Author/Editor		Potočnik, Klavdija; Ravnik, Janez; Lorber, Mateja
Title		Potrebe svojcev pacientov po nezgodni poškodbi glave
Translated title		Family members' needs after a traumatic brain injury
Type		članek
Vol. and No.		Letnik 54, št. 1
Publication year		2020
Volume		str. 12-20
ISSN		1318-2951 - Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije
Language		slv
Abstract		Uvod: Ugotavljanje potreb svojcev je pristop skrbi, usmerjene k družini, s končnim ciljem aktivne vloge pacientov in svojcev pri doseganju ravni zdravja. Namen raziskave je bil ugotoviti potrebe svojcev pacientov, ki so bili hospitalizirani zaradi nezgodne poškodbe glave. Metode: Uporabljena je bila kvalitativna metodologija raziskovanja. Za pridobitev podatkov je bil uporabljen delno strukturiran intervju s svojci hospitaliziranih pacientov v začetku zdravljenja ter pred odpustom iz bolnišnice. V raziskavo je bilo vključenih deset svojcev pacientov, ki so utrpeli nezgodno poškodbo glave. Podatki so bili analizirani s pomočjo vsebinske analize. Rezultati: Ugotovljeno je bilo, da imajo svojci pacientov z nezgodno poškodbo glave različne potrebe, ki se v času hospitalizacije spreminjajo. Kot glavni so izpostavili potrebo po informacijah in potrebo po podpori. Obe sta prisotni v obdobju celotne hospitalizacije, kljub temu pa pride do manjših sprememb v dejavnikih, ki ju opredeljujejo. Na začetku hospitalizacije je prisotna še potreba po soočenju, ki se izraža skozi različne faze, kot so šok, zanikanje, pogajanje, jeza, žalost in strah. Ob zaključku hospitalizacije pa se izrazita še potreba po (ne)gotovosti in potreba po napredku. Diskusija in zaključek: Ugotovljene so bile najpomembnejše potrebe svojcev pacientov po nezgodni poškodbi glave. Glede na ugotovitve bi bilo za optimalno zadovoljevanje potreb treba opolnomočiti zdravstveno osebje predvsem na področju zgodnje prepoznave potreb, komunikacije in sprejemanja svojca kot enakovrednega partnerja pri zagotavljanju kakovostne zdravstvene nege.Introduction: Identifying the needs of family members is a family-oriented approach with an aim to help patients and their family members to actively participate in the recovery process. The aim of the study was to identify the needs of the family members of patients that had been hospitalized due to a traumatic brain injury. Methods: A qualitative approach with semi-structured interviews with hospitalized patients' family members was used. The interviews were conducted at the start of the treatment and before the patients were discharged from the hospital. Ten family members of patients who had suffered traumatic brain injury participated in our study. Data were analyzed by content analysis. Results: It has been found that family members of patients with traumatic brain injury have different needs that change during the hospitalization period. The need for information and the need for professional support were two major needs that the family members expressed. These two needs were constantly present and changed only slightly during hospitalization in terms of the factors that define them. At the beginning of hospitalization the need to confront the injury is also present and has several stages such as shock, denial, negotiation, anger, sadness and fear, was expressed. At the end of hospitalization, family members also expressed the need for (un)certainty and the need for progress. Discussion and conclusion: The most important needs of family members of patients who had suffered a traumatic brain injury have been identified. In order to provide the best possible satisfaction of the needs, health workers who come into contact with family members of patients with traumatic brain injury should be given a sense of empowerment especially in terms of early identification of the needs, communication and acceptance of family members as equal partners in patient health care.
Keywords		intervju podpora družina medicinske sestre podpora komunikacija interview family nursing care nurses brain damage support communication