20.500.12556/DKUM-92324 Sprejem, triaža in nadaljnje zdravljenje bolnika z bolečino v prsnem košu v enoti za bolezni Admission, triage and further treatment of the patient with chest pain in the disease unit Uvod: Bolečina v prsnem košu je pogost pojav v urgentni službi, kjer je pravilna triaža zaradi različnih vzrokov, kot je akutni miokardni infarkt, ključna. Metode: Raziskava je temeljila na kombinaciji mešanih metod raziskovanja, s ciljem poglobljenega razumevanja obravnave bolnika z bolečino v prsnem košu. Rezultati: V retrospektivni raziskavi smo pregledali dokumentacijo 3828 bolnikov, od katerih je zaradi bolečine v prsnem košu bilo v Enoti za bolezni obravnavanih 93 bolnikov (2,43 %). Bolniki v oranžni kategoriji (n=10) so v povprečju na obravnavo čakali manj časa kot bolniki v rumeni ali zeleni kategoriji, kar pa ni bilo statistično značilno (n = 82, 25,3 minute VS 36,51 minut; p = 0,580). V triažni ambulanti je bilo 11 bolnikov razvrščenih v rdečo ali oranžno kategorijo; intravenska kanila je bila nastavljena pri 2 izmed 8, ki so v urgentni center prišli brez kanile. Intervjuji so pokazali, da triažne medicinske sestre dobro prepoznajo simptome bolečin v prsnem košu, ki lahko kažejo na življenjsko nevarne bolezni, kot je akutni koronarni sindrom. Razprava in zaključek: Bolečina v prsnem košu je bila v izbranem obravnavanem obdobju redko vzrok za obravnavo v Enoti za bolezni (2,43 %). Čakanje bolnikov iz oranžne kategorije pomembno presega v smernicah priporočeni čas 10 minut. Vstavitev intravenske kanile ni del standardnih postopkov v triaži. Teoretično znanje in praktične izkušnje zdravstvenih delavcev so ključni za uspešno triažiranje. Stalno izpopolnjevanje in boljša povezanost z zdravniki izboljšata prepoznavanje življenjsko ogrožajočih stanj. Chest pain is a common occurrence in the emergency department, where proper triage for various causes, such as acute myocardial infarction, is essential. Introduction: The research was based on a combination of mixed research methods, with the aim of in-depth understanding of the treatment of a patient with chest pain. Methods: In a retrospective study, we examined the documentation of 3828 patients, of whom 93 patients (2.43%) were treated in the Disease Unit for chest pain. Patients in the orange category (n=10) waited significantly less time for treatment than patients in the yellow or green categories, but statistically no significant difference is visible (n=82, 36.51 min VS. 25.3 min, p=0.58). 11 patients in the red or orange category came to triage; an intravenous cannula was placed in 2 of the 8 who came to the emergency center without a cannula. The interviews showed that triage nurses are good at recognizing symptoms of chest pain that may indicate life-threatening diseases such as acute coronary syndrome. Results: Chest pain was rarely the reason for treatment in the Disease Unit during the selected period (2.43%). The waiting time of patients from the orange category significantly exceeds the recommended time of 10 minutes in the guidelines. Intravenous cannula insertion is not part of standard triage procedures. The theoretical knowledge and practical experience of healthcare workers are key to successful triage. Continuous training and better communication with doctors improves the recognition of life-threatening conditions. triaža triažna medicinska sestra urgentni center bolečina v prsnem košu enota za bolezni triage triage nurses emergency department chest pain disease unit true true false [N. Temlin] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2025-03-28 18:48:52 2025-05-22 13:02:33 2025-07-21 10:14:19 0000-00-00 00:00:00 2025 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.12-056.24:616-083.98(043.2) 236789507 MAG_Temlin_Nives_2025.pdf MAG_Temlin_Nives_2025.pdf 1 04D51440C39CD9CAB3F2B9634FFFEB6D 550012f1d94715add71b3b379cab857eb152ebccbd384677e1caf62b25a295f0 41090de4-0bff-11f0-af5a-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=189814 Fakulteta za zdravstvene vede 0 0 0