20.500.12556/RUL-173111 Vloga medicinskih sester pri preprečevanju pljučne embolije po splošni anesteziji diplomsko delo A nurses' role in preventing pulmonary embolism after general anaesthesia diploma work Uvod: Pljučna embolija je resen in pogosto smrtonosen zaplet, ki se lahko pojavi po kirurških posegih, zlasti, kjer je bila uporabljena splošni anesteziji. Njeno preprečevanje zahteva multidisciplinarni pristop, pri čemer imajo medicinske sestre ključno vlogo pri zgodnjem prepoznavanju dejavnikov tveganja ter izvajanju preventivnih intervencij. Namen: Namen diplomskega dela je bil raziskati vlogo medicinskih sester pri preprečevanju pljučne embolije po splošni anesteziji, s poudarkom na pripravi pacienta, nadzoru v perioperativnem obdobju in edukaciji pacienta. Metode dela: Uporabljena je bila deskriptivna metoda s pregledom literature. Sistematično iskanje je potekalo od maja 2024 do marca 2025 v podatkovnih bazah PubMed, Cochrane Library, CINAHL, Wiley Online Library in drugih. Vključeni so bili članki v angleškem jeziku, objavljeni med letoma 2015 in 2025, ki so obravnavali preventivne intervencije medicinskih sester pri pljučni emboliji. Končno analizo je sestavljalo 23 znanstvenih člankov. Rezultati: Rezultati kažejo, da medicinske sestre prispevajo k preprečevanju pljučne embolije, z izvajanjem raznih ukrepov, kot so: farmakološka profilaksa (npr. antikoagulanti, aspirin) in mehanska profilaksa (kompresijske nogavice, pnevmatska kompresija, nevromišična stimulacija) in edukacija pacientov. Ključne intervencije vključujejo zgodnjo mobilizacijo, redno spremljanje vitalnih znakov, pravočasno prepoznavanje simptomov in edukacijo pacienta. Poudarjen je pomen interdisciplinarnega sodelovanja in stalnega strokovnega izobraževanja medicinskih sester. Razprava in zaključek: Analiza potrjuje, da medicinske sestre s svojim znanjem in kompetencami bistveno zmanjšujejo tveganje za nastanek pljučne embolije ter prispevajo k varnejši in kakovostnejši obravnavi pacientov. Kljub številnim pozitivnim ugotovitvam pa raziskave opozarjajo na potrebo po dodatnem strokovnem usposabljanju in standardiziranih protokolih v slovenskem zdravstvenem sistemu, zlasti na področju uporabe novih preventivnih metod, kot je električna mišična stimulacija. Introduction: Pulmonary embolism is a serious and often fatal complication that may occur after surgical procedures, particularly when general anesthesia has been used. Its prevention requires a multidisciplinary approach, with nurses playing a key role in the early recognition of risk factors and the implementation of preventive interventions. Purpose: The purpose of this thesis was to explore the role of nurses in the prevention of pulmonary embolism following general anesthesia, with emphasis on patient preparation, perioperative monitoring, and patient education. Methods: A descriptive method with a literature review was used. Systematic searching was conducted from May 2024 to March 2025 in databases such as PubMed, Cochrane Library, CINAHL, Wiley Online Library, and others. Articles included were published in English between 2015 and 2025 and addressed nursing preventive interventions in pulmonary embolism. The final analysis consisted of 23 scientific articles. Results: The findings show that nurses contribute to the prevention of pulmonary embolism through the implementation of various measures, such as pharmacological prophylaxis (e.g., anticoagulants, aspirin), mechanical prophylaxis (compression stockings, pneumatic compression, neuromuscular stimulation), and patient education. Key interventions include early mobilization, regular monitoring of vital signs, timely recognition of symptoms, and patient education. The importance of interdisciplinary collaboration and continuous professional education of nurses is emphasized. Discussion and conclusion: The analysis confirms that nurses, with their knowledge and competencies, significantly reduce the risk of pulmonary embolismand contribute to safer and higher-quality patient care. Despite many positive findings, research highlights the need for further professional training and standardized protocols within the Slovenian healthcare system, particularly in the field of new preventive methods such as electrical muscle stimulation. diplomska dela zdravstvena nega pljučna embolija splošna anestezija medicinske sestre preventiva diploma theses nursing care pulmonary embolism general anaesthesia nurses prevention true false false [Š. Dunić] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-09-13 07:46:04 2025-09-13 07:46:08 2025-11-04 03:49:49 0000-00-00 00:00:00 2025 0 Ljubljana 0 Ljubljana 37 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083 149847 248872195 53963.pdf 53963.pdf 1 688B7CD64BD6DBF91DE8992C0BBEBE9B 4fd14c987c9700ceb97989028bb9453816ba597ddf8d6e95e317af4470ca3dcf c7f9a46e-9064-11f0-9328-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=217280 Zdravstvena fakulteta 0 0 0