Pregled literature o strategijama u prevenciji pada kod odraslih pacijenata u bolničkim uvjetima

Falls present a major challenge for health care systems: they correlate with poor patient outcomes, extend the length of hospitalization, and increase overall medical expenditure. According to existing literature, risk factors for the occurrence of falls include the male gender, urinary incontinence, muscle weakness, agitation or confusion, and dementia. Studies have shown that the combined practice of identifying risk factors and implementing appropriate fall prevention interventions leads to a reduction in the incidence of falls among hospital patients. As the largest group of health professionals committed to providing high-quality care, nurses play an important role in preventing falls among patient populations. In order to prevent falls and maintain patient safety, it is important to identify the most effective strategies for fall prevention. This study presents an overview of previously published strategies and intervention practices on fall prevention in hospital settings around the world. The most common interventions include fall risk assessment, environment/equipment modifications, patient education/family education on fall prevention interventions, staff education on fall reporting and fall prevention, fall risk alerts, medication management, physical fitness of patients, assistance with transfer and toileting and effective team communication and leadership. Ultimately, it is incumbent upon nurses, other health-care professionals and the entire hospital system to develop effective strategies in order to prevent falls among hospitalised patients.Padovi predstavljaju velik problem zdravstvenog sustava. Povezani su s lošim ishodima bolesti, produžuju dužinu boravka u bolnici i uzrokuju povećane troškove za zdravstveni sustav. Prema postojećoj literaturi, postoje mnogi faktori rizika za pad: muški spol, urinarna inkontinencija, slabost mišića, uznemirenost ili konfuzija, demencija. Identifikacija rizičnih čimbenika povezanih s provedbom odgovarajućih intervencija sprječavanja pada pokazala se učinkovitom u smanjenju učestalosti padova među bolničkim pacijentima. Medicinske sestre čine najveću skupinu zdravstvenih radnika. Cilj im je pružiti visokokvalitetnu zdravstvenu njegu. Također, imaju važnu ulogu u prevenciji pada. Da bi se spriječio pad i održala sigurnost pacijenta, važno je identificirati najučinkovitije strategije prevencije pada. Cilj je ovog rada predstaviti pregled objavljenih strategija i intervencijskih programa o prevenciji pada u bolničkim uvjetima. Rezultati različitih studija širom svijeta identificirali su sljedeće najučestalije intervencije za prevenciju pada: procjena rizika od pada, modifikacija okoline, edukacija pacijenata/obitelji o intervencijama za prevenciju pada, edukacija medicinskih sestara o dokumentiranju padova i strategijama prevencije pada, upozorenja o riziku za pad, učinkovita primjena lijekova, poticanje fizičke aktivnosti, osiguranje pomoći pri kretnju i odlasku do toaleta te učinkovita komunikacija unutar tima i vodstvo tima. Važno je naglasiti da je velika odgovornost na medicinskim sestrama, drugim zdravstvenim radnicima i cijeloj bolničkoj organizaciji da razviju učinkovite strategije kako bi se spriječio pad

Učinci prijeoperacijske edukacije, označavanja i primjerenog položaja stome na samopouzdanje i kvalitetu života pacijenata sa stomom i njihovih obitelji

