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Nursing care in patients with multiorgan resections in the pelvis,case series
No full textZbog simptoma maligne bolesti značajno se smanjuje kvaliteta života, uzrokujući onesposobljenost.
Prisutnošću boli, mokraćne i zdjelične sepse, opstrukcije i stvaranja fistule, te potvrđenom indikacijom za
operaciju, izvode se višeorganske resekcije u zdjelici zbog lokalno, proširenih malignih bolesti. Može se postić
poboljšanje kvalitete života, no ima značajne komplikacije i visok morbiditet zbog opsežnosti zahvata.
Nužan je holistički pristup pacijentu sa svrhom dobre edukacije u dijagnozu, način liječenja,
vrstu operacije, te poboljšanje kvalitete života nakon operacije pri čemu bitniju ulogu imaju medicinske sestre.
Kao dio multidisciplinarnog tima, medicinska sestra počinje edukaciju pacijenta u prijeoperacijskom periodu.
Pacijent dobiva znanje o promjenama u izgledu i funkciji tijela, te stječe vještine pri postupcima sa urostomom
i kolostomom. Također, pacijentice mogu imati izvedenu neovaginu zbog potrebne resekcije organa i
rekonstrukcije. Adekvatnom psihološkom pripremom se postiže bolja prilagodba i veća kvaliteta života nakon
operacije. U poslijeoperacijskom periodu oporavak traje dugo, zbog složenosti zahvata pacijenti mogu biti
smješteni u jedinicu za intenzivnu njegu, nadalje se prebacuju na odjel. Usmjeravanjem za zadovoljavanje
osnovnih potreba pacijenta medicinska sestra prepoznaje sestrinske dijagnoze, te provođenjem intervencija,
usmjerava se u ispunjenje ciljeva zdravstvene njege. Sa svojim znanjem i postupcima potiče i pomaže pri
ustajanju pacijenta, pružanjem adekvatne prehrane, kontrolom kirurške rane, njegom i edukacijom urostome
ili kolostome te pružanjem psihološke podrške.Due to the symptoms of a malignant disease, the quality of life is significantly reduced, causing disability.
Due to the presence of pain, urinary and pelvic sepsis, obstruction, fistula formation, and a confirmed indication
for surgery, multivisceral pelvic resections are performed due to locally extended malignant diseases. An
improvement in the quality of life can be achieved, but there are significant complications and high morbidity
due to the extensiveness of these procedures.
A holistic approach to the patient is necessary with the aim of good education in the diagnosis, method of
treatment, type of surgery, and improving the quality of life after surgery, where nurses play a more important
role. As part of a multidisciplinary team, the nurse starts educating the patient in the preoperative period. The
patient gains knowledge about changes in the appearance and function of their body and acquires skills in
urostomy and colostomy procedures. Also, female patients might require the construction of a neovagina as a
reconstruction procedure after a necessary resection. Adequate psychological preparation leads to better
adaptation and a higher quality of life after surgery. In the postoperative period, recovery takes a long time, due
to the complexity of the procedure. Patients may be stationed in the intensive care unit, and then they are
transferred to the ward. By focusing on meeting the patient's basic needs, the nurse recognizes nursing
diagnoses, and by implementing interventions, she orients herself toward the fulfillment of healthcare goals.
With its knowledge and procedures, it encourages and helps the patient to mobilize, provides them adequate
nutrition, control of the surgical wound, care and education for the urostomy or colostomy, and psychological
support
Nursing care for patient with traumatic liver injuries
No full textTraumatska ozljeda jetre jedna je od najčešćih ozljeda te predstavlja jedno od najčešćih hitnih
stanja u abdominalnoj kirurgiji. Obzirom na specifičnost položaja, anatomije i veličine jetre, ozljede iste
predstavljaju životno ugrožavajuće stanje. Traumatske ozljede jetre dijele se na penetrantne i nepenetrantne
(tupe) ozljede jetre te se klasificiraju prema stupnju oštećenja jetre i vaskularnih struktura unutar iste. Zlatni
standard u dijagnostici traumatske ozljede jetre predstavlja kompjutorizirana tomografija – CT. Uzevši u
obzir stupanj ozljede i hemodinamsko stanje bolesnika, provodi se kirurško ili nekirurško liječenje.
