Author/Editor		Nedog, Kristjan
Title		Psihodinamsko zasnovana zdravstvena nega psihotičnih bolnikov na oddelku psihiatrične bolnišnice
Translated title		Psychodinamically oriented nursing care of psychotic patients on a psychiatric ward
Type		članek
Source		Obz Zdrav Nege
Vol. and No.		Letnik 38, št. 2
Publication year		2004
Volume		str. 129-33
Language		slo
Abstract		In the daily hospital inpatient routine nurses carry out a role, similar to that of a mother towards a newborn: they are present at any time and as such always available for a patient's call for help in case his clinical state worsens. By being "always there" they establish a hospital milieu which gives the patient the sense of safety. The above mentioned stands even more when having in mind the relationships in a psychiatric intensive care unit as the nature of psychotic illnesses invariably calls for the sense of continuity, safety and warmth. The article presents theoretical backgound for the comparison of mother- child and nurse - patient relationships and studies possibillities for a psychodinamically oriented approach to nursing together with pointing out advantages of such an approach. In trying to achieve that, for the presentation of the importance of nurses' everyday work the article uses the metaphor of the building of a house, which may on the first look seem banalised to some degree, but from another point of view a considerable and noteworthy correlation.
Summary		Medicinske sestre in zdravstveni tehniki imajo v vsakdanu bolnika na bolnišničnem oddelku podobno vlogo kot mati v vsakdanu novorojenčka: so stalni in za morebitni klic na pomoč praktično vedno prisotni partnerji, ki vzdržujejo kontinuiteto oddelčnega miljeja in s svojo stalno prisotnostjo vzbujajo pri bolnikih občutek varnosti, tudi če se bolnikovo stanje poslabša, saj so »vedno na voljo«. Na intenzivnih psihiatričnih oddelkih je v odnosu do akutno psihotičnih bolnikov navedeno še toliko bolj očitno, saj je narava bolezni pri teh bolnikih takšna, da praktično zahteva stalnost, varnost in toplino okolice. V prispevku so podane teoretične osnove za vzporednice med odnosoma novorojenček - mati ter bolnik - medicinska sestra/zdravstveni tehnik, preučene so možnosti psihodinamsko zasnovanega pristopa k delu medicinske sestre/zdravstvenega tehnika ter nakazane prednosti takšnega pristopa, pri čemer je pomembnost vloge medicinske sestre/zdravstvenega tehnika v obravnavi psihotičnega bolnika upodobljena s sicer na prvi pogled morebiti nekoliko banalno metaforo gradnje hiše, ki pa je ob poskusu pogleda iz drugega zornega kota sigurno vredna razmisleka in razprave, čeprav najbrž še potrebna nadaljnje kritične obravnave.
Descriptors		HOSPITALS, PSYCHIATRIC PSYCHIATRIC NURSING PSYCHOTIC DISORDERS