Aim. The purpose of this systematic review is to examine all available research studies on quality of life of ostomy patients and their families, which is contingent upon the effects of adequate preoperational education, the best and most acceptable ostomy site marking on the patients’ abdomen, and subsequently, the effect on the ostomy patients’ self-esteem. Methods. A literature search was carried out using scientific electronic databases - Science Direct, PubMed and Medline. Analysed period was from 2010 to 2016 in order to get insight into the most recent findings. Search terms included preoperative education, stoma marking, quality of life, self-esteem, influence on family life. Overview of articles was made in three stages. Results. We found 1440 scientific articles. In the first stage, we eliminated 1271 articles because they were unsuitable. In the second stage, we analysed 34 articles and made a conclusion based on 13 full text available articles. Conclusion. The patient is content while being treated in the hospital; however, only after the patient has been released do the hardships occur, which are often the main cause of discontent, isolation, anxiety, and fear – thus resulting in diminished quality of life. Preoperational education and marking the most acceptable place for ostomy procedure significantly affect the self-esteem and the quality of life of ostomy patients and their families. Ostomy patients need to be followed up, and the home care system, as well as the support systems of public health care for patients with a gastrointestinal ostomy, need to be strengthened.Cilj. Svrha je ovog sustavnog pregleda proučiti sva dostupna istraživanja kvalitete života pacijenata sa stomom i njihovih obitelji, što ovisi o učincima primjerene prijeoperacijske edukacije, najboljeg i najprihvatljivijeg mjesta za stomu označenog na pacijentovu abdomenu te poslijeoperacijskom učinku na samopouzdanje pacijenta sa stomom. Metode. Provedeno je istraživanje literature s pomoću znanstvenih elektroničkih baza podataka Science Direct PubMed i Medline. Proučen je period između 2010. i 2016. kako bi se dobio uvid u najnovije rezultate istraživanja. Pri pretraživanju upotrijebljeni su sljedeći pojmovi: prijeoperacijska edukacija, označavanje mjesta za stomu, kvaliteta života, samopouzdanje, utjecaj na obiteljski život. Pregled članaka proveden je u tri faze. Rezultati. Pronađeno je 1440 znanstvenih članaka. U prvoj fazi eliminiran je 1271 članak koji nije odgovarao istraživanju. U drugoj fazi analizirana su 34 članka te je donesen zaključak na temelju 13 dostupnih cjelovitih tekstova. Zaključak. Pacijent je zadovoljan za vrijeme liječenja u bolnici; no problemi nastupaju nakon otpuštanja iz bolnice, a često su uzroci nezadovoljstva, osamljenosti, anksioznosti i straha – sve to dovodi do snižene kvalitete života. Prijeoperacijska edukacija i označavanje najprihvatljivijeg mjesta za stomu znatno utječu na samopouzdanje i kvalitetu života pacijenata s ostomijom i njihovih obitelji. Potrebno je kontinuirano pratiti pacijente sa stomom te unaprijediti sustav kućne njege i sustav javnozdravstvene podrške za pacijente s gastrointestinalnom stomom

Primjena objektivno strukturiranoga kliničkog ispita u preddiplomskom obrazovanju medicinskih sestara