Zbrinjavanje bolesnika s traumatskom ozljedom jetre zahtijeva suradnju multidisciplinarnog tima
zdravstvenih stručnjaka. U složenom zbrinjavanju takvog bolesnika, aktivnosti medicinske sestre
predstavljaju čimbenik neosporne važnosti te su ključne u postizanju optimalnog ishoda liječenja.Traumatic liver injury is one of the most common injuries and represents one of the most
common emergencies in abdominal surgery. Considering the specificity of the position, anatomy and size
of the liver, its injuries represent a life-threatening condition. Traumatic liver injuries are divided into
penetrating and non-penetrating (blunt) liver injuries and are classified according to the degree of damage
to the liver and vascular structures within it. The gold standard in the diagnosis of traumatic liver injury is
computed tomography - CT. Taking into account the degree of injury and the hemodynamic state of the
patient, surgical or non-surgical treatment is carried out. Caring for patients with traumatic liver injury
requires the cooperation of a multidisciplinary team of health professionals. In the complex care of such a
patient, the nurse's activities represent a factor of undeniable importance and are crucial in achieving the
optimal treatment outcome
Parents attitudes and beliefs toward childrens vaccination and tendency to hesitate when deciding on vaccination
No full textCilj je istraživanja bio ispitati stavove i uvjerenja roditelja o cijepljenju djece te čimbenike
koji utječu na njihove stavove i uvjerenja te ispitati prevalenciju roditelja koji oklijevaju oko odluke o
cijepljenju vlastite djece. U anketnom istraživanju sudjelovalo je 517 roditelja iz cijele Hrvatske. Ispitivanjem
je utvrđeno da je veći broj roditelja koji imaju pozitivan stav o cijepljenju djece u odnosu na roditelje koji
imaju negativan ili neodlučan stav. Također se pokazalo da su roditelji s višim stupnjem obrazovanja imali
pozitivniji stav prema cijepljenju vlastite djece te su bili manje zabrinuti, ali se u stavovima roditelja o
oklijevanju oko cijepljenja djece nije pokazala statistički značajna razlika s obzirom na njihov stupanj
obrazovanja.The aim of the research was to examine the attitudes and beliefs of parents about vaccinating their children and the factors that influence their attitudes and beliefs, and to examine the prevalence of parents who hesitate about the decision to vaccinate their own children. 517 parents from all over Croatia participated in the survey. The research found that there is a greater number of parents who have a positive attitude about vaccinating their children compared to parents who have a negative or undecided attitude. It was also shown that parents with a higher level of education had a more positive attitude towards vaccinating their own children and were less worried, but there was no statistically significant difference in the attitudes of parents regarding the hesitancy to vaccinate their children with regard to their level of education
REASONS FOR ACCOMMODATION IN LONG-TERM INSTITUTIONAL CARE FOR ELDERS
No full textOvaj diplomski rad je izrađen u okviru znanstvenog institucijskog projekta Sveučilišnog odjela zdravstvenih studija u Splitu pod nazivom „Samoprocijenjena potreba starijih osoba za uslugama gerontoloških centara (izvaninstitucijske skrbi) u Splitu“ i čini II. dio predmetnog projekta (SOZS-IP-2020-5). U ovom radu cilj je istražiti koji su to prioritetni razlozi smještaja osoba starijih od 65 godina u dugotrajnu institucijsku skrb doma za starije osobe.
