Title UČINKOVITOST INHALATORNE TERAPIJE KOD DJECE S ASMATSKIM TEGOBAMA Title (english) EFFECTIVENESS OF INHALED THERAPY IN CHILDREN WITH ASTHMA PROBLEMS Author Suzana Habijanec Adrić Mentor Radan Starčević (mentor)Committee member Daniela Malnar (predsjednik povjerenstva)Committee member Radan Starčević (član povjerenstva)Committee member Silvije Šegulja (član povjerenstva) Granter University of Rijeka Defense date and country 2018-07-17, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Cilj ovoga rada je prikazati učinkovitost inhalatorne terapije kod djece s astmatskim tegobama nakon završene rehabilitacije u trajanju 21 dan, koji su bili hospitalizirani na dječjem odjelu Thalassotherapije Crikvenica, u 2017. godini. Prikazat će se njihovi nalazi spirometrije kod dolaska i kod odlaska na liječenje, način provođenja inhalatorne terapije i lijekovi koji se koriste u svrhu inhalatornog liječenja.
Istraživanje će se provesti na dječjem odjelu Thalassotherapije Crikvenica. U analizu će se uključiti djeca s astmatskim tegobama hospitalizira na dječjem odjelu Thalassotherapije Crikvenica u 2017. godini u dobi od 6 do 19 godina. Uvidom u medicinsku dokumentaciju (Povijest bolesti) prikupit će se anamnestički podaci, nalazi spirometrije te fizioterapijski status kod dolaska i odlaska s rehabilitacije.
Metoda koja je korištena za izradu ovog rada je uvid u medicinsku dokumentaciju, anketni telefonski (usmeni) upitnik, metoda analize i sinteze te statistička metoda. Istraživanje je provedeno u Thalassotherapiji Crikvenica, specijalnoj bolnici za medicinsku rehabilitaciju, metodom slučajnog odabira pacijenata koji boluju od astmatskih tegoba. U istraživanju je sudjelovalo 50 ispitanika prosječne životne dobi od 12,2 godina, u rasponu od 6 do 19 godina. U ispitivanom uzorku obuhvaćeno je 32 (64%) dječaka i 18 (36%) djevojčica.
Prikazani rezultati kontrolne spirometrije nam otkrivaju značajno poboljšanje u malim dišnim putovima u odnosu na dolazak na liječenje što ukazuje na učinkovitost rehabilitacije, odnosno uspješnost inhalatorne terapije koja je primijenjena kod djece tijekom njihovog boravka na liječenju. Rezultati anketnog telefonskog upitnika roditelja pokazuju da većina ispitanika svoje zdravstveno stanje ocjenjuje poboljšano što nam prezentira iznimnu uspješnost ovih tretmana. Uvidom u medicinsku dokumentaciju, djeca kod kojih je ovo bio ponovljeni boravak, od njih 28 nakon rehabilitacije njih 12 koristili su Ventolin do ponovnog dolaska.
Postizanje kontrole nad astmom predstavlja glavni cilj u liječenju, a podatak da je njihovo zdravstveno stanje poboljšano nakon rehabilitacije inhalatornom terapijom pomaže održati kvalitetu života djeteta usporedivu s kvalitetom života zdravih vršnjaka, tj. bez ograničenja u fizičkim aktivnostima i bavljenju sportom, te smanjenjem izostanaka s nastave. Sustavnopraćenje prevalencije astme i komorbiditeta, moglo bi rezultirati razvojem novih i uspješnijih algoritama liječenja.
Abstract (english) The aim of this paper is to demonstrate the efficacy of inhalation therapy for children with asthma problems after their 21 - day rehabilitation, hospitalized at the Thalassotherapy Crikvenica Children's Department in 2017. Their findings on spirometry before and after inhalation therapy, and on medicines used for inhalation treatment, will be displayed.
The research will be conducted at the children's department of Thalassotherapy Crikvenica. The study will include children with asthma disorders hospitalized at the Thalassotherapy Crikvenica Children's Department in 2017 at the age from 6 to 19. By inspecting medical records (History of Disease), anamnestic data, spirometry and physiotherapeutic status will be collected on arrival and departure from rehabilitation.
The method used to produce this paper is a direct insight into medical documentation, telephone (oral) questionnaire, method of analysis and synthesis and statistical method. The study has been conducted at Thalassotherapy Crikvenica, a special hospital for medical rehabilitation, by a random selection method for patients suffering from asthma problems. The study included 50 respondents with an average age of 12.2 years, ranging from 6 to 19 years. The examined sample included 32 (64%) boys and 18 (36%) girls.
Results of the control spirometry show us a significant improvement in the small airways compared to the ones before of the conducted treatment, indicating the efficiency of the rehabilitation e.g. the success of the inhalation therapy applied to children during their stay on the treatment. The results of the telephone questionnaire from parents show that most respondents rated their health status better and presented us with the exceptional success of these treatments. By inspecting the medical records, the children who have returned to the treatment, of whom 28 after rehabilitation, 12 used Ventolin until their return to the rehabilitation.
Achieving asthma control is the main goal of treatment, and the fact that their health condition improves after rehabilitation by inhalation therapy helps maintaining the quality of life of a child comparable to the quality of life of healthy peers, e.g. without limits to their physical activities and sports, and reducing absence from school classes. Systematic monitoring of prevalence of asthma and comorbidity may result in the development of new and more successful treatment algorithms.
Keywords
inhalatorna terapija
astma
kvaliteta života
Keywords (english)
inhalation therapy
asthma
quality of life
Language croatian URN:NBN urn:nbn:hr:184:712747 Study programme Title: Graduate university study of Nursing: Promotion and Protection of Mental Health (Biomedicine and Healthcare; clinical medical sciences) Type of resource Text File origin Born digital Access conditions Access restricted to students and staff of home institution Terms of use Created on 2019-04-10 11:32:58
