Title Značenje procjene prehrambenog statusa u djece s teškim neuromotoričkim odstupanjima
Title (english) Significance of nutritional status assessment in children with severe neuromotor abnormalities
Author Kata Rimac
Mentor Vanja Slijepčević Saftić (mentor)
Committee member Dinko Puntarić (predsjednik povjerenstva)
Committee member Zvonimir Koporc (član povjerenstva)
Committee member Vanja Slijepčević Saftić (član povjerenstva)
Granter Catholic University of Croatia (Department of Nursing) Zagreb
Defense date and country 2021-03-22, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Public Health and Health Care
Abstract Unatoč ogromnom napretku medicine, kojem smo svjedoci, duljinu i kvalitetu života djece često reduciraju kronične, te neizlječive bolesti koje uzrokuju smrt puno ranije nego li je biološki očekivano, kao i različite ozljede. Pravilna prehrana ima veliko značenje u djece sa teškim neuromotoričkim odstupanjima, jer se njezinom primjenom pospješuje djetetova kvaliteta života, funkcioniranje, te opće stanje.
Teško oboljela djeca imaju velike poteškoće sa prehranom, na što utječe osnovna bolest, terapijski postupci i umor. To za posljedicu ima slabije podnošenje terapije, imunološku slabost i pogoršanje općeg zdravstvenog stanja.
U sklopu cilja istraživanja bilo je potrebno utvrditi kako je pravilna procjena kalorijskih potreba i prehrambenog statusa u djece sa teškim neuromotoričkim odstupanjima značajna, kako za aktualno stanje, tako i u prognozi. Pretpostavka je kako pravilna procjena prehrambenog statusa doprinosi poboljšanju kvalitete prehrane uvođenjem dodataka na prehranu u djece koja zaostaju u razvoju.
Iz rezultata istraživanja proizlazi kako je prosječna dob djece s teškim neuromotoričkim odstupanjima dvije godine, dok je prosječna duljina hospitalizacije djece sedam godina. Djeci se kao dodaci na prehranu daju proteini, energetski dodaci i vitamini, a najčešći vitamin je vitamin D.
Vitamin D ima važnu ulogu u borbi protiv različitih bolesti, a njegova količina povećava se izloženošću sunčevoj svijetlosti ili u obliku dodatka prehrani. 85% djece sa teškim neuromotoričkim odstupanjima hrani se ili dobiva lijekove putem nazogastrične ili nazojejunalne sonde. Medicinske sestre u radu sa djecom osjećaju sažaljenje, ali su pod velikom razinom stresa. Zbog prevelikog normativa pacijenata po jednoj medicinskoj sestri nedostatan je individualan pristup djetetu i mogućnosti kvalitetnog hranjenja djeteta. Nadalje, rezultati istraživanja i praćenja dnevnog kalorijskog unosa od strane medicinskih sestara ukazuju na manji stvarni unos kcal/dan u odnosu na planirani unos kcal/dan prema standardu.
Abstract (english) Despite the tremendous advancement of medicine we witness to the length and quality of life of children often reduce chronicly incurable diseases that cause death much earlier than biologically expected and various injuries. Proper nutrition has great significance in children with severe non-motoric disturbances, as by its application it enhances the child's quality of life, functioning and general condition.
These same children have big difficulties with eating, affecting the underlying disease, therapeutic procedures and fatigue. This results in poorer therapy, immune weakness and worsening of the overall health status.
Within the scope of the research, it was necessary to ascertain that proper estimates of nutritional status in children with severe neurodevelopment deviations are very important. The assumption of proper nutrition assessment contributes to improving dietary quality by introducing nutritional supplements for underdeveloped children.
The results show that the average age of children with severe neurodevelopment deviations is two years, while the average length of hospitalization for children is seven years. Vitamin D has an important role to play in fighting different diseases, and its amount increases with exposure to the sun's diet or in the form of dietary supplements. 85% of children with severe non-motoric disturbances are fed or receiving medications through a nasogastric or nasopharyngeal probe. Nurses working with children feel compassion, but are under great stress. Because of the excessive norms of the patients by one nurse, individual access to the child and the ability to feed the baby were reduced. Furthermore, the results of research and monitoring of daily caloric intake by nurses point to a lower actual kcal / day intake compared to the planned kcal / day intake per standard.
Keywords
dijete
neuromotorička
odstupanja
prehrana
palijativna skrb
procjena
Keywords (english)
child
neuromotoric
disparities
nutrition
palliative care
assessment
Language croatian
URN:NBN urn:nbn:hr:224:107288
Study programme Title: Department of Nursing Study programme type: university Study level: graduate Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Access restricted to students and staff of home institution
Terms of use
Created on 2021-07-22 06:43:22