20.500.12556/DKUM-72567 Proces vodenja bolnika s srčnim popuščanjem ob uporabi telemedicine v splošni bolnišnici Slovenj Gradec The process of heart failure patient management by using telemedicine at the general hospital Slovenj Gradec Bolezen srčnega popuščanja sodi med kronične bolezni, kjer število bolnikov strmo narašča. Bolezen ni ozdravljiva, zato je pomembno uspešno vodenje bolnika za kakovostno življenje z boleznijo vse do smrti. V Splošni bolnišnici Slovenj Gradec (SB-SG) imamo »standardno« obravnavo bolnikov s srčnim popuščanjem (SP), urejeno na najvišjem nivoju v Sloveniji. K temu pripomore specialistična Ambulanta za srčno popuščanje, ki deluje v SB-SG od 2007. V njej so bolniki s SP deležni nadstandardne obravnave. Kot novost pri njihovi obravnavi je SB-SG leta 2014 uvedla dodatno – telemedicinsko (TM) obravnavo, s pomočjo katere so bolniki še aktivnejše vključeni v proces obvladovanja bolezni. Z njo bolnika spremljamo »na daljavo« in ga dodatno podpiramo pri samozdravljenju v domačem okolju. Pokazalo se je, da ima TM spremljanje in podpora pozitivne klinične učinke in da je mogoče z njo drastično vplivati na pogostost in dolžino hospitalizacije bolnikov s SP. V zaključnem delu smo kot raziskovalno okolje izbrali TM center CEZAR v SB SG, ki je edini TM center v Sloveniji in predstavlja novost tako pri nas kot v evropskem merilu. Izdelali in primerjali smo »standardni« proces obravnave bolnika s SP v Ambulanti za SP v SB-SG ter proces, v katerem je v standardno obravnavo vključena še TM podpora. Ugotovili smo, da storitve TM le dopolnjujejo standardni model zdravljenja, ki ostaja v osnovi enak. TM storitve le prispevajo k bolj optimalni obravnavi bolnikov s SP. Ob njeni uporabi je bolnik še aktivneje vključen v proces zdravljenja. Ker je TM pristop nov, smo v diskusiji predstavili tudi dileme in pričakovanja, ki jih imamo pri zdravljenju z vključeno TM storitvijo. ABSTRACT Heart failure is a chronic disease where the number of patients is steadily rising. The disease is not curable therefore it is important to guide the patient for a better quality of life with illness until death. In Slovenj Gradec General Hospital (SB-SG), the »standard« treatment of patients with heart failure (SP) is regulated at the highest level in Slovenia. This is supported by a specialist Heart Rate Clinic, which works in SB- SG, where patients with SP receive superior treatment. As a novelty in their treatment, the SB-SG launched an additional telemedicine (TM) treatment in 2014, through which patients are even more actively involved in the disease management process. We follow the patient »remotely« and we additionally support him in self-healing in the home environment. It has been shown that TM monitoring and support has positive clinical effects and that it can dramatically affect the frequency and length of hospitalization of patients with SP. In the final part of this work, we selected the CEZAR TM Centre as the research environment in SB SG, which is the only TM centre in Slovenia and represents a novelty both in Slovenia and on the European Scale. We have compiled and compared the »standard« process of treating the patient with the SP in the SB Ambulance for the SP and the process in which standard support is included TM support. We have found that TM services only complement the standard treatment process, which remains essentially the same. TM services only contribute to optimal treatment of patient with SP. When used, the patient becomes even more actively involved in the treatment process. As the TM approach is new, we discussed also dilemmas and expectations that we have in the treatment with the included TM service. srčno popuščanje telemedicinska storitev proces zdravljenja primerjava procesov posredovanje podatkov  Heart failure telemedicine service treatment process process comparison data transfer true false false [M. Potočnik] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2018-10-08 15:12:59 2019-01-14 10:42:53 2022-08-01 22:51:00 2019-07-11 19:22:56 2018 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.12-008.46(043.2) 2466980 URN:SI:UM:DK:EYQFKSVP MAG_Potocnik_Marija_2018.pdf MAG_Potocnik_Marija_2018.pdf 1 8149C48E6F10B79442367E62B41D1F7E 27dbafbcfad9d7ceab6246ef9f40e8d9a4905a498795b826193af74095840227 8da393b8-7c10-11eb-bb7a-00155d0001ca 20.500.12556/dkum/86412a4a-1d76-408a-8811-06c6272c26c2 https://dk.um.si/Dokument.php?lang=slv&id=131982 Fakulteta za zdravstvene vede 0 0 0