Avtor/Urednik		Ahačič, Maruša; Kadivec, Saša; Farkaš-Lainščak, Jerneja
Naslov		Dokumentiranje navodil o življenjskem slogu in samoobvladovanju bolezni pri pacientih s kronično obstruktivno pljučno boleznijo
Prevedeni naslov		Documenting lifestyle and disease self-management recommendations for chronic obstructive pulmonary disease patients
Tip		članek
Vol. in št.		Letnik 52, št. 1
Leto izdaje		2018
Obseg		str. 18-28
ISSN		1318-2951 - Obzornik Zdravstvene Nege
Jezik		slv
Abstrakt		Uvod: Za boljše doseganje kakovosti življenja pacientov s kronično obstruktivno pljučno boleznijo je slednje treba poučiti o značilnostih bolezni ter o ukrepih za njeno učinkovito samoobvladovanje. Namen raziskave je bil ugotoviti pogostost dokumentiranja in vrsto dokumentiranih navodil o življenjskem slogu in samoobvladovanju bolezni v bolnišnični dokumentaciji pacientov s kronično obstruktivno pljučno boleznijo. Metode: Izvedena je bila retrospektivna kvantitativna raziskava, v kateri je bila pregledana celotna bolnišnična dokumentacija (terapevtski listi, liste zdravstvene nege, arhivi zdravstvenovzgojnih šol, odpustna pisma) 253 pacientov s kronično obstruktivno pljučno boleznijo. Za analizo podatkov sta bila poleg osnovne deskriptivne statistike uporabljena tudi hi-kvadrat test in ordinalna logistična regresija. Rezultati: V bolnišnični dokumentaciji so pacienti s kronično obstruktivno pljučno boleznijo imeli dokumentirana v povprečju manj kot 4 navodila o življenjskem slogu in samoobvladovanju bolezni (x = 3,8, s = 5,1). V odpustnem pismu je polovica pacientov (x = 0,5, s = 0,9) imela zabeleženih manj navodil o življenjskem slogu in samoobvladovanju bolezni kot v bolnišnični dokumentaciji (x2 = 33,455, p < 0,001). Diplomirane medicinske sestre so navodila dokumentirale petkrat pogosteje kot zdravniki. Diskusija in zaključek: Raziskava je za bolnišnično dokumentacijo pacientov s kronično obstruktivno pljučno boleznijo ugotovila nizko število dokumentiranih navodil o življenjskem slogu in samoobvladovanju bolezni. Treba bo povečati ozaveščenost o pomenu dokumentiranja zdravstvenovzgojnih navodil in oblikovati orodja za izboljšanje medpoklicne komunikacije.Introduction: To achieve a better quality of life in patients with chronic obstructive pulmonary disease, these patients should be informed about the characteristics of the disease and measures for its effective selfmanagement. The aim of the study was to determine the frequency and type of written instructions regarding lifestyle and self-management of the disease in hospital documentation of patients with chronic obstructive pulmonary disease. Methods: A retrospective quantitative study that reviewed all the hospital%s documents (therapy forms, nursing forms, archives of health education programmes, letters of discharge) was conducted including 253 patients with chronic obstructive pulmonary disease. The results were described in terms of descriptive statistics; chisquare test and ordinal logistic regression were used. Results: On average, hospital records of patients with chronic obstructive pulmonary disease showed less than 4 instructions (x = 3.8, s = 5.1) about life style and disease self-management. Half of chronic obstructive pulmonary disease patients received letters of discharge (x = 0.5, s = 0.9) which contained less guidance about lifestyle and self-management of the disease than their hospital records (x2 = 33.455, p < 0.001). Nurses recorded the instructions five times more frequently than doctors. Discussion and conclusion: The study showed a low number of written instructions about the life style and self-management of the disease given to chronic obstructive pulmonary disease patients during hospitalization. It is necessary to raise awareness about the importance of documenting health education instructions and design tools to improve inter-professional communication.
Proste vsebinske oznake		dokumentacija hospitalizacija pacienti medpoklicno sodelovanje documentation hospitalization patients interprofessional collaboration