Metode i ispitanici: Prema Službenoj listi čekanja za smještaj u Dom za starije i nemoćne osobe u Splitu, Vukovarska, u listopadu 2021. godine, telefonskim anketiranjem se provodilo istraživanje uz osiguranu anonimnost osoba. Uključena je svaka druga osoba u dobi od 65 i više godina s predmetne liste, kojoj je ponuđeno sudjelovanje u istraživanju. Za potrebe istraživanja korišten je Indeks po Barthelovoj skali modificiran prema Shah S., Vanclay F. i Cooper B. Upotrebljeni su i upitnik o socio-demografskim obilježjima starijih osoba i upitnik o razlozima smještaja u dugotrajnu institucijsku skrb doma za starije osobe.
Rezultati i rasprava: Rezultat istraživanja je pokazao da je ispitanicima (N=182) prioritetni razlog smještaja u dugotrajnu institucijsku skrb doma za starije osobe, „bolest“ s prosječnim brojem bodova 1,63 (SD 1.07), drugi razlog rangiran po važnosti za smještaj u dugotrajnu institucijsku skrb je „potreba za zdravstvenom njegom“ s prosječnim brojem bodova 1,18, (SD 1.03), te „obitelj“ koja ne može pružiti primjerenu i potrebnu skrb s prosječnim brojem bodova 1,17 (SD 1.28). Prema istraživanju najvećem broju ispitanika pomoć pružaju članovi obitelji (n=122; 67,03%) koji na taj način postaju neformalni njegovatelji. Ispitivanjem je utvrđena povezanost između razine razloga smještaja u dom za starije osobe i razloga smještaja (χ2=26,26; P<0,001) s najčešćim razlogom bolesti.
Zaključak: Temeljem rezultata ovog istraživanje potvrđuje se značaj pružanja zdravstvenih usluga u domovima za starije osobe jer su prema samoprocjeni starijih osoba najviše rangirani razlozi za smještaj u dugotrajnu institucijsku skrb upravo „bolest“ i „potreba za zdravstvenom njegom“. Takvi rezultati istraživanja impliciraju na potrebne promjene u kadrovskim normama i normativima u domovima za starije osobe, neophodnost učinkovite povezanosti institucijske i izvaninstitucijske skrbi za osobe starije dobi te koordinacije unutar nužnog multidisciplinarnog gerontološkog tima.Introduction: This graduate thesis was created within the scientific institutional project of the University Department of Health Studies in Split entitled "Self-assessed need of elderly people for services of gerontological centers (non-institutional care) in Split" and constitutes the 2nd part of the mentioned project (SOZS-IP-2020-5). The aim of this paper is to investigate what are the main reasons that people over the age of 65 decide to apply for a long-term institutional care at a nursing home.
Methods and subjects: Methods and subjects: The research was conducted by phone survey with the anonymity of the persons ensured. The source of contact was official waiting list for accommodation in the Nursing home in Split, location Vukovarska, dating October 2021. Every other person aged 65 and over from the subject list who was offered participation in the research was included. For the purposes of the research, we used the Barthel scale index modified according to Shah S., Vanclay F. and Cooper B. as well as questionnaires on the socio-demographic characteristics and the reasons for applying for a long-term institutional care at a nursing home.
Results and discussion: The results of the research showed that the main reason for applying for long-term institutional care at a home for the elderly is "illness" (N=182) with an average number of points of 1.63 (SD 1.07), while the second reason ranked in importance is "need for health care" with an average umber of points 1.18, (SD 1.03). The third reason is "family" that cannot provide adequate and necessary care with an average number of points 1.17 (SD 1.28). According to the research, the largest number of respondents are being helped by family members (n=122; 67.03%), where family members become their informal caregivers. The analysis established an association between the level of reason for applying to a nursing home and the reason for applying (χ2=26.26; P<0.001) with the most common reason being the illness.
