20.500.12556/RUL-182977 Nadzor srčne funkcije po izvenbolnišničnem srčnem zastoju diplomsko delo Monitoring of cardiac function after out-of-hospital cardiac arrest diploma work Uvod: Izvenbolnišnični srčni zastoj predstavlja enega vodilnih vzrokov smrti in ostaja pomemben javnozdravstveni problem. Kljub napredku na področju oživljanja in intenzivne terapije je še vedno povezan z visoko umrljivostjo in slabimi izidi zdravljenja. Po uspešni vrnitvi spontane cirkulacije je za nadaljnjo obravnavo ključnega pomena zgodnje in natančno spremljanje srčne funkcije, saj pravočasno prepoznavanje hemodinamske nestabilnosti in miokardne disfunkcije pomembno vpliva na potek zdravljenja. Medicinske sestre imajo pri tem ključno vlogo, saj v enotah intenzivne terapije neprekinjeno spremljajo pacientovo stanje in pravočasno prepoznajo odstopanja v njihovem stanju. Namen: Namen diplomskega dela je bil s pomočjo pregleda literature ugotoviti, katere kardiološkoprognostične metode se uporabljajo in kako medicinske sestre spremljajo srčno funkcijo po izvenbolnišničnem srčnem zastoju. Metode dela: Uporabili smo deskriptivno metodo dela s pregledom literature, pridobljene iz podatkovnih baz PubMed, ScienceDirect in CINAHL. Pri oblikovanju iskalnih nizov smo uporabili Boolova operatorja AND in OR. Uporabili smo ključne besede v angleškem jeziku: »out-of-hospital cardiac arrest« OR »cardiac arrest« OR OHCA AND »hemodynamic monitoring« OR »cardiac function« OR »echocardiography« OR »electrocardiography (ECG)« AND »nurses« OR »nursing« AND »intensive care unit« OR »critical care«. Rezultati: Najpomembnejše metode spremljanja srčne funkcije so ehokardiografija, EKG in hemodinamski monitoring. Ehokardiografija predstavlja pomembno diagnostično in prognostično orodje, vendar njena napovedna vrednost ni enoznačna. Zgodnja sistolična disfunkcija levega prekata in iztisni delež levega prekata nista zanesljiva samostojna napovednika izida, medtem ko je diastolična disfunkcija povezana z večjo umrljivostjo. Pomembno vlogo ima tudi hemodinamski monitoring, ki omogoča oceno perfuzije in odziva na zdravljenje. Medicinske sestre imajo ključno vlogo pri spremljanju EKG, hemodinamskih parametrov in kliničnega stanja pacienta, vendar raziskave opozarjajo na pomanjkljivosti v znanju interpretacije EKG, kar kaže na potrebo po dodatnem izobraževanju. Razprava in zaključek: Spremljanje srčne funkcije po izvenbolnišničnem srčnem zastoju je kompleksen proces, ki zahteva uporabo različnih diagnostičnih metod. Medicinske sestre predstavljajo pomemben člen, saj s stalnim spremljanjem pacienta, zgodnjim prepoznavanjem sprememb in pravočasnim ukrepanjem pomembno prispevajo h kakovostni in varni obravnavi. Za izboljšanje klinične prakse je pomembno nadaljnje raziskovanje tega področja, predvsem z večjim poudarkom na vlogi medicinskih sester, saj bi to pripomoglo k boljšemu razumevanju njihovega dela in vloge. Introduction: Out-of-hospital cardiac arrest is one of the leading causes of death and remains a significant public health problem. Despite advances in resuscitation and intensive care, it is still associated with high mortality and poor treatment outcomes. Following the successful return of spontaneous circulation, early and accurate monitoring of cardiac function is crucial for further management, as timely recognition of hemodynamic instability and myocardial dysfunction significantly influences the course of treatment. Nurses play a key role in this process, as they continuously monitor the patient’s condition in intensive care units and promptly recognize deviations. Purpose: The aim of this thesis was to identify, through a literature review, which cardiological prognostic methods are used and how nurses monitor cardiac function after out-of-hospital cardiac arrest. Methods: We used a descriptive method with a literature review. Literature was obtained from the PubMed, ScienceDirect, and CINAHL databases. Boolean operators AND and OR were used to construct the search queries. The following keywords were used: “out-of-hospital cardiac arrest” OR “cardiac arrest” OR OHCA AND “hemodynamic monitoring” OR “cardiac function” OR “echocardiography” OR “electrocardiography (ECG)” AND “nurses” OR “nursing” AND “intensive care unit” OR “critical care”. Results: The most important methods for monitoring cardiac function are echocardiography, ECG, and hemodynamic monitoring. Echocardiography represents an important diagnostic and prognostic tool; however, its predictive value is not unequivocal. Early systolic dysfunction of the left ventricle and left ventricular ejection fraction are not reliable independent predictors of outcome, whereas diastolic dysfunction is associated with higher mortality. Hemodynamic monitoring also plays an important role, as it enables the assessment of perfusion and response to treatment. Nurses have a key role in monitoring ECG, hemodynamic parameters, and the patient’s clinical condition; however, studies indicate deficiencies in ECG interpretation knowledge, highlighting the need for additional education. Discussion and conclusion: Monitoring cardiac function after out-of-hospital cardiac arrest is a complex process that requires the use of multiple diagnostic methods. Nurses represent an essential part of this process, as continuous patient monitoring, early recognition of changes, and timely intervention significantly contribute to safe and high-quality patient care. Further research in this field is important for improving clinical practice, particulary with a greater focus on the role of nurses, as this would contribute to a better understanding of their work and responsibilities. diplomska dela zdravstvena nega ehokardiografija elektrokardiografija enota intenzivne terapije hemodinamski monitoring medicinske sestre diploma theses nursing care echocardiography electrocardiography intensive care unit hemodynamic monitoring nurses true false false [M. Nanut] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-05-30 07:46:34 2026-05-30 07:46:54 2026-06-01 08:08:39 0000-00-00 00:00:00 2026 0 Ljubljana 0 Ljubljana 26 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083 159947 279943939 59256.pdf 59256.pdf 1 37BAFB409F504B09C2C3F888686DD077 8a4266a8c9f2315b1ff4622c6b76b75c390e48bb93ecf799fef506afb2a9b9cf 9d2bac4d-5bea-11f1-b0ab-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=234693 Zdravstvena fakulteta 0 0 0