Izkušnje medicinskih sester pri uporabi mehanskih pripomočkov za zunanjo masažo srca

Kokol, Andrej

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Title:	Izkušnje medicinskih sester pri uporabi mehanskih pripomočkov za zunanjo masažo srca
Authors:	ID Kokol, Andrej (Author) ID Lešnik, Amadeus (Mentor) More about this mentor... ID Markota, Andrej (Comentor) ID Fekonja, Zvonka (Comentor)
Files:	VS_Kokol_Andrej_2023.pdf (882,89 KB) MD5: 4145B1C2A9F1B49AD12BC33E21E74E8E
Language:	Slovenian
Work type:	Bachelor thesis/paper
Typology:	2.11 - Undergraduate Thesis
Organization:	FZV - Faculty of Health Sciences
Abstract:	Uvod: Bolezni srca in ožilja so najpogostejši vzrok smrti v Sloveniji. Hitra prepoznava in ustrezni temeljni postopki oživljanja so za pacienta s srčnim zastojem bistvenega pomena za preživetje. Nujno je, da se s stiski prsnega koša začne hitro in se le-ti izvajajo čim bolj kakovostno ter brez prekinitev. Zaradi številnih težav pri izvajanju TPO, so bili razviti mehanski pripomočki za zunanjo masažo srca, ki zdravstvenim delavcem omogočajo, da se lahko osredotočijo na druge pomembe intervencije same reanimacije. Metode: V teoretičnem delu diplomskega dela smo uporabili deskriptivno metodo dela. V okviru empiričnega dela smo opravili raziskavo, ki je temeljila na kvantitativni metodologiji. Instrument raziskave je bil anketni vprašalnik sestavljen iz 16-ih vprašanj. Sodelovalo je 60 diplomiranih medicinskih sester in diplomiranih zdravstvenikov, zaposlenih v hospitalnih in prehospitalnih enotah na področju severovzhodne Slovenije. Rezultati: Na podlagi analize pridobljenih podatkov smo ugotovili, da medicinske sestre in diplomirani zdravstveniki poznajo prednosti mehanskih pripomočkov za zunanjo masažo srca, predvsem v prehospitalnih enotah. Prav tako so pritrdilno odgovorili, da imajo dovolj znanja (60 % anketiranih) in izkušenj (57,5 % anketiranih) za delo z mehanskimi pripomočki. Kljub usposobljenosti za uporabo mehanskih pripomočkov za zunanjo masažo srca, se ti v praksi naših anketirancev ne uporabljajo rutinsko (χ2 = 3,800; p = 0,284). Razprava in sklep: Zagotavljanje kakovostnega oživljanja je ključni dejavnik povezan s preživetjem ob srčnem zastoju. Mehanske naprave za kompresijo prsnega koša zagotavljajo dosledno visokokakovostno kompresijo prsnega koša, a to vseeno ne pomeni izboljšanja rezultatov izida pacienta pri srčnem zastoju. Potrebno je opraviti nadaljnje študije o oceni uporabe mehanskih pripomočkov za zunanjo masažo srca.
Keywords:	medicinska sestra, oživljanje, mehanski pripomočki za zunanjo masažo srca
Place of publishing:	Maribor
Publisher:	[A. Kokol]
Year of publishing:	2023
PID:	20.500.12556/DKUM-84668
UDC:	614.253.5:615.47(043.2)
COBISS.SI-ID:	165886467
Publication date in DKUM:	13.10.2023
Views:	710
Downloads:	88
Metadata:
Categories:	FZV
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Licences

License:	CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International

Link:	http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:	The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:	06.07.2023

Secondary language

Language:	English
Title:	Experience of nurses in the use of mechanical devices for external cardiac massage
Abstract:	Introduction: Cardiovascular diseases are the most common cause of death in Slovenia. Rapid recognition and appropriate basic cardiopulmonary resuscitation procedures are essential for the survival of a cardiac arrest patient. It is imperative that chest compressions begin quickly, they are performed as efficiently as possible and without interruptions. Due to the many difficulties in performing CPR, mechanical devices for external cardiac massage have been developed, which allow medical professionals to focus on other important aspects of the resuscitation intervention. Methods: We used descriptive method of work for making of theoretical part of a dissertation. In the framework of the empirical part, we conducted research based on quantitative methodology. The research instrument was a questionnaire consisting of 16 questions. 60 registered nurses employed in hospital and pre-hospital units in the area of north-eastern Slovenia participated. Results: Based on the analysis of the obtained data, we found that nurses know the advantages of mechanical devices for external cardiac massage, especially in pre-hospital units. They also affirmatively answered that they have enough knowledge (60% of respondents) and experience (57,5% of respondents) to work with mechanical devices. Despite the ability to use mechanical devices for external cardiac massage, these are not used routinely in the practice of our respondents (χ2 = 3.800; p = 0.284). Discussion and conclusion: Providing quality CPR is a key factor associated with survival in cardiac arrest. Mechanical chest compression devices consistently provide high-quality chest compressions, but this does not translate into improved patient outcomes in cardiac arrest. Further studies are needed to evaluate the use of mechanical devices for external cardiac massage and to possibly update resuscitation standards.
Keywords:	nurse, CPR, mechanical devices for external cardiac massage

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