Conclusion: Based on the results of this research, we can confirm the importance of providing health services in homes for the elderly, because according to the self-assessment of the elderly, the highest ranked reasons for applying for long-term institutional care are precisely "illness" and "need for health care". Such research results imply the necessary changes in personnel norms and standards in nursing homes, the necessity of effective connection of institutional and non-institutional care for the elderly, and coordination within the necessary multidisciplinary gerontological team
Specifics of nursing care in patients with Amyiothropic lateral sclerosis
No full textAmiotrofična lateralna skleroza (ALS) je progresivna neurodegenerativna bolest koja zahvaća živčane stanice u mozgu i leđnoj moždini. ALS čini oko 70% svih slučajeva bolesti motornih neurona i jedan od prvih simptoma koji se javlja je progresivna mišićna slabost i atrofija mišića ekstremiteta koje prate bulbarni simptomi. Atrofija mišića se javlja postepeno i na kraju zahvaća sve mišiće. Bulbarni oblik bolesti progredira znatno brže i u roku od 2 do 3 godine dolazi do respiratornih problema i prestanka disanja. Preživljavanje kod spinalog oblika je nešto duže, 3 do 5 godina, dok je prosječna dob u kojoj osobe obole 56 godina. Prevalencija ALS-a u europskoj populaciji i populaciji europskog podrijetla procjenjuje da ima 2.6 – 3 oboljelih od ALS-a na 100 000 ljudi. U 95% slučajeva ALS se pojavljuje sporadično, ali u 5 do 10% postoji pozitivna obiteljska anamneza. Otprilike 70% pacijenata ima spinalni oblik koji zahvaća gornje i/ili donje udove, oko 25% pacijenata ima bulbarni oblik, a ostalih 5% ima izoliranu slabost respiratornih mišića kojeg prate simptomi kao što su dispneja, nesanica, anoreksija i moguća smrt. Uspostavljanje dijagnoze čini kvalitetno uzeta anamneza u kojoj se obuhvaćaju specifična pitanja o simptomima koji se javljaju u pojedinim regijama. Glavna svrha liječenja je prevencija i ublažavanje komplikacija koje se javljaju kod oboljelih i poticanje što veće samostalnosti kod pacijenta u svakodnevnom životu. Najčešće aktualne dijagnoze koje se javljaju su smanjena mogućnost brige o sebi, smanjena prohodnost dišnih puteva i smanjeno podnošenje napora, a potencijalne sestrinske dijagnoze su visoki rizik za pad, visoki rizik dekubitus i visoki rizik za infekciju. Kako bolest progredira sam zdravstvena njega postaje sve kompleksnija i zahtjevnija i zato pristup medicinske sestre / medicinskog tehinčara treba biti prilagođen i individualan svakom pacijentu. Pri izradi plana zdravstvene njege treba se pridržavati načela zdravstvene njege i pristup holistički prema pacijentu uvažavajući njego psihičko i fizičko stanje.Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that affects nerve cells in the brain and spinal cord. ALS accounts for about 70% of all cases of motor neuron disease and one of the first symptoms to appear is progressive muscle weakness and atrophy of the muscles of the extremities followed by bulbar symptoms. Muscle atrophy occurs gradually and eventually affects all muscles. The bulbar form of the disease progresses much faster and within 2 to 3 years respiratory problems and cessation of breathing occur. Survival in the spinal form is slightly longer, 3 to 5 years, while the average age at which people get the disease is 56 years. The prevalence of ALS in the European population and the population of European origin is estimated to be 2.6-3 ALS patients per 100,000 people. In 95% of cases, ALS appears sporadically, but in 5 to 10% there is a positive family history. Approximately 70% of patients have the spinal form affecting the upper and/or lower limbs, about 25% of patients have the bulbar form, and the remaining 5% have isolated respiratory muscle weakness accompanied by symptoms such as dyspnea, insomnia, anorexia and possible death. Establishing a diagnosis is made by taking a quality medical history, which includes specific questions about symptoms that occur in certain regions. The main purpose of treatment is to prevent and alleviate complications that occur in patients and to encourage greater independence in the patient's daily life. The most common nursing diagnoses that occur are reduced ability to selfcare, reduced airway patency, and reduced exertion, and potential nursing diagnoses are high risk for falls, high risk for pressure ulcers, and high risk for infection. As the disease progresses, health care itself becomes more and more complex and demanding, and therefore the approach of the nurse should be adapted and individual to each patient. When creating a health care plan, you should adhere to the principles of health care and a holistic approach to the patient, respecting his mental and physical condition
