Pomen informativnega predoperativnega pogovora zdravnika in medicinske sestre s pacientom pred potrditvijo odločitve za ortopedsko operacijo : diplomsko delo

Ajazaj, Alma (avtor), Thaler, Darja (mentor)

Uvod: Vsaka bolezen predstavlja za posameznika stres, če pa bolezen tako napreduje, da je potrebna hospitalizacija ali celo operacija, je ta stres nedvomno še večji. Da ta stres in strah omilimo, se moramo s pacientom pred vsako odločitvijo temeljito pogovoriti in mu razložiti potek zdravljenja. Pomembno vlogo pri vsem tem imata zdravnik in medicinska sestra, katerih naloga je, da se skupaj s pacientom odločijo, kateri način zdravljenja bodo izbrali. Žal pa se zaradi različnih razlogov informativni predoperativni pogovor s pacientom izpusti. Posledično se pacienti zatekajo po informacije na splet. Namen: Namen diplomskega dela je predstaviti pomen informativnega predoperativnega pogovora s pacientom pred odločitvijo za operativni poseg ter poudariti vlogo zdravnika in medicinske sestre pri informiranem pristanku na operacijo. Metode dela: Uporabili smo deskriptivno metodo dela z iskanjem literature v podatkovnih bazah: Medline, CINAHL, COHRANE Library, SAGE Journals in COBBISS.SI. Rezultati: Ljudje so iz dneva v dan bolj izobraženi in o svojem zdravljenju želijo samostojno odločati. Da bi temu res bilo tako, se morajo tako zdravniki kot medicinske sestre zavedati svojih vlog in s pacientom pravilno komunicirati, da bi le-ti izvedeli vse, kar jih zanima o svojem zdravljenju. V izogib različnemu podajanju informacij je ključnega pomena sodelovanje med zdravniki in medicinskimi sestrami, saj le tako lahko podajamo enotne informacije. Pacientu morajo biti jasne vse metode in postopki zdravljenja ter pričakovanja po operaciji, da preprečimo razočaranja. Razprava in zaključek: Zdravniki in medicinske sestre lahko z ustrezno komunikacijo in odnosom do pacienta vključijo le-tega v odločanje o njegovem zdravstvenem stanju in vrsti zdravljenja. Pacient ima iz leta v leto več pravic, ki se jih mora upoštevati, v to naj spada tudi informirano predoperativno odločanje za poseg. Izogniti se je treba podpisom soglasja za operativni poseg tik pred operacijo, saj se na ta način pacienti ne zavedajo vseh dejavnikov tveganja, ki se lahko pojavijo po operativnem posegu. Tako pričakujejo čisto druge rezultate.

• Jezik: Slovenski jezik
• Ključne besede: priprava na operacijo, vloga zdravnika, vloga medicinske sestre, informiran pristanek
• Vrsta gradiva: Diplomsko delo/naloga
• Organizacija: ZF - Zdravstvena fakulteta
• Leto izida: 2019
• PID: 20.500.12556/RUL-106416
• COBISS.SI-ID: 5586027
• Datum objave v RUL: 22.02.2019

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: The importance of informative preoperative talk between a doctor and a nurse with a patient before confirming the decision for an orthopedic surgery : diploma work

Izvleček

Introduction: Every disease presents stress for everybody, but if the disease progresses and requires hospitalization or even surgery, this stress is certainly bigger. To prevent this stress and fear, we must talk thoroughly with the patient before each decision and explain the course of treatment to him. An important role in all of this has a doctor and a nurse whose task is to decide, together with the patient, which treatment methods they will choose. Unfortunately, the informative preoperative talk with the patient is omitted for various reasons. Consequently, patients resort to information online. Purpose: The purpose is to present the importance of an informative preoperative talk with the patient before taking the desision for surgery and to present the role of a doctor and a nurse in talking with a patient. Methods: We used a descriptive method of work by searching literature through various databases such as MEDLINE, CINAHL, COHRANE Library, SAGE Journals and COBBISS.SI Results: From day to day, people are more educated and want to decide for their own treatment. In order for this, doctors and nurses have to be aware of their roles and communicate correctly with the patient so that they can find out all about their treatment or methods of treatment. In order to avoid the diversification of information, cooperation between doctors and nurses is crucial, as this is the only way to provide uniform information. The patient must be clear of all the methods and procedures of treatment and the expectation of the operation to prevent disappointment. Discussion and conclusion: Doctors and nurses can, through appropriate communication to patient incorporate into decision-making for their state of health and the type of treatment. The patient has more rights from year to year, which should be taken into account, including informative preoperative decision-making for the procedure. The signing of a consent for operative intervention just before the surgery should be avoided, as patients are not aware of all the risk factors that may be post-operative. They expect very different results.

• Ključne besede: preparation for surgery, the role of a doctor, the role of a nurse, informative agreement