20.500.12556/DKUM-75873 Analgezija v predbolnišničnem okolju Analgesia in a prehospital environment Uvod: Bolečina je eden izmed najpogostejših vzrokov, zaradi katerih se ljudje zatekajo po nujno medicinsko pomoč. Analgezija v predbolnišničnem okolju ima velik pomen. Namen magistrskega dela je ugotoviti, ali je bolečina prepoznana ter kako dobro in na kakšen način je zdravljena. Metode: Uporabljena je bila deskriptivna metoda dela s pregledom literature. Instrument zbiranja podatkov so bili pregledani protokoli nujne intervencije (PNI). Pridobljene podatke smo obdelali z uporabo deskriptivne in inferenčne statistike. Za obdelavo smo uporabili programsko orodje SPSS (IBM SPSS Statistics 21) in Microsoft Office Excel 2015. Rezultati: Študija je zajemala vsebino oz. pregled 100 protokolov nujne intervencije (PNI). Povprečna starost pacientov je bila pri moških 57,61 leta in pri ženskah 65,12 leta. V raziskavi smo obravnavali 42 poškodb in 58 bolezenskih stanj. Podatki kažejo, da je bila povprečna vrednost bolečine, ki so jo pacienti izrazili ob prihodu ekipe NMP, 5,59 po VAS-lestvici. Povprečna vrednost bolečine po aplikaciji NSAID, opioidnega analgetika ali kombinaciji obeh pa je znašala 2,33 po VAS, kar pomeni, da se je bolečina povprečno zmanjšala za 58,31 %. V raziskavi smo ugotovili, da je bil najpogosteje apliciran NSAID natrijev metamizolat v odmerku 2,5 g, v kategoriji opioidnih analgetikov je bil najpogosteje apliciran tramadol v odmerku 100 mg. V 29 primerih smo uporabili kombinacijo NSAID in opioidnega analgetika, najpogosteje natrijev metamizolat v kombinaciji s tramadolom. Interpretacija in zaključek: Podatki v raziskavi kažejo, da je bila bolečina vedno zdravljena in prepoznana. Izbrana analgezija je bila ustrezna, kar se je izkazalo po pacientovih izražanjih bolečine po VAS (vizualna/verbalna analogna skala). Introduction: Analgesia in a prehospital environment is of great significance for treated patients. Pain is one of the most common causes why people seek urgent medial attention. The purpose of master's thesis is to determine how well the pain is identified and in what way it is treated. Methods: A descriptive method for literature review was used. The data was obtained by reviewing the emergency intervention protocols. The obtained data was processed with descriptive and inferential statistics. We used the SPSS and Excel 2015 to process the data. Results: The research is covering 100 emergency intervention protocols (PNI). The average age of the patients was 57,61 years (men) and 65,12 (women). The research examined 42 injuries and 58 disease conditions. The average pain levels expressed by patients upon arrival of the NMP team was 5,59 (VAS scale). The average pain levels after administering NSAID, an opioid analgesic, or a combination of both was 2,33 (VAS). The pain levels decreased by 58,31 %. The most commonly was administered NSAID metamizole at a dose of 2,5 g, while in the category of opioid analgesics was administered tramadol at a dose of 100 mg. In 29 cases, a combination of NSAID and an opioid analgesic ware used, most commonly a combination of metamizole and tramadol. Interpretation and conclusion: The study shows that pain was always treated and identified. The chosen analgesia was appropriate, as evidanced by the patient's expressions of pain on the VAS (visual/verbal analogue scale). bolečina analgetiki NSAID opioidi vizualna/verbalna analogna skala prehospitalna enota protokoli nujna intervencija pain visual/verbalanalogue scale protocols emergency intervention prehospital unit true false false [M. Ploder] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2020-02-24 14:37:06 2020-07-24 10:43:39 2022-08-09 11:51:18 2020-07-25 03:11:17 2020 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-085.212:616-083.98(043.2) 22674179 URN:SI:UM:DK:MPKEAWW6 MAG_Ploder_Matej_2020.pdf MAG_Ploder_Matej_2020.pdf 1 66FEA25B49DF41E3337E904BD612331D 9b623f13126a07b26ae419562960b5b840941268aaca0b7bdce153941990d7a6 3b6d9a1d-7c11-11eb-bb7a-00155d0001ca 20.500.12556/dkum/e4ad30b6-c06f-4765-baad-22519d7a3602 https://dk.um.si/Dokument.php?lang=slv&id=140774 Fakulteta za zdravstvene vede 0 0 0