Background. The Objective Structured Clinical Examination (OSCE) is often used in undergraduate nursing education as a means to provide standardised and objective evaluation of clinical skills required for nurses\u27 future professional activity. It aims to help students master different clinical skills and prepare them for an adequate response to specific problems through simulation of various practical scenarios. Students practice clinical skills in a safe and controlled environment under the supervision of a mentor. Since the mid-1970s, OSCE has been used to assess clinical skills of medical students. From then until today, it has been applied in evaluating different profiles of health professionals, especially nurses. Aim. The purpose of this paper is to present scientific evidence regarding the benefits of OSCE in undergraduate nursing education. The aim of this paper is to analyse findings on the use of OSCE in undergraduate nursing education worldwide, as well as students\u27 and educators\u27 perception of the OSCE examination. Methods. A systematic review of articles published in MEDLINE, regarding the use of OSCE in nursing education, and students\u27 and educators\u27 perception of the OSCE examination, was carried out in the period between 2005 and 2017. Results. In total, 8 articles were taken into consideration. These studies were selected because they provided information on the use of OSCE in nursing education worldwide and students\u27 and educators\u27 perception of the OSCE examination. Conclusion. The application of OSCE has multiple benefits for nursing students. It can easily assess the knowledge and performance of clinical skills important for nursing practice. It serves to better prepare students for their professional activity.Uvod. Objektivno strukturirani klinički ispit (OSKI) često se primjenjuje na preddiplomskom studiju sestrinstva kao sredstvo za pružanje standardizirane i objektivne procjene kliničkih vještina potrebnih za buduću profesionalnu djelatnost medicinskih sestara. Svrha je ispita OSKI pomoći studentima da ovladaju različitim kliničkim vještinama i pripremiti ih za adekvatan odgovor na specifične probleme kroz simulaciju različitih scenarija iz prakse. Studenti izvode kliničke vještine u sigurnom i kontroliranom prostoru pod nadzorom mentora. Od sredine 1970-ih godina OSKI se primjenjuje za procjenu usvojenosti kliničke vještine studenata medicine. Od tada pa do danas primjenjuje se za procjenu znanja i vještina kod različitih profila zdravstvenih djelatnika, posebno medicinskih sestra. Svrha rada. Svrha je rada predstaviti znanstvene dokaze o prednostima ispita OSKI u preddiplomskom sestrinskom obrazovanju. Cilj je rada analizirati podatke o primjeni ispita OSKI u sestrinskom obrazovanju u svijetu te istaknuti studentsku i nastavničku percepciju uporabe ispita OSKI. Metode. Učinjen je sustavni pregled članaka objavljenih u bazi MEDLINE u periodu od 2005. do 2017. s temom primjene ispita OSKI u sestrinskom obrazovanju te percepcije studentske i nastavničke percepcije ispita OSKI. Rezultati. U obzir je uzeto ukupno osam članaka. Ovi su članci odabrani jer pružaju informacije o primjeni ispita OSKI u sestrinskom obrazovanju te nastavničkoj i studentskoj percepciji ispita OSKI. Zaključak. Primjena ispita OSKI ima više pogodnosti za obrazovanje studenata. S pomoću njega možemo procijeniti znanje i vještine važne za sestrinsku praksu. Pomaže za bolju pripremu studenata za njihovu profesionalnu djelatnost

Razlozi upisa studenata na studij sestrinstva

The aim of the research was to determine the reasons for students enrolling in nursing studies, priorities in the choice of studies and differences in the reasons and priorities for choosing enrollment with regard to previously completed high school. The research was conducted on full-time nursing students of the University of Applied Health Sciences who enrolled in the first year of study in the academic year 2017/2018 and 2018/2019. For the purpose of the research, an anonymous questionnaire was used. The questionnaire includes questions related to demographic data and questions about the reasons related to enrollment in nursing studies, whether any of their family members or friends work in the health care system and whether any of the members of their family is a health worker. Students were required to rank their choice of the study of nursing on a scale of 1 to 10 at the time of enrollment. Students who have previously completed high school for nurses most often stated the expansion of existing knowledge, the acquisition of new knowledge, and the continuation of previous education as the reasons for enrolling in nursing studies. Students who have completed other types of high schools stated interest in medicine, nursing, health, helping others, good employment opportunities, and nursing being interesting as reasons for enrollment. Participants in this research significantly more often stated that their family members do not work in the health care system. When enrolling in the study, the majority of the students’ first choice was the study of nursing at the higher education institution where the research was conducted – in the 2017 74.7% of participants, and in 2018 67.3% of participants. There is no statistically significant difference in the average ranking of the choice of the nursing study with respect to the year of enrollment (p=0.692). Information on the reasons for enrollment can help in planning the promotion of studies and nursing profession in public to encourage students to enroll.Cilj istraživanja bio je utvrditi razloge upisa studenata na studij sestrinstva, prioritete u izboru studija te razlike u razlozima i prioritetima izbora upisa na studij s obzirom na prethodno završenu srednju školu. Istraživanje je provedeno na studentima redovnog studija sestrinstva Zdravstvenog veleučilišta koji su upisali prvu godinu studija u akademskim godinama 2017./2018. i 2018./2019. U svrhu istraživanja primijenjen je anonimni upitnik koji obuhvaća pitanja koja se odnose na demografske podatke i pitanja koja se odnose na razloge povezane s upisom na studij sestrinstva, radi li netko od članova njihove obitelji ili prijatelja u sustavu zdravstva te je li netko od članova njihove obitelji zdravstveni radnik. Studenti su morali navesti na kojem se mjestu odabira na skali od 1 do 10 nalazio studij sestrinstva prilikom upisa na visoka učilišta. Studenti koji su prethodno završili srednju školu za medicinske sestre kao razloge za upis na studij sestrinstva najčešće navode proširivanje postojećih znanja, stjecanje novih znanja i nastavak prethodnog obrazovanja. Studenti koji su završili druge srednje škole kao razloge za upis navode interes za medicinu, sestrinstvo, zdravstvo, pomaganje drugima, dobre mogućnosti zapošljavanja i to da im je sestrinstvo zanimljivo. Ispitanici u ovom istraživanju znatno češće navode da članovi obitelji ne rade u zdravstvu. Prilikom upisa na studij većina studenata na prvom je mjestu navela studij sestrinstva pri visokoškolskoj ustanovi na kojoj je provedeno istraživanje, u uzorku 2017. 74,7% ispitanika, a 2018. 67,3 % ispitanika. Nema statistički značajne razlike u prosječnom rangu odabira studija sestrinstva s obzirom na godinu upisa studija (p = 0,692). Podaci o razlozima upisa na studij mogu pomoći pri planiranju promocije studija i sestrinske profesije u javnosti kako bi potaknuli studente na upis

