20.500.12556/DKUM-93588 Kakovost življenja bolnikov po zdravljenju z zunajtelesnim krvnim obtokom Quality of life in patients after treatment with extra corporal membrane oxigenation Uvod: Zunajtelesni krvni obtok (ECMO) je tehnološko napreden in invaziven postopek, ki je namenjen zdravljenju življenjsko ogroženih bolnikov. Metode: V teoretičnem delu smo uporabili deskriptivno metodo dela s pregledom literature. V empiričnem delu smo zbrali in analizirali podatke, ki so se nanašali na kakovost življenja bolnikov po zdravljenju z veno-venskim (VV) ECMO v enoti intenzivne terapije (EIT). Kot raziskovalni instrument smo uporabili vprašalnik o zdravju (EQ-5D-5L), lestvico za oceno depresivnosti in anksioznosti v bolnišnici (HADS) ter lestvico vpliva dogodka (IES-R). Rezultati: Po zdravljenju z VV ECMO je kakovost življenja bolnikov po odpustu iz bolnišnice primerljiva s kakovostjo življenja splošne populacije. Zaznati je pojavnost anksioznosti in depresije, vendar se delež obeh zmanjšuje sorazmerno s časom po zaključku zdravljenja. Iz analize je razvidno, da je verjetnost za razvoj posttravmatske stresne motnje možna pri manj kot polovici bolnikov. Razprava: Večina raziskav se osredotoča na kratkoročno do srednjeročno spremljanje kakovosti življenja bolnikov po zdravljenju z VV ECMO. Naša raziskava je zajela bolnike v daljšem časovnem obdobju, zato direktna primerjava ni možna. Rezultate smo numerično primerjali ter ugotovili, da ni statistično pomembne razlike med bolniki, zdravljenimi v Sloveniji in tujini. Sklep: Ena izmed glavnih ugotovitev naše raziskave kaže, da je preživetje do odpusta iz bolnišnice močan pokazatelj preživetja v daljšem časovnem obdobju. Introduction: Extracorporeal membrane oksigenation (ECMO) is a technologically advanced and invasive procedure designed to treat life-threatened patients. Methods: In the theoretical part, we used a descriptive method of work, with a literature review. In the empirical part, we collected and analysed data related to the quality of life of patients after treatment with veno-venous (VV) ECMO in the intensive care unit (ICU). We used the Health Questionnaire (EQ-5D-5L), the Hospital Assessment of Depression and Anxiety Scale (HADS) and the Impact of Event Scale (IES-R) as research instruments. Results: After treatment with VV ECMO, the quality of life of patients after hospital discharge is comparable to that of the general population. Anxiety and depression are present, but the proportion of both decreases proportionally with time after treatment. The analysis shows that less than half of the patients are likely to develop post-traumatic stress disorder. Discussion: Most research focuses on short to medium-term follow-up of patients' quality of life after treatment with VV ECMO. Our study included patients over a longer period of time, so a direct comparison is not possible. We compared the results numerically and found that there was no statistically significant difference between patients treated in Slovenia and abroad. Conclusion: One of the main findings of our study shows that survival to hospital discharge is a strong indicator of survival over time. zunajtelesna membranska oksigenacija orodja za oceno kakovosti življenja posttravmatska stresna motnja stopnja depresivnosti extracorporeal membrane oxygenation quality of life assessment tools post-traumatic stress disorder level of depression true true false [M. Maučec] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2025-07-03 20:02:13 2025-10-27 13:58:44 2025-12-19 22:31:23 0000-00-00 00:00:00 2025 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.892.3-053.9:316.728(043.2) 253830659 MAG_Maucec_Martin_2025.pdf MAG_Maucec_Martin_2025.pdf 1 6B97D0CF48FB9BE36DE20F64E3EE2FBD 55df29acca676748220c533af164da0437b4169906cb1a9172559e57878c1aa3 b7224a3a-5839-11f0-95d1-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=193235 Fakulteta za zdravstvene vede 0 0 0