ENTERAL NUTRITION OF PATIENTS WITH MALIGNANT ESOPHAGEAL DISEASE
No full textProbavni sustav se proteže od usta do anusa, a njegova uloga je primanje i razgradnja hrane, upijanje hranjivih tvari u krvotok te uklanjanje neprobavljivih dijelova hrane iz tijela. Probava započinje u ustima, no kada taj prirodni tijek ometa ili onemogućuje određena bolest i kada se oralni put hranjenja mora zaobići, postoje još dvije opcije kojima se može zadovoljiti čovjekova osnovna potreba za hranom. To su enteralna i parenteralna prehrana. Cilj ovog rada je prikazati mogućnosti enteralne prehrane bolesnika s malignom bolesti jednjaka, kao i aktivnosti koje medicinska sestra poduzima u hranjenju bolesnika i zdravstvenoj njezi stoma namijenjenih prehrani. Maligna bolesti jednjaka jedna je od najsmrtonosnijih malignih bolesti u svijetu i često se dijagnosticira tek u uznapredovalim stadijima zbog nedostatka ranih kliničkih simptoma. Prvo se javljaju smetnje pri gutanju krute, pa polukrute te konačno i tekuće hrane i same sline. Kada nije moguće hraniti bolesnika na usta, sljedeći korak je hranjenje enteralnom prehranom putem sonde, pa se bolesniku postavlja nazogastrična sonda kojom se hrana aplicira direktno u želudac. Naravno, to ne može biti trajno rješenje, a bolest najčešće progradira i zahtjeva postavljanje perkutane gastrostome ili jejunostome. Iako apetit može biti dobar, gubitak tjelesne težine gotovo je uvijek izražen, pa je ovim bolesnicima nutritivna potpora enteralnim i parenteralnim pripravcima od izuzetne važnosti. Ovisno o vrsti i lokaciji stome razlikuje se i sastav i vrsta enteralnih pripravaka koji će se detaljno razraditi u ovom radu.The digestive system extends from the mouth to the anus, and its role is to receive and break down food, absorb nutrients into the bloodstream, and remove indigestible parts of food from the body. Digestion begins in the mouth, but when this natural course is hindered or prevented by a certain disease and when the oral way of feeding has to be bypassed, there are two more options that can satisfy a person's basic need for food. These are enteral and parenteral nutrition The aim of this paper is to show the possibilities of enteral nutrition for patients with malignant esophageal disease,as well as the activities that nurses undertake in feeding patients and health care of stoma intended for nutrition. Malignant diseases of the esophagus is one of the deadliest malignant diseases in the world and is often diagnosed only in advanced stages due to the lack of early clinical symptoms. First, there are difficulties in swallowing solid, then semi-solid, and finally liquid food and saliva itself. When it is not possible to feed the patient by mouth, the next step is feeding with enteral nutrition through a tube, so the patient is placed with a nasogastric tube through which food is applied directly into the stomach. Of course, this cannot be a permanent solution, and the disease usually progresses and requires the placement of a percutaneous gastrostomy or jejunostomy. Although the appetite may be good, weight loss is almost always pronounced, so nutritional support with enteral and parenteral preparations is extremely important for these patients. Depending on the type and location of the stoma, the composition and type of enteral preparations differ, which will be elaborated in detail in this paper
Nursing care of the patient after stroke
No full textCerebrovaskularne bolesti danas predstavljaju jedan od najvećih izazova za suvremeno društvo. Moždani udar akutno je stanje koje nastaje kao posljedica oštećenja moždanih struktura uslijed začepljenja arterija i time povezane ishemije ili zbog rupture krvne žile i krvarenja u mozak. Zdravstvena njega bolesnika s moždanim udarom usmjerena je prije svega primarno na djelovanje čimbenika rizika za moždani udar, te zatim na očuvanje preostalih funkcija nakon udara i osposobljavanje za samostalno obavljanje aktivnosti