Znanje studenata studija sestrinstva o prevenciji i poimanju ubodnog incidenta

Introduction. Needle stick injury (NSI) is an occupational health and safety issue. Nursing students are prone to NSI due to lack of experience with handling needles and sharps. Aim. To determine the level of knowledge about the prevention of NSI and examine the level of knowledge about the post-exposure procedure and the students’ understanding of NSI. Methods. The study was conducted in 2017 at the University of Applied Health Sciences in Zagreb. The participants were nursing students from all regions of Croatia. The data was collected using a questionnaire containing 17 questions specifically designed for this study. One question had three subquestions and one had five subquestions regarding the knowledge of how to react if a needle stick injury occurs. The participants also responded to a questionnaire on their socio-demographic data. Results. The study included 149 students. The results show that 16 students have experienced NSI. A statistically significant difference was observed among students who have finished a secondary medical school in the answers about post-NSI interventions and in answers to the question of whether the needle should be recapped. The respondents from medical schools answered correctly. A statistically significant difference was observed among students from non-medical secondary schools in the answers about education on post-exposition procedures and in the answers about necessary action following a needle stick injury. The respondents from non-medical secondary schools had higher scores. Conclusion. The results of this study can be used to establish appropriate education strategies, increase the awareness of needle stick injuries and minimize the occurrence of these injuries among nursing students in Croatia.Uvod. Ubodni incident predstavlja problem povezan s profesionalnim zdravljem i sigurnošću. Studenti sestrinstva skloni su nastanku ubodnog incidenta zbog nedostatka iskustva pri rukovanju iglama i oštrim predmetima. Cilj. Odrediti razinu znanja o prevenciji i postekspozicijskoj proceduri te poimanju ubodnog incidenta. Metode. Istraživanje je provedeno tijekom 2017. godine na Zdravstvenom veleučilištu u Zagrebu. Sudionici su bili studenti studija sestrinstva u dobi od 18 godina i više. Podaci su prikupljeni s pomoću upitnika koji sadrži 17 pitanja, posebno dizajniranog za ovo istraživanje. Prvo pitanje imalo je imalo tri potpitanja, drugo pet potpitanja povezanih sa znanjem kako reagirati ako se dogodi ubodni incident, a treće trinaest potpitanja povezanih s percepcijom opasnosti ubodnog incidenta s obzirom na karakteristike pacijenata. Sudionici su također odgovorili na pitanja o sociodemografskim podacima. Rezultati. U istraživanju je sudjelovalo 149 studenata. Rezultati istraživanja utvrdili su kako je 16 studenata doživjelo ubodni incident. Utvrđena je statistički značajna razlika kod studenata koji su završili srednju medicinsku školu u odgovorima povezanima s intervencijama u slučaju ubodnog incidenta i u odgovorima na pitanje o tome treba li vratiti poklopac na iglu nakon upotrebe. Studenti koji su završili srednju medicinsku školu odgovorili su točno. Statistički značajna razlika utvrđena je kod studenata koji nisu završili srednju medicinsku školu u odgovorima povezanima s postekspozicijskim mjerama i intervencijama nakon pojave ubodnog incidenta. Studenti koji nisu završili srednju medicinsku školu imali su bolji rezultat. Zaključak. Rezultati ovog istraživanja mogu se upotrijebiti za izradu odgovarajućih obrazovnih strategija za povećanje svijesti o ubodnom incidentu te prevenciju njegove pojave među studentima sestrinstva u Hrvatskoj

