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Title:Obravnava starostnika s sladkorno boleznijo v domu starejših občanov
Authors:ID Božič, Davorin (Author)
ID Leskovic, Ljiljana (Mentor) More about this mentor... New window
Files:.pdf 4359$$davorin_bozic_21.4.2026.pdf (1,75 MB)
MD5: F20B4C7B3B84AB233F03BC59B4D8A895
 
Language:Slovenian
Work type:Master's thesis/paper
Organization:UNM FZV - University of Novo mesto - Faculty of Health Sciences
Abstract:Teoretična izhodišča: Sladkorna bolezen je ena najpogostejših kroničnih bolezni v starostnem obdobju in predstavlja pomemben zdravstveni, socialni ter organizacijski izziv, zlasti v domovih za starejše. Proces staranja prinaša telesne, kognitivne in psihološke spremembe, ki vplivajo na potek bolezni, sposobnost samooskrbe in pojav akutnih ter kroničnih zapletov. Starostniki s sladkorno boleznijo zato potrebujejo celostno in individualno prilagojeno obravnavo, ki vključuje zdravstveno nego, urejeno prehrano, spodbujanje telesne dejavnosti, psihološko podporo ter učinkovito interdisciplinarno sodelovanje. Namen naloge je bil preučiti obravnavo starostnikov s sladkorno boleznijo v domovih za starejše z vidika zaposlenih ter opredeliti ključne izzive in predloge za izboljšanje prakse. Metode: Empirični del naloge temelji na kvalitativni raziskavi. Podatki so bili zbrani s polstrukturiranimi intervjuji med zaposlenimi v domovih za starejše, v raziskavo pa so bile vključene srednje in diplomirane medicinske sestre. Zbrane podatke smo analizirali z vsebinsko analizo in oblikovali tematske kategorije, povezane z znanjem in usposobljenostjo zaposlenih, spremljanjem bolezni, izzivi v oskrbi ter predlogi za izboljšanje obravnave. Rezultati: Rezultati kažejo, da zaposleni razpolagajo z dobrim osnovnim znanjem in bogatimi praktičnimi izkušnjami pri rutinskih postopkih (npr. spremljanje glikemije, izvajanje terapije, prepoznavanje hipo- in hiperglikemije). Najpogosteje izpostavljeni izzivi so neupoštevanje dietnih priporočil in uživanje priboljškov, kognitivne omejitve stanovalcev (zlasti demenca), nestabilna glikemija ter organizacijske omejitve, kot sta pomanjkanje časa in kadra. Med pogostimi zapleti so zaposleni navajali diabetično stopalo, kronične rane in hipoglikemije, kar zahteva stalno preventivno delovanje in timsko usklajevanje. Razprava: Ugotovitve potrjujejo, da je obravnava starostnikov s sladkorno boleznijo v domovih za starejše kompleksna in zahteva celosten ter interdisciplinaren pristop. Ključni dejavniki za izboljšanje oskrbe so kontinuirano strokovno izobraževanje zaposlenih (zlasti glede sodobnih pristopov, tehnologij in obravnave zapletov), standardizacija postopkov, boljša organizacija dela in učinkovitejša komunikacija v timu. Dodatno se kot pomembno kaže sodelovanje s kuhinjo, vključevanje svojcev ter smiselna uvedba sodobnih načinov spremljanja pri stanovalcih z večjim tveganjem za zaplete.
Keywords:starostnik, sladkorna bolezen, dom za starejše, zdravstvena nega, interdisciplinarni pristop.
Year of publishing:2026
PID:20.500.12556/ReVIS-13965 New window
Publication date in ReVIS:02.06.2026
Views:38
Downloads:1
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Secondary language

Language:English
Title:Management of diabetes in elderly residents of care homes
Abstract:Theoretical background: Diabetes mellitus is one of the most common chronic diseases in older age and represents a significant medical, social, and organizational challenge, particularly in nursing homes. The aging process brings physical, cognitive, and psychological changes that affect the course of the disease, the ability for self-care, and the occurrence of acute and chronic complications. Older adults with diabetes therefore require comprehensive and individually tailored care that includes nursing care, a regulated diet, promotion of physical activity, psychological support, and effective interdisciplinary collaboration. The aim of this thesis was to examine the management of older adults with diabetes in nursing homes from the perspective of employees and to identify key challenges and proposals for improving practice. Methods: The empirical part of the thesis is based on qualitative research. Data were collected through semi-structured interviews with employees in nursing homes, including practical nurses and registered nurses. The collected data were analyzed using content analysis, and thematic categories were developed related to staff knowledge and competencies, disease monitoring, challenges in care, and proposals for improving management. Results: The results show that employees possess good basic knowledge and extensive practical experience in routine procedures (e.g., blood glucose monitoring, administration of therapy, recognition of hypoglycemia and hyperglycemia). The most frequently highlighted challenges include non-adherence to dietary recommendations and consumption of sweets, cognitive limitations of residents (especially dementia), unstable glycemia, and organizational constraints such as lack of time and staff shortages. Among the most common complications mentioned were diabetic foot, chronic wounds, and hypoglycemia, which require continuous preventive action and team coordination. Discussion: The findings confirm that the management of older adults with diabetes in nursing homes is complex and requires a comprehensive and interdisciplinary approach. Key factors for improving care include continuous professional education of staff (especially regarding modern approaches, technologies, and complication management), standardization of procedures, better work organization, and more effective team communication. Additionally, cooperation with kitchen staff, involvement of family members, and the meaningful implementation of modern monitoring methods for residents at higher risk of complications appear to be important.
Keywords:older adult, diabetes mellitus, nursing home, nursing care, interdisciplinary approach.


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