20.500.12556/RUL-181675 Spremljanje pacienta na zunajtelesni membranski oksigenaciji diplomsko delo Management of patient on extracorporeal membrane oxygenation diploma work Uvod: Zdravstvena nega kritično bolnih pacientov, ki so na zunajtelesni membranski oksigenaciji, predstavlja zahtevno področje dela v enotah intenzivne terapije. Od medicinskih sester se pričakuje visoka raven strokovnega znanja, stalna prisotnost ob pacientu in sposobnost pravočasnega prepoznavanja zapletov. Namen: Namen diplomskega dela je bil s pregledom literature predstaviti pomen kontinuiranega spremljanja pacienta, ki je na zunajtelesni membranski oksigenaciji v enoti intenzivne terapije ter vlogo medicinske sestre pri zgodnjem prepoznavanju zapletov in zagotavljanju kakovostne zdravstvene oskrbe. Metode dela: Uporabljena je bila deskriptivna metoda dela s pregledom tuje strokovne in znanstvene literature. Literatura je bila iskana v podatkovnih bazah CINAHL, COBIB, MedLine/Pubmed in Cochrane s pomočjo vnaprej določenih vključitvenih in izključitvenih kriterijev. Rezultati: Pregled vključene literature je pokazal, da ima kontinuirano obposteljno spremljanje pacienta pomembno vlogo pri pravočasnem zaznavanju kliničnih sprememb in preprečevanju zapletov. Medicinske sestre pri obravnavi pacienta, ki je na zunajtelesni membranski oksigenaciji, izvajajo številne zahtevne klinične in tehnične naloge ter zagotavljajo neprekinjeno spremljanje pacientovega stanja. Ugotovljeno je bilo, da standardizirani postopki predstavljajo pomembno podporo kliničnemu delu, vendar je njihova učinkovitost tesno povezana z usposobljenostjo medicinskih sester in organizacijskimi pogoji v enotah intenzivne terapije. Razprava in zaključek: Medicinske sestre predstavljajo pomemben člen pri zagotavljanju varne in kakovostne oskrbe pacienta na zunajtelesni membranski oksigenaciji. Kontinuirano spremljanje, ustrezno strokovno znanje ter organizacijska podpora omogočajo pravočasno prepoznavanje zapletov in ustrezno ukrepanje. Ugotovitve pregleda literature poudarjajo pomen usposobljenih medicinskih sester in organiziranega delovnega okolja za varno obravnavo pacientov. Introduction: Nursing care of critically ill patients receiving extracorporeal membrane oxygenation represents a demanding area of clinical practice in intensive care units. Nurses are expected to demonstrate a high level of professional knowledge, maintain continuous presence at the patient’s bedside, and possess the ability to recognize complications in a timely manner. Aim: The aim of the thesis was, through a review of the literature, to present the importance of continuous monitoring of patients receiving extracorporeal membrane oxygenation in the intensive care unit and the role of the nurse in the early recognition of complications and the provision of high-quality nursing care. Methods: A descriptive research method with a review of foreign professional and scientific literature was used. The literature was searched in CINAHL, COBIB, MedLine/PubMed, and Cochrane databases using predefined inclusion and exclusion criteria. Results: The literature review showed that continuous bedside monitoring of the patient plays a key role in the timely detection of clinical changes and the prevention of complications. Nurses caring for patients receiving extracorporeal membrane oxygenation perform numerous demanding clinical and technical tasks and ensure continuous monitoring of the patient’s condition. The review showed that standardized procedures represent important support for clinical work; however, their effectiveness is closely related to the competence of nurses and the organizational conditions in intensive care units. Discussion and Conclusion: Nurses represent an important element in ensuring safe and high-quality care for patients receiving extracorporeal membrane oxygenation. Continuous monitoring, appropriate professional knowledge, and organizational support enable the timely recognition of complications and appropriate intervention. The findings of the literature review emphasize the importance of competent nurses and an organized work environment for the safe management of patients. diplomska dela zdravstvena nega zunajtelesna membranska oksigenacija medicinske sestre enota intenzivne terapije zgodnje prepoznavanje zapletov nadzor pacienta diploma theses nursing care extracorporeal membrane oxygenation nurses intensive care unit early recognition of complications patient monitoring true false false [P. Konjc] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-04-11 07:45:48 2026-04-11 07:46:04 2026-04-13 08:05:11 0000-00-00 00:00:00 2026 0 Ljubljana 0 Ljubljana 31 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083 159415 274923779 58926.pdf 58926.pdf 1 9BB4E326872A5634F4C73C6F067EEF23 ee2ba561f6a7629724d90a5183f9f46b5f20f8ec86812dead631cc63a4b7b921 89d39966-3569-11f1-b0ab-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=232339 Zdravstvena fakulteta 0 0 0