Djelotvornost biološke povratne sprege (biofeedbacka) kao konzervativne metode liječenja stresne urinarne inkontinencije kod žena

The aim of this study is to evaluate the efficacy of biofeedback (BF) therapy in females with stress urinary incontinence by a systematic review of available literature database. Materials and methods. A search of the MEDLINE database in order to find articles related to biofeedback therapy for treating incontinence. The keywords which were used to search the database were: "biofeedback", "women", "stress urinary incontinence". Analyses included full-length, peer-reviewed articles reporting on outcomes of treatment of stress urinary incontinence (SUI) using BF in 18-year-old women and older, from any country, treated in any care setting. The inclusion criteria were that it was an original research, not older than five years and written in English. Results. The search of the database yielded a total of 123 articles. Further analysis determined that 32 articles were suitable with respect to this study’s search criteria. Finally, the analysis included 5 articles. The studies are from different parts of the world: Egypt, Poland, China, Malaysia and Japan. Two articles are from 2013 and 2015, and one was published in 2016. Three studies evaluated the efficacy of biofeedback therapy (BF therapy) versus self-performed Kegel exercises, and two studies compared biofeedback therapy with electro-stimulation. Conclusion. Although almost all studies (4 of the 5 analysed) report a positive impact of biofeedback therapy in treating SUI, further research on a more homogeneous group, employing standardized protocols, should be conducted in the future.Cilj je ovog rada sustavnim pregledom literature utvrditi svrhu i djelotvornost primjene biološke povratne sprege (engl. biofeedback) kod liječenja stresne inkontinencije. Materijali i metode. Pretraživanjem baze podataka MEDLINE pronađeni su članci povezani s metodom liječenja inkontinencije biofeedbackom. Ključne riječi prema kojima se pretraživala baza bile su: „biofeedback”, „žene”, „stresna urinarna inkontinencija”. U analizu su bili uključeni samo recenzirani, u cijelosti objavljeni članci, s rezultatima liječenja stresne urinarne inkontinencije (SUI) s pomoću biofeedbacka kod žena u dobi od najmanje 18 godina, iz svih dijelova svijeta, bez obzira na to u kojem se okuženju odvijala terapija. Kriteriji uključivanja bili su izvorna istraživanja ne starija od pet godina i pisana na engleskom jeziku. Rezultati. Pretražujući bazu s ključnim riječima pronađena su ukupno 123 članka. Daljnjom analizom utvrđeno je da ih 32 odgovara kriterijima pretraživanja. U konačnu analizu uvršteno je pet radova. Analizirane studije bile su iz različitih dijelova svijeta: Egipat, Poljska, Kina, Malezija i Japan. Dva su članka iz 2013. i 2015. godine, a jedan iz 2016. godine. Tri studije procjenjivale su učinkovitost terapije biofeedbackom u usporedbi s Kegelovim vježbama, a dvije studije u usporedbi s elektrostimulacijom. Zaključak. Iako gotovo sve studije (četiri od pet analiziranih) izvještavaju o pozitivnom utjecaju terapije biofeedbackom u liječenju stresne inkontinencije, potrebna su daljnja istraživanja na homogenijoj skupini i sa standardiziranim protokolima

Zdrave životne navike i kvaliteta života onkoloških bolesnika – sistematičan pregled literature