svakodnevnog života. Primjenom intervencija temeljenima na znanosti i procesom zdravstvene njege, omogućuje se sustavno praćenje i dokumentiranje njege bolesnika s moždanim udarom.Cerebrovascular diseases represent one of the greatest challenges for modern society. Stroke is an acute condition that occurs as a result of damage to brain structures due to artery blockage and associated ischemia, or due to the rupture of a blood vessel and bleeding into the brain. The healthcare of patients with stroke is primarily focused on addressing the risk factors for stroke, preserving remaining functions after the stroke, and enabling independence in daily activities. By implementing the healthcare process, systematic monitoring and documentation of care for stroke patients are facilitated
Changes in the quality of social and professional living in patients after total laryngectomy
No full textBriga o pacijentima oboljelim od karcinoma grkljana, koji su prošli totalnu laringektomiju, ne staje izlaskom pacijenta iz bolnice, niti počinje nakon operativnog zahvata. Sama briga i edukacija bi trebala krenuti od trenutka dijagnostike do daljnjega. Problem nastaje baziranjem stručnjaka i obitelji na samu operaciju i uklanjanje bolesti. Ali, potrebno je puno više od toga. Potrebna je briga o pacijentovim osjećajima, potrebama i navikama, te ponovnoj socijalizaciji s obitelji i društvom i, ako je moguće, ponovno zapošljavanje . Totalna laringektomija mijenja život iz temelja i toga moramo biti svi svjesni.Caring for laryngeal cancer patients who have undergone a total laryngectomy does not stop when the patient leaves the hospital, nor does it begin after the operation. The care and education itself should start from the moment of diagnosis until further. The problem arises by basing experts and families on the operation itself and of the removal of the disease. But it takes much more than that. It is necessary to take care of the patients feelings , needs and habits, as well as re-socialization with family and society and, if possible, re- employment. Total laryngectomy changes life fundamentally and we must all be aware of that
Application of picture books in the health education of children and their preparation for medical intervention
No full textCilj ovog rada je objasniti primjenu slikovnice u zdravstvenom odgoju djece i pripremi djeteta za medicinsku intervenciju. U ovom teorijskom radu navode se dobrobiti korištenja slikovnica u zdravstvenom odgoju posebno u pripremi djece za medicinske intervencije. Cilj rada je ukazati na važnost medicinske sestre/tehničara u pripremi djece za medicinsku intervenciju. Na kraju se zaključuje da primjena slikovnice u zdravstvenom odgoju djece u pripremi djeteta za medicinsku intervenciju ima učinak posebno kod smanjenja učinaka stresa, povećanja prilagodbenih sposobnosti djeteta na novonastalu situaciju. Primjena slikovnica se pokazala kao učinkovita priprema djeteta i roditelja prije medicinske intervencije. Slikovnica je djeci i roditeljima dala priliku da se usredotoče na slike, što je možda rezultiralo smanjenjem njihove tjeskobe oko operacije. Čitanje animirane slikovnice kod kuće radi upoznavanja s perioperativnim događajima moglo bi učinkovito smanjiti prijeoperativnu razinu tjeskobe kod djece.The aim of this paper is to explain the use of picture books in children's health education and child preparation for medical intervention. In this theoretical work, the benefits of using picture books in health education are stated, especially in preparing children for medical interventions. The aim of the paper is to point out the importance of nurses/technicians in preparing children for medical intervention. In the end, it is concluded that the application of picture books in children's health education in preparing the child for medical intervention has an effect, especially in reducing the effects of stress, increasing the child's adaptive abilities to the newly created situation. The use of picture books proved to be an effective preparation of the child and parents before medical intervention. The picture book gave children and parents an opportunity to focus on the pictures, which may have resulted in a reduction in their anxiety about the surgery. Reading an animated picture book at home to familiarize with perioperative events could effectively reduce preoperative anxiety levels in children
Differences in the attitudes of students of health and non-health studies about euthanasia and the patient's right to co-decision about treatment procedures in the terminal phase of the disease
No full textCilj: Cilj istraživanja je ispitati stavove studenata zdravstvenih i nezdravstvenih studija o eutanaziji i pravu bolesnika na suodlučivanje o postupcima liječenja u terminalnoj fazi bolesti, te povezanost stavova s određenim osobinama ispitanika.
