Wallisov test ter Bonferronijeva korekcija za preverjanje statistično značilnih razlik med skupinami. Rezultati: Ugotovitve raziskave kažejo, da medicinske sestre zdravstvenovzgojno vlogo pri celostni obravnavi bolnikov z malignim obolenjem ocenjujejo kot zelo pomembno. Pri tem največji pomen pripisujejo individualno prilagojeni komunikaciji, vključevanju bližnjih v proces zdravstvene nege, strokovnemu znanju in praktičnim izkušnjam. Uporaba teorij zdravstvene nege je bila ocenjena kot zmerna. Med najbolj prepoznanimi teoretičnimi izhodišči so model štirinajstih življenjskih aktivnosti Virginie Henderson, teorija samooskrbe Dorothee Orem in teorija medosebnih odnosov Hildegard Peplau. Lestvica za preverjanje uporabe teorij in modelov zdravstvene nege je pokazala visoko zanesljivost (? = 0,946). Kruskal-Wallisov test je pokazal statistično značilne razlike glede na raven zdravstvene dejavnosti (?2(2) = 10,085; p = 0,006). Najvišji povprečni rang je bil ugotovljen na primarni ravni (MR = 116,97), najnižji pa na terciarni ravni (MR = 88,41). Bonferronijeva korekcija je potrdila statistično značilno razliko med primarno in terciarno ravnjo (p = 0,010). Med stopnjo izobrazbe in uporabo teorij zdravstvene nege ni bilo ugotovljene statistično značilne povezanosti (? = -0,050; p = 0,484). Lestvica samozaupanja pri izvajanju zdravstvenovzgojnega dela je pokazala ustrezno zanesljivost (? = 0,788). Kruskal-Wallisov test je pokazal statistično značilne razlike glede na delovno dobo (?2(7) = 27,433; p < 0,001). Najvišje samozaupanje je bilo ugotovljeno pri medicinskih sestrah z daljšo delovno dobo, zlasti v skupinah od 26 do 30 let (MR = 149,07), od 31 do 35 let (MR = 143,75) ter 36 let ali več (MR = 132,61). Rezultati kažejo, da daljša delovna doba pomembno prispeva k višji ravni samozaupanja pri zdravstvenovzgojnem delu. Razprava: Ugotovitve raziskave potrjujejo, da zdravstvenovzgojno delo medicinske sestre predstavlja nepogrešljiv sestavni del celostne onkološke obravnave bolnikov z malignim obolenjem. Medicinske sestre imajo pomembno vlogo pri informiranju, opolnomočenju in podpori bolnikom ter njihovim bližnjim, saj z zdravstvenovzgojnimi intervencijami prispevajo k boljšemu razumevanju bolezni, zdravljenja, samooskrbe in prilagajanja spremenjenim življenjskim okoliščinam. Kljub temu rezultati kažejo, da uporaba teorij zdravstvene nege v klinični praksi ni vedno sistematična, čeprav medicinske sestre prepoznavajo njihov pomen. To opozarja na potrebo po učinkovitejšem povezovanju teoretičnega znanja s kliničnim delom ter po večji podpori pri prenosu teoretičnih modelov v vsakodnevno obravnavo bolnikov. Teorije zdravstvene nege lahko predstavljajo pomembno strokovno izhodišče za načrtovanje, izvajanje in vrednotenje individualizirane zdravstvene nege. Za izboljšanje prakse so zato ključni kontinuirano strokovno izobraževanje, krepitev organizacijske podpore, sistematično vključevanje zdravstvene vzgoje v klinične protokole ter razvoj praktičnih orodij, ki bi medicinskim sestram olajšala uporabo teorij zdravstvene nege pri vsakodnevnem delu z bolniki z malignim obolenjem. Background: Malignant diseases represent an important public health problem and require comprehensive, continuous, and patient-adapted care. In this process, the nurse has an important health education, supportive, counselling, and coordinating role. Health education enables patients to better understand the disease, treatment, adverse effects, and self-care, while also contributing to greater safety, empowerment, and quality of life. Nursing theories and models represent an important professional basis in the planning of nursing care, as they enable a comprehensive understanding of patients’ needs. The purpose of the master’s thesis was to examine the health education work of nurses in the comprehensive care of patients with malignant diseases. Method: The research was based on a quantitative research approach, using descriptive and analytical research methods. Data were collected with an online 1KA survey questionnaire. The study included 201 nursing care providers employed at the primary, secondary, and tertiary levels of health care. The collected data were processed using IBM SPSS Statistics and Microsoft Excel. Descriptive statistics, Spearman’s correlation