Background: Multiple health behavior change interventions, especially promoting the improvements in diet and exercise behaviors, have been used to ameliorate the adverse effects of cancer and its treatment. It is a well known fact that healthy lifestyle has a significant impact on cancer cases. The group of people which are at a high risk of cancer are smokers, people with low fruit and vegetable intake, people with a drinking problem and with low physical activity. In 43% of the cases the incidence of cancer can be prevented by conducting adequate measures. Aim: The aim of this study is an overview of health promotion behaviors such as non-smoking, non-alcohol abuse, physical activity, diet and body weight and their impact on quality of life among cancer patients and cancer survivors. Methods: Literature overview was made systematically. Studies that have been included in the final analysis, were analyzed through 4 steps. After reviewing the abstract, 6 full text articles were examined in more detail for eligibility and were included in the final data analysis. Results: All six articles have shown that patients with healthy lifestyle and those who are conducting health promotion behaviors have greater score on the quality of life questionnaire. Physical activity has an impact on symptoms of treatment and disease. Conclusion: This study supports the need for future research on public health view on conducting healthy lifestyle during therapy and in the remission of disease. Health promotion behaviors have great impact on quality of life among cancer patients and cancer survivors.Uvod: U svrhu poboljšanja liječenja malignih bolesti primjenjuju se različite intervencije usmjerene unaprjeđenju zdravog načina života, posebice promicanje navika zdrave prehrane i vježbanja. Dobro je poznato da zdrav način života ima utjecaj na sprječavanje pojavnosti malignih oboljenja. Pojedinci koje unose male količine voća i povrća, zloupotrebljavaju alkohol i provode smanjenu tjelesnu aktivnost imaju povećan rizik za obolijevanje od malignih bolesti. U 43 % slučajeva incidencija malignih bolesti može se smanjiti provođenjem odgovarajućih mjera. Cilj: Cilj je pregledom literature utvrditi kako razvijene zdrave navike života kao što su tjelesna aktivnost, prehrana, adekvatna tjelesna težina te prestanak pušenja i konzumacije alkohola utječu na kvalitetu života i stopu preživljenja kod pacijenata oboljelih od malignih bolesti. Metode: U pisanju rada primijenjen je sistematični pregled literature unutar dostupnih baza podataka. Studije koje su uključene u konačnu analizu analizirane su kroz četiri koraka. Nakon pregleda sažetka, detaljnije je ispitano šest cjelovitih tekstova te su uključeni u konačnu analizu. Rezultati: Svih šest studija ukazuje na to da pacijenti sa zdravim načinom života te oni koji provode intervencije usmjerene promicanju zdravlja pokazuju bolje rezultate kroz upitnik o kvaliteti života. Također je dokazano kako tjelesna aktivnost pozitivno utječe na simptome liječenja i bolesti. Zaključak: Studija podupire potrebu daljnjih javnozdravstvenih istraživanja o provedbi zdravog načina života tijekom terapije i remisije malignih bolesti. Promicanje zdravih životnih navika ima velik utjecaj na kvalitetu života pacijenata oboljelih od malignih bolesti i njihovo preživljenje

Unemployment and Access to Health Care

Introduction. At the time of the global economies’ recovery from the effects of fourth major recession after the Second World War, there was a major in­crease in the unemployment rate that created a sig­nificant existential and public health challenge. Aim. The aim of this study was to provide a system­atic review of available research on effects of unem­ployment on access to health care, and consequen­tially on health of the population. Methods. A systematic search of relevant, peer-re­viewed electronic databases was conducted to iden­tify systematic reviews, review articles, original re­search papers and reports for the period of past ten years. Results. 10.234 results were initially identified, five of which were included in this review. Conclusion. Significant number of studies confirms that the unemployed individuals, due to sometimes limited access to health care, have impaired health in comparison to the employed population, both in physical and mental health. Global economic change will have a stronger impact on the health of the pop­ulation in poor countries, therefore a fair and compre­hensive system of health care for the unemployed is of paramount importance for the purpose of preserv­ing the health of the population

