| Abstract | Uvod: Neprestano povećavanje udjela starijeg stanovništva, ne samo u Hrvatskoj, nego i u
svijetu, predstavlja jedan od najvažnijih globalnih javno-zdravstvenih izazova u području
zdravstvene skrbi. Samim time je i potreba za kvalitetnom palijativnom skrbi sve veća.
Sustavno praćenje i određivanje dijagnoza s kojima se bolesnici najčešće primaju na
palijativne odjele, doprinijelo bi poboljšanju zdravstvene skrbi u vidu bolje opremljenosti
odjela i usmjerenosti medicinskog osoblja ka tretiranju istih.
Cilj istraživanja: Cilj ovog istraživanja je bio ispitati najčešće dijagnoze pri prijemu bolesnika
na Odjel pulmologije i dugotrajnog liječenja s palijativnom skrbi, Opće bolnice „dr. Ivo
Pedišić“ u Sisku tijekom 2020. godine u svrhu pronalaska prostora za poboljšanjem
zdravstvene njege u palijativnoj skrbi.
Metode: Istraživanje je provedeno kao retrospektivna analiza baze podataka (sestrinska
dokumentacija) o palijativnim bolesnicima i njihovim dijagnozama s kojima su primljeni na
Odjel pulmologije i dugotrajnog liječenja s palijativnom skrbi, Opće bolnice „dr. Ivo Pedišić“
u Sisku, u razdoblju od 1. siječnja do 31. prosinca 2020. godine. Za sve uključene bolesnike
analizirani su spol, dob, primarne dijagnoze i dužina liječenja.
Rezultati: Od sveukupno 185 bolesnika koji su primljeni na Odjel bilo je 44,9% bolesnika
muškog spola i 55,1% bolesnika ženskoga spola. Ispitivanjem nije utvrđeno postojanje
statistički značajne razlike u zastupljenosti po spolu (p=0,3). Srednja životna dob bolesnika
primljenih na odjel je 79 godina. Srednja životna dob je za 1 godinu manja kod promatranih
muških bolesnika u odnosu na ženske bolesnike (p=0,02). Najveći postotak zaprimljenih bio
je hospitaliziran do 5 dana, čak 22,2% bolesnika od ukupno 185, potom slijedi trajanje
hospitalizacije od 5 do 10 dana, 19,4% bolesnika, zatim je zastupljeno trajanje hospitalizacije
od 10 do 15 dana, 14,4% bolesnika, te od 15 do 20 dana, 10,6% bolesnika. Srednja vrijednost
trajanja hospitalizacije je 13 dana. Srednje trajanje terapije je za 3 dana dulje kod ženskih
bolesnika u odnosu na muške bolesnike (p=0,3). Najveći broj bolesnika primljenih na odjel
kao primarnu dijagnozu imalo je karcinom (38,4% bolesnik), nakon čega slijede bolesti
dišnog sustava (22,7% bolesnika), te bolesti krvožilnog sustava (21,6% bolesnika).
Zaključak: Karcinom je najčešća primarna dijagnoza s kojom su bolesnici primani na
analizirani odjel unutar 2020. godine. Bolesnici koji su primani na odjel su najčešće bili starije
životne dobi te su na odjelu najčešće boravili do 20-ak dana. |
| Abstract (english) | Background: The continuous increase in the share of the elderly population, both in the
Republic of Croatia and in the world, is one of the most important global public health
challenges in the field of health care. Therefore, the need for quality palliative care is
growing. Systematic monitoring and determination of diagnoses with which patients are
most often admitted to palliative wards would contribute to the improvement of health care
in the form of better equipment of wards and the orientation of medical staff towards their
treatment.
Aim: The aim of this research was to examine the most common diagnoses when admitting
patients to the Department of Pulmonology and Long-Term Treatment with Palliative Care,
General Hospital "Dr. Ivo Pedišić ”in Sisak during 2020 in order to find space to improve
health care in palliative care.
Methods: The research was conducted as a retrospective analysis of the database (nursing
documentation) on palliative patients and their diagnoses with which they were admitted to
the Department of Pulmonology and Long-Term Treatment with Palliative Care, General
Hospital "Dr. Ivo Pedišić ”in Sisak, in the period from 1 January to 31 December 2020.
Gender, age, primary diagnoses, and length of treatment were analyzed for all patients
included.
Results: Out of a total of 185 patients admitted to the Department, 44.9% were male patients
and 55.1% were female patients. The study did not determine the existence of a statistically
significant difference in gender representation (p = 0.3). The median age of patients admitted
to the ward is 79 years. The mean life expectancy was 1 year lower in the observed male
patients compared to the female patients (p = 0.02). The highest percentage of patients was
hospitalized for up to 5 days, as many as 22.2% of patients out of a total of 185, followed by a
duration of hospitalization of 5 to 10 days, 19.4% of patients, followed by a duration of
hospitalization of 10 to 15 days, 14.4 % of patients, and from 15 to 20 days, 10.6% of patients.
The mean duration of hospitalization is 13 days. The mean duration of therapy was 3 days
longer in female patients compared to male patients (p = 0.3). The largest number of patients
admitted to the ward had cancer as their primary diagnosis (38.4% of patients), followed by
respiratory diseases (22.7% of patients) and vascular diseases (21.6% of patients).
Conclusion: Cancer is the most common primary diagnosis with which patients were
admitted to the analyzed ward within 2020. Patients admitted to the ward were mostly
elderly and stayed in the ward for up to 20 days. |