coefficient, the Kruskal-Wallis’s test, and Bonferroni correction were used to analyse the data and to examine statistically significant differences between groups. Results: The findings of the study show that nurses assess the health education role in the comprehensive care of patients with malignant disease as very important. They attribute the greatest importance to individually adapted communication, the inclusion of close relatives in the nursing care process, professional knowledge, and practical experience. The use of nursing theories was assessed as moderate. The most recognised theoretical frameworks were Virginia Henderson’s model of fourteen basic living activities, Dorothea Orem’s self-care theory, and Hildegard Peplau’s theory of interpersonal relations. The scale used to assess the application of nursing theories and models demonstrated high reliability (α = 0.946). The Kruskal-Wallis test showed statistically significant differences according to the level of healthcare activity (χ²(2) = 10.085; p = 0.006). The highest mean rank was found at the primary level (MR = 116.97), while the lowest was found at the tertiary level (MR = 88.41). Bonferroni correction confirmed a statistically significant difference between the primary and tertiary levels (p = 0.010). No statistically significant association was found between educational level and the use of nursing theories (ρ = −0.050; p = 0.484).The self-confidence scale for carrying out health education activities demonstrated acceptable reliability (α = 0.788). The Kruskal-Wallis test showed statistically significant differences according to years of work experience (χ²(7) = 27.433; p < 0.001). The highest level of self-confidence was found among nurses with longer work experience, particularly in the groups with 26 to 30 years (MR = 149.07), 31 to 35 years (MR = 143.75), and 36 years or more (MR = 132.61) of work experience. The results indicate that longer work experience significantly contributes to a higher level of self-confidence in carrying out health education activities. Discussion: The findings of the study confirm that the health education work of nurses represents an indispensable component of comprehensive oncological care for patients with malignant disease. Nurses have an important role in informing, empowering, and supporting patients and their close relatives, as health education interventions contribute to a better understanding of the disease, treatment, self-care, and adaptation to changed life circumstances. Nevertheless, the results show that the use of nursing theories in clinical practice is not always systematic, although nurses recognise their importance. This indicates the need for more effective integration of theoretical knowledge with clinical work and for greater support in transferring theoretical models into the everyday care of patients. Nursing theories can represent an important professional basis for the planning, implementation, and evaluation of individualised nursing care. Therefore, continuous professional education, strengthening of organisational support, systematic inclusion of health education in clinical protocols, and the development of practical tools that would facilitate nurses use of nursing theories in everyday work with patients with malignant disease are essential for improving practice. zdravstvena vzgoja medicinska sestra maligna obolenja celostna obravnava teorije zdravstvene nege onkološka zdravstvena nega health education nurse malignant diseases comprehensive care nursing theories oncology nursing care true false false Slovenski jezik Angleški jezik Magistrsko delo/naloga 2026-06-19 16:38:36 2026-06-19 16:38:36 2026-06-20 03:11:02 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 25207 4400$$helena_pozar_-_magistrsko_delo_-_zdravstvenovzgojno_delo_medicinske_sestre_pri_celostni_obravnavi_bolnikov_z_malignim_obolenjem.pdf 4400$$helena_pozar_-_magistrsko_delo_-_zdravstvenovzgojno_delo_medicinske_sestre_pri_celostni_obravnavi_bolnikov_z_malignim_obolenjem.pdf 1 FE4218B72F92C1795465377308A4E6BA 800c7857376ba5b71c0b5bf770db07be25e32731b64a2a0c26db81e72e9be360 ca3088c7-6bdb-11f1-be3d-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=17066 Univerza v Novem mestu - Fakulteta za zdravstvene vede 0 0 0