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Izhodišče in namen: Pri starostnikih je demenca pogosta bolezen. Starostna meja se iz leta v leto povečuje, zato demenca strmo narašča in predstavlja velik problem na svetovni ravni. Diplomirane medicinske sestre v patronažnem varstvu se pogosto srečujejo z demenco v domačem okolju, kar predstavlja izziv za zdravstveno nego. Raziskovalne metode: Uporabili smo kvalitativno metodologijo raziskovanja. Podatke smo zbrali s pol-strukturiranim intervjuji in jih vsebinsko opredelili. Pridobljene intervjuje smo obdelali in podatke opisno predstavili. Intervjuje smo izvedli z diplomiranimi medicinskimi sestrami v patronažnem varstvu. Potekali so anonimno, z možnostjo odklonitve. Sodelovalo je 10 diplomiranih medicinskih sester. Rezultati: Združili smo kode, ki smo jih deskriptivno opisali ter združili v štiri teme: zdravstvena obravnava dementnega starostnika na domu pristopi, ki jih diplomirane medicinske sestre v patronažnem varstvu uporabljajo med opravljanjem negovalnih intervencij občutki, ki jih doživljajo dementni starostniki med obravnavo in opažanja diplomiranih medicinskih sester v patronažnem varstvu, ki jih zaznajo pri svojcih. Iz pridobljenih intervjujev smo ugotovili, da imajo dobre izkušnje z dementnimi starostniki, najpogostejše ovire vidijo v nesodelovanju z dementnimi starostniki kadar bolezen napreduje. Diskusija in zaključek: Diplomirane medicinske sestre v patronažnem varstvu se pogosto srečujejo z dementnimi starostniki. Ovire, ki jih opažajo so predvsem v komunikaciji, nesodelovanju in spremembi vedenja pri dementnih starostnikih. Za strokovno izvedbo negovalnih intervencij vključijo svojce in prilagodijo pogovor, ki je razločen in razumljiv. Basis and purpose: Dementia are a common illness in elderly people. The age limit is increasing every year, and therefore dementia is steeply rising, and it consequently poses a big problem at a global level. Home care nurses encounter dementia in home environment daily, which presents a challenge for health care. Research methods: In the thesis, we used qualitative methodology of research. The obtained interviews were processed and presented in a descriptive way. Semi-structured interviews, which were carried out by home care nurses, were used. The interviews were anonymous. Results: We combined the codes that were descriptively presented and joined into four themes: health treatment of an elderly person with dementia at home, approaches that are used by the home care nurses during their nursing interventions, emotions that are experienced by the elderly people with dementia during the treatment, and observations of home care nurses that they perceive in the relatives. From the obtained interviews, we found that they have good experience with dementia elderly, the most common obstacles are seen in non-cooperation with dementia elderly when the disease progresses. Discussion and conclusion: Home care nurses often encounter elderly people with dementia. Obstacles that they mention are mostly in communication, non-cooperation and behavioral changes in the dementia elderly. In order to perform nursing interventions professionally, home care nurses include the relatives and adjust the conversation, which should be clear and understandable. |
