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Socialinio darbuotojo veiklos poreikis pacientams po galvos smegenų insulto, besigydantiems stacionarinėje asmens sveikatos priežiūros įstaigoje
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| dc.contributor.author | Rajackaitė, Judita | |
| dc.date.accessioned | 2019-02-01T10:48:23Z | |
| dc.date.available | 2019-02-01T10:48:23Z | |
| dc.date.issued | 2018-06-20 | |
| dc.identifier.uri | http://dspace.kaunokolegija.lt//handle/123456789/574 | |
| dc.description | Relevance of the research topic: Stroke, sometimes referred to as cerebro-vascular accident, is considered to be one of the main causes for the illnesses, death and permanent disability. It should be stressed that older people suffer from ischemic stroke more often than young people. The number of deaths from stroke take the second place (11,13%) among the causes of death after heart diseases (Mozaffarian D. at al., 2015). Each year 15 mln. people in the world have a stroke. One third of those people die. Another one third of those people become disabled. According to the calculations made by World Health Organization, the number of people who would be disabled after a stroke will emerge from 38 mln. (year 1990) till 61 mln. (year 2020) (Stroke forum, International site 2014). Each year in Europe 1,1 mln. people have a stroke (European Society of Cardiology, 2014). It is determined that every 45 seconds somebody has a stroke and every 3-4 minutes somebody dies from it (Hankey GJ 2007). According to the data of the Institute of Hygiene, 3622 people has died from stroke in Lithuania (Institute of Hygiene, 2016). While comparing the mortality rate (when the death cause was stroke) in Lithuania and Europe during 2009–2013, it is obvious that more people died in Lithuania than in Europe. In 2014 Lithuania took fifth place in Europe as the country in which the mortality rate of people who died from stroke is very high (202 women and 247 men for hundred thousand inhabitants) (OECD, 2014). Each year in Lithuania 11 000 people who are older than 25 years have a stroke. One quarter of those people become disabled and 14 percent need permanent care from another person (Mikalajūnas V., Šakalienė R., 2007). Stroke is a disease that greatly affects not only physical health of the patient, but also his social life. The aim of this paper is to identify the need for the social worker for the patients who have had a stroke and who receive treatment in the stationary health care establishment. Tasks of this paper are: 1. To introduce an understanding about the social work in the stationary health care establishment. 2. To describe the peculiarities of the social worker’s activities in the stationary health care establishment. 3. To reveal the need for the social worker for the patients who have suffered from stroke and who are receiving treatment in the stationary health care establishment. The object of this work is the need for the social worker for the patients who have had stroke and who receive treatment in the stationary health care establishment. The applied work methods: the analysis of legal and scientific literature, questionnaire survey, the statistical analysis of data. Research question. What is the need for the social worker for the patients who have had a stroke and who receive treatment in the stationary health care establishment? Practical significance of this research. This research can contribute to the social problem solving of stationary health care establishment patients who have suffered from stroke and thus to help the specialists to perform their work better. Research methodology: Short questionnaire survey was organised. The quantitative descriptive research method was applied in this work. This research was carried out in January-May of 2018 in the Neurology Department’s. Research participants: 40 patients who have suffered from stroke and who receive treatment in the stationary health care establishment. Research results and conclusions. The empirical research revealed that the need for the social worker, who provides help for the patients who have suffered from stroke, in the stationary health care establishment is: information gathering and interview taking, the communication with the patient by evaluating his/her social situation, mediation and representation, provision of information and consultation, the assistance with documents, the solving of the interpersonal relations and the team work as the main activity. The majority of research participants noticed that the social worker constantly cooperates with other members of the team. The research also revealed that the need for the social worker’s activity would be to make sure that the patient and his/her relatives would get appropriate and specific social assistance when the case is individual. | en |
| dc.description.abstract | Galvos smegenų insultas – tai viena iš aktualiausių mūsų laikmečio medicininių, socialinių ir ekonominių problemų tiek dėl didelio mirtingumo, tiek dėl sunkių liekamųjų reiškinių paciento sveikatai. Pastebėta, kad mirštamumas nuo insulto vis mažėja dėl diagnostikos ir gydymo tobulėjimo, tačiau šiuolaikinis pacientų gydymas nepakankamai veiksmingas, o ligonių, kuriems stebimi liekamieji reiškiniai, skaičius didėja (Jatužis & Kasiulevičius, 2010). Persirgus insultu lieka šalutinės pasekmės, sutrikdančios žmogaus kasdienį gyvenimą: koordinacijos ir pusiausvyros sutrikimai, raumenų tonuso ir jutimų sutrikimai, mobilumo ir apsitarnavimo problemos, sąmonės ir/arba psichinių funkcijų sutrikimai, kalbos ir suvokimo sutrikimai, mitybos bei rijimo sutrikimai, šlapinimosi ir tuštinimosi sutrikimai, pakitusi paciento elgsena. Dėl ilgalaikių biosocialinių funkcijų sutrikimo žmogus ilgam praranda darbingumą, atsiranda gyvenimo pilnatvės nepakankamumas. Daugiau nei pusė asmenų, susirgusių insultu, tampa priklausomi nuo kitų asmenų (Adamson & Beswick, 2004). Pastaruoju metu pastebima, kad insultą patiria vis jaunesni pacientai, tad stebima tendencija, kad galvos smegenų insultas – tai viena pagrindinių negalios priežasčių žmonėms, vyresniems nei 40 metų. Pasaulinės Sveikatos Organizacijos duomenimis, visame pasaulyje, kasmet nuo galvos smegenų insulto nukenčia apie 15 mln. žmonių. Nustatyta, kad vidutiniškai kas 45 sekundės įvyksta galvos smegenų insultas, kas 3 – 4 minutės nuo galvos smegenų insulto miršta žmogus (Valeikienė & Dementavičienė, 2007). Mirtingumas dėl insulto pasaulyje (po kardiovaskulinės patologijos ir vėžio) užima trečią vietą. Kiekvienais metais insultas pasiima daugiau kaip 460 tūkst. gyvybių ES (Khalil & Sherif, 2013). Lietuvoje sergamumas insultu yra vienas didžiausių tarp Europos valstybių (Gaigalaitė & Ožeraitienė, 2013). Sveikatos priežiūros įstaigos socialiniai darbuotojai – specialistai, kurių darbo paskirtis yra sustiprinti į sveikatos priežiūros įstaigą besikreipiančio ar joje besigydančio asmens prisitaikymo prie aplinkos sugebėjimus, atnaujinti ryšius su bendruomene, padedant jam integruotis į visuomenę, ir skatinti pilnavertiškesnį asmens socialinį funkcionavimą. | en_US |
| dc.language.iso | other | en_US |
| dc.subject | Insultas, pacientas, poreikis, socialinis darbuotojas, socialinis darbas, Stacionarinės asmens sveikatos priežiūros paslaugų įstaigos, Stacionarinės asmens sveikatos priežiūros paslaugos, Sveikatos priežiūros įstaigos socialinis darbuotojas | en_US |
| dc.title | Socialinio darbuotojo veiklos poreikis pacientams po galvos smegenų insulto, besigydantiems stacionarinėje asmens sveikatos priežiūros įstaigoje | en_US |
| dc.title.alternative | Need for a Social Worker for Patients after the Stroke who Receive Treatment at a Stationary Health care Establishment | en_US |
| dc.type | Other | en_US |
