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Palijativna skrb sveobuhvatna je skrb prisutna u svakodnevnom radu medicinskih djelatnika na svim odjelima i u svim sferama života. Cilj palijativne skrbi jest olakšavanje boli i svih oblika patnje, pružanja zdravstvene njege, ugode pacijentu u okvirima mogućnosti te poštivanja njegova života, dostojanstva i autonomije. Glavnu ulogu u pružanju palijativne skrbi imaju medicinske sestre koje provode najviše vremena s pacijentima, pružaju im psihološku potporu i pomoć, provode zdravstvenu njegu, procjenu pacijenata te sudjeluju u liječenju i ublažavanju patnje i boli (ne)farmakološkim metodama. Bol ima klinički značaj koji zahtjeva poseban pristup i kompleksno tretiranje. Najčešće se u njenom liječenju koriste farmakološki pripravci, a malo manje nefarmakološke i psihološke metode liječenja. Liječenje boli podrazumijeva multidisciplinarni i multimodalni pristup, a posebnu ulogu zauzima medicinska sestra koja ulaže sve napore u izgrađivanje vještina potrebnih za rad, a to ponajviše uključuje cjeloživotno školovanje i razvijanje. U radu je provedeno istraživanje putem anonimnog anketnog upitnika u formatu Google forms koji su ispunjavali medicinske sestre/tehničari na odjelima Službi Kirurgije i Interne medicine Opće bolnice Pula. Iz anketnih odgovora može se zaključiti kako su ispitanici upoznati s pojmom totalne boli te kako razumiju utjecaj boli na život pacijenta. Kako je navedeno u odgovorima, većina svakodnevno procjenjuje bol pomoću skala i na taj način primjenjuju ordiniranu terapiju i koriste druge nefarmakološke metode uklanjanja boli. Kad se govori o aktivnijem uključivanju u tretiranje boli i dodatnog educiranja o boli i procjeni, većina je mišljenja da su nedovoljno uključeni, odnosno da je od iznimnog značaja daljnja, neprestana edukacija unutar zdravstvenog sustava. Palliative care is comprehensive care present in the daily work of medical professionals in all departments and in all spheres of life. The goal of palliative care is to relieve pain and all forms of suffering, provide health care, comfort the patient within the limits of possibilities, and respect his life, dignity and autonomy. The main role in the provision of palliative care is played by nurses who spend the most time with patients, provide them with psychological support and assistance, carry out health care, assess patients and participate in the treatment and alleviation of suffering and pain with (non)pharmacological methods. Pain has a clinical significance that requires a special approach and complex treatment. Pharmacological preparations are most often used in its treatment, and non-pharmacological and psychological methods of treatment are used to a lesser extent. Pain treatment implies a multidisciplinary and multimodal approach, and a special role is occupied by the nurse who invests all efforts in building the skills necessary for work, which mostly includes lifelong education and development. In the paper, research was conducted through an anonymous survey questionnaire in Google forms format, which was filled out by nurses/technicians at the departments of Surgery and Internal Medicine at the Pula General Hospital. From the survey answers, it can be concluded that the respondents are familiar with the concept of total pain and that they understand the impact of pain on the patient's life. As indicated in the answers, most assess pain daily using scales and thus apply prescribed therapy and use other non-pharmacological methods of pain relief. When talking about more active involvement in the treatment of pain and additional education about pain and assessment, the majority is of the opinion that they are insufficiently involved, that is, that further, continuous education within the health system is extremely important. |
