20.500.12556/DKUM-36501 Specifičnost merjenja zagozditvenega tlaka v pljučni arteriji SPECIFICITY OF MEASURING PULMONARY ARTERY OCCLUSSION PRESSURE V magistrski nalogi smo raziskali in ugotovili kako, medicinske sestre in zdravniki ocenjujejo različne načine pridobivanja znanja o merjenju PAOP (Pulmonary artery occlussion pressure). Raziskali za koliko se meritev zagozditvenega tlaka, ki je izmerjen avtomatično, po tovarniško nastavljenih algoritmih, razlikuje od meritve, pri kateri upoštevamo spremembo krivulje med dihalnim ciklom, bodisi med spontanim dihanjem bodisi med umetno ventilacijo. Raziskovalna metodologija. V magistrskem delu smo uporabili kvantitativno metodologijo. V prvem delu raziskave je bila izvedena anketa o tehničnih zahtevah za pravilno izvajanje PAOP. Podatke, pridobljene z anketo, smo analizirali s pomočjo programskega paketa SPSS 17 in Excel. Primerjavo med zdravniki in medicinskimi sestrami smo ugotavljali s statističnim testom Mann Whitney, z medkvartilnim razponom in mediano. V drugem delu raziskave smo preverili ujemanje izvedenih meritev z ugotovitvami ekspertov. Za primerjavo smo uporabili koeficient ICC (inter-class correlation coefficient), za opisno statistiko je bila uporabljena metoda Bland in Altman. Rezultati. Z anketo smo ugotovili, da ne obstaja razlika pri poznavanju tehničnih vsebin izvajanja meritev med zdravniki in medicinskimi sestrami. Svoje znanje o merjenju PAOP so anketirani porazdelili med vse ocene, kar nam ne poda objektivne slike. Je pa anketa pokazala jasne odgovore, da je v času študija premalo poudarka na izobraževanju o invazivnem nadzoru življenjskih funkcij in da izvajalci ne poznajo praktičnega in teoretičnega pomena resonance in dušenja sistema za merjenje. V nadaljevanju smo primerjali vse meritve med seboj. Izmerjene vrednosti medicinskih sester smo primerjali z meritvami ekspertov. Meritve medicinskih sester se popolnoma ujemajo z ugotovotvami eksperta 1 in 2 (ekspert 1 ICC 0,979, ekspert 2 ICC 0,981). Prav tako se ujemajo meritve zdravnikov in eksperta 1 in 2 (ekspert 1 ICC 0,971, ekspert 2 ICC 0,988). Sklep. Z raziskavo je bilo ugotovljeno, da je pri izobraževanju potrebno dati večji poudarek nekaterim znanjem, ki so zelo pomembna za pravilno izvedbo meritev. Kljub temu, da različne raziskave doslej kažejo, da se meritve zdravnikov in medicinskih sester razlikujejo, je naša raziskava pokazala drugačno sliko. Izobraževanja iz tem Swan Ganzovega katetra in izvajanja meritev PAOP so prinesla pozitivne učinke. In the masters thesis we researched and found out how nurses and doctors evaluate different ways of gaining knowledge about PAOP (Pulmonary artery occlusion pressure) measurements. We researched how much the measurement of wedge pressure which is carried out automatically, with factory-set algorithms, differs from the measurement, where we take into account the alteration of the curve during the breathing cycle, whether during spontaneous breathing or artificial ventilation. Research Methodology. In the first part of the research, a survey has been conducted on technical demands to properly administer PAOP. We have surveyed 14 operators. Survey data has been analyzed using SPSS 17 and Excel. For a comparison of doctors and nurses we used the statistical test Mann-Whitney, using interquartile range. In the second part of the research we compared similarities of actual measurements with expert’s measurements. For comparison, we have used coefficient ICC (interclass correlation coefficient), and for descriptive statistics, we have used Bland-Altman method. Results. Using the survey we came to the conclusion, that there is no difference in technical knowledge between doctors and nurses. Survey participants distributed their knowledge of PAOP measurements to all grades, which doesn’t show the objective picture. The survey showed clear answers on the lack of emphasis during the training of the invasive monitoring of life functions in that operators do not know theoretical or practical meaning of resonance and damping of the measurement system. We have compared all of the measurements. Measurements of nurses are fully in line with measurements of expert 1 and 2 (expert 1 ICC 0,979, expert 2 ICC 0,981). Also fully in line are measurements of doctors and expert 1 and 2 (expert 1 ICC 0,971, expert 2 ICC 0,988). Conclusion. During our research it has been shown, a greater need to emphasize education of proper methods of measurement. Even though different research studies show differences in measurement between doctors and nurses, our research shows a different picture. Education of Swan-Ganz catheter and measurements of PAOP are bringing positive result. zagozditveni tlak Swan Ganz kateter ujemanje meritev PAOP wedge pressure Swan-Ganz catheter PAOP measurement correlation true true false [B. Smrke] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2012-06-11 13:57:20 2012-07-04 12:57:59 2022-04-20 08:47:22 2023-12-29 03:19:55 2012 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-07:616.2 1813412 URN:SI:UM:DK:SKI4DPHY MAG_Smrke_Barbara_2012.pdf MAG_Smrke_Barbara_2012.pdf 1 5473FD1C3051DEA0A25552C80CDBFE57 e34dc11ea61ccb495db162bd16a0e9fe66eacbfffe52aea57740de76360277be 11f55c4d-7c08-11eb-bb7a-00155d0001ca 20.500.12556/dkum/def039fb-8bc9-42c0-b0d4-1c4200327098 https://dk.um.si/Dokument.php?lang=slv&id=47666 Fakulteta za zdravstvene vede 0 0 0