Exploring critical factors affecting sign language knowledge and motivation for sign language learning in nurses: A cross-sectional study

Introduction: In times when the term inclusion, rights of patients, and the patient as a subject in health care are used more often, the limited availability of written material or sign language interpreters at health services is still a key barrier to health services for people who are hearing-impaired. The aim of this study is to examine nurses’ knowledge of communication skills with hearing-impaired patients, their preferred methods, and the possibility of using translation services. Methods: The study was cross-sectional, and data were collected in September–October 2019. The study included 407 nursing students. A demographic data form and questions divided into three parts, namely, communication skills (six questions), communication methods (three questions), and interpretation services (five questions), were used to collect data. Data were analyzed with descriptive statistics. Results: The questionnaire was administered among 424 students, and total of 407 students completed the questionnaire. Most of the respondents were female (320 [78.6%]) with 0–5 years of work experience (227 [55.8%]) in the tertiary level of healthcare (184 [45.3%]). The results showed that 326 (80.1%) of the respondents encountered a person with some form of hearing impairment during their work. Sign language was used by 56 (13.8%) of the respondents, but 74 (18.14%) nurses did not communicate when meeting with hearing-impaired patients. Two-thirds of the respondents never had the opportunity to learn sign language, and 43 (10.54%) respondents would choose an official interpreter as support. Male respondents were aware of the importance of communication with hearing-impaired patients and the use of an application for pain assessment (p < 0.05). No statistically significant difference was observed regarding the department in which the respondents work (p > 0.05). Conclusion: The results of the study showed insufficient knowledge and skills of nurses to communicate with hearing-impaired people

Nadomjesna terapija intravenoznim imunoglobulinima kod djece oboljele od primarne imunodeficijencije: sestrinske smjernice

Primary immunodeficiency diseases are chronic disorders which are characterized by increased sensitivity of the organism to infections because one or more parts of the body\u27s immune system is missing. Immunoglobulins are normal components of the human body with the main role in the immune defense. Children with primary immunodeficiency have little or no antibodies and lifelong routine replacement therapy is the only effective treatment which represents the gold standard in treatment. The purpose of this therapy is to prevent acute infections and reduce complications resulting from infection. A nurse equipped with knowledge and competences is an indispensable link in the safe and quality administration of immunotherapy and in providing immediate psychological support to the child and the entire family. Nurses administer 90% of all intravenous immunoglobulin therapy transfusions according to the provisions of the physician. The paper presents findings of a research study into nurse´s perceptions about the Immunoglobulin replacement therapy. This paper represents nursing guidelines before, during and after administering intravenous immunoglobulin in children with primary immunodeficiency disease.Primarne imunodeficijencije stanja su koja odlikuje povećana osjetljivost organizma na infekcije zbog nedostataka jedne ili više komponenti imunološkog sustava. Imunoglobulini su normalni sastavni dijelovi ljudskog tijela s glavnom ulogom u imunološkoj obrani. Djeca koja boluju od primarne imunodeficijencije imaju ih malo ili ih uopće nemaju te kod njih cjeloživotna nadomjesna terapija imunoglobulina (IgG) predstavlja jedini učinkovit tretman kao zlatni standard u liječenju primarnih imunodeficijencija. Svrha je takve terapije prevencija akutnih infekcija te smanjenje komplikacija nastalih kao posljedica infekcije. Medicinska sestra sa svojim znanjem i kompetencijama neizostavna je spona u sigurnoj i kvalitetnoj primjeni imunoterapije, u pružanju neposredne psihičke potpore djetetu i cijeloj obitelji te je upravo ona primjenjuje u 90% slučajeva prema pisanoj odredbi liječnika. Pregledom literature prikazane su spoznaje o percepciji medicinskih sestara u vezi s terapijom imunoglobulinima. Ovaj rad predstavlja smjernice medicinskim sestrama za skrb prije, tijekom i nakon primjene intravenskih imunoglobulina kod djece s primarnom bolešću imunodeficijencije