Metode i ispitanici: Istraživanjem su ispitani stavovi 289 studenata svih godina odabranih zdravstvenih i nezdravstvenih studija Sveučilišta u Splitu. Podaci su prikupljeni anonimnim anketnim upitnikom koji obuhvaća sociodemografske podatke o ispitanicima, skalu stavova o pasivnoj eutanaziji i skalu stavova o pravu pacijenta na suodlučivanje o postupcima liječenja.
Rezultati: Stavovi studenata prema eutanaziji su pozitivniji u situacijama kada se poštuje autonomija i sloboda izbora pacijenta, odnosno kad on sam donosi odluku o prekidu vlastitog života. Značajan dio ispitanika bio je neodlučan, odnosno suzdržan od odlučujućeg odgovora po pitanju eutanazije djece i pacijenata u vegetativnom stanju. Statistički značajan utjecaj na stavove ispitanika o pasivnoj eutanaziji imaju religioznost i politički svjetonazor. Ispitanici u vrlo visokom postotku podržavaju pravo pacijenta na suodlučivanje o postupcima liječenja. Nema razlike u stavovima između studenata prve i završnih godina studija po pitanju prava pacijenta na suodlučivanje, no studenti zdravstvenih studija imaju pozitivnije stavove u odnosu na studente nezdravstvenih studija. Statistički značajan utjecaj na stavove o pravu pacijenta imaju religioznost i spol.
Zaključci: Istraživanje ukazuje na potrebu multidisciplinarnog pristpa eutanaziji i pravu pacijenata na suodlučivanje, te pridonosi potrebnoj većoj javnoj raspravi o ovoj problematici.Objective: The aim of the research is to examine the student's attitudes of health and non-health studies about euthanasia and the patient's right to co-decision about treatment procedures in the terminal phase of the disease, and the connection of attitudes with certain characteristics of the respondents.
Methods and respondents: The research examined the attitudes of 289 students from various years of chosen health and non-health studies at the University of Split. The data were collected using an anonymous questionnaire that includes sociodemographic data about respondents, a scale of attitudes about passive euthanasia and a scale of attitudes about the patient's right to co-decision about treatment procedures.
Results: Students' attitudes towards euthanasia are more positive in situations where the patient's autonomy and freedom of choice are respected, i.e. when he himself makes the decision to end his own life. A significant part of the respondents were indecisive, or abstained from giving a decisive answer regarding the euthanasia of children and patients in a vegetative state. Religiosity and political worldview have a statistically significant influence on respondents' attitudes about passive euthanasia. A very high percentage of respondents support the patient's right to co-decide on treatment procedures. There is no difference in attitudes between students of the first and final years of studies regarding patients' right to co-decision, but students of health studies have more positive attitudes compared to students of non-health studies. Religiosity and gender have a statistically significant influence on attitudes about patient rights.
Conclusion: The research points out the need for a multidisciplinary approach to euthanasia and the patients' right to co-decision, and contributes to the larger public debate on this issue