20.500.12556/RUL-184683 Vpliv nošnje smučarskih rokavic na kakovost izvajanja stisov prsnega koša pri izvajanju temeljnih postopkov oživljanja magistrsko delo The impact of wearing ski gloves on the quality of chest compressions during cardiopulmonary resuscitation master thesis Uvod: Nenadni srčni zastoj predstavlja pomemben javnozdravstveni problem, pri katerem je preživetje odvisno predvsem od pravočasnega in kakovostnega izvajanja temeljnih postopkov oživljanja. V specifičnih okoljih, kot so zimska in gorska območja, se temeljni postopki oživljanja pogosto izvajajo ob uporabi zaščitne opreme, vključno s smučarskimi rokavicami, ki lahko vplivajo na kakovost izvajanja stisov prsnega koša. Vpliv takšne opreme na kakovost stisov prsnega koša še ni dovolj raziskan. Namen: Namen magistrskega dela je raziskati vpliv nošnje smučarskih rokavic na kakovost stisov prsnega koša v okviru temeljnih postopkov oživljanja in subjektivno oceno doživljanja udeležencev. Metode dela: V randomizirani navzkrižni eksperimentalni raziskavi je 52 študentov zdravstvenih ved izvajalo stise prsnega koša na lutki, tako z rokavicami kot brez njih. Velikost in smer sile med stisi prsnega koša sta bili merjeni s pritiskovno ploščo Kistler ter z lutko Resusci Anne (Laerdal, Norveška), namenjeno ocenjevanju kakovosti kardiopulmonalnega oživljanja. Izkušnja (težavnost, utrujenost, nelagodje, stabilnost, ročna kontrola) je bila ocenjena z evalvacijskim vprašalnikom. Rezultati: globina stisov prsnega koša (69 ± 9 proti 70 ± 7 mm; p > 0,05), frekvenca (117 ± 16 proti 118 ± 15/min; p > 0,05) in skupni rezultat ocene kakovosti kardiopulmonalnega oživljanja (95 % proti 94 %, p = 0,27) se niso statistično značilno razlikovali z rokavicami ali brez njih. Popolna sprostitev prsnega koša je bila boljša z rokavicami (98 % proti 86 %, p = 0,002). Največja sila pri stisih prsnega koša je bila v povprečju nekoliko nižja z rokavicami kot brez (632 ± 164 N proti 648 ± 164 N, p = 0,01), vendar je bil učinek zanemarljiv (Cliffov δ = 0,08). Povprečno odstopanje maksimalne sile od navpične smeri ni pokazalo pomembne razlike (4,7° ± 2,4° v obeh primerih, p = 0,86). Udeleženci so poročali o večji zaznani težavnosti, nelagodju, utrujenosti, slabši stabilnosti in slabši ročni kontroli pri nošenju rokavic (vse p < 0,05). Razprava in zaključek: Smučarske rokavice povečini niso poslabšale objektivne kakovosti stisov prsnega koša, vendar so povečale zaznani napor in nelagodje izvajalcev. Zato je smiselno, da programi usposabljanja za temeljne postopke oživljanja v hladnih okoljih vključujejo vadbo z rokavicami, s čimer se izboljša pripravljenost izvajalcev in hkrati zagotovi zaščita rok pred mrazom. V prihodnjih raziskavah bi bilo smiselno vključiti različne vrste zaščitnih rokavic ter izvajanje raziskave v dejanskih zimskih pogojih. Introduction: Sudden cardiac arrest represents a major public health concern, with survival largely dependent on the timely and high-quality delivery of basic life support. In specific environments, such as winter and mountainous settings, cardiopulmonary resuscitation (CPR) is often performed while wearing protective equipment, including ski mittens, which may affect the quality of chest compressions. However, the impact of such equipment on chest compression performance remains insufficiently investigated. Purpose: The aim of this master's thesis was to investigate the effect of wearing ski mittens on the quality of chest compressions during basic life support and on participants’ subjective perceptions of performance. Methods: In a randomized crossover experimental study, 52 healthcare students performed chest compressions on a manikin under two conditions: while wearing ski mittens and without mittens. The magnitude and direction of the forces applied during chest compressions were measured using a Kistler force plate and a Resusci Anne manikin (Laerdal, Norway) for the assessment of CPR quality. Subjective experience, including perceived difficulty, fatigue, discomfort, stability, and manual control, was evaluated using a structured questionnaire. Results: Chest compression depth (69 ± 9 vs. 70 ± 7 mm; p > 0.05), compression rate (117 ± 16 vs. 118 ± 15 compressions/min; p > 0.05), and overall CPR quality score (95% vs. 94%; p = 0.27) did not differ significantly between the mitten and no-mitten conditions. Complete chest recoil was significantly better when participants wore mittens (98% vs. 86%; p = 0.002). Peak compression force was slightly lower with mittens than without (632 ± 164 N vs. 648 ± 164 N; p = 0.01); however, the effect size was negligible (Cliff’s δ = 0.08). The mean deviation of peak force from the vertical axis showed no significant difference between conditions (4.7° ± 2.4° in both cases; p = 0.86). Participants reported greater perceived difficulty, discomfort, fatigue, reduced stability, and poorer manual control while wearing mittens (all p < 0.05). Discussion and conclusion: Wearing ski mittens did not significantly impair the objective quality of chest compressions; however, it increased perceived exertion and discomfort among rescuers. Therefore, basic life support training programs intended for cold-weather environments should incorporate practice while wearing gloves or mittens to improve rescuer preparedness while ensuring adequate hand protection from low temperatures. Future research should investigate different types of protective gloves and evaluate CPR performance under real winter conditions. magistrska dela zdravstvena nega kardiopulmonalno oživljanje študenti zdravstvenih ved subjektivna obremenitev kompresijska sila randomizirana navzkrižna raziskava master theses nursing care cardiopulmonary resuscitation healthcare students subjective workload compression force randomized crossover study true false false [B. Kaltak Horozović] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2026-07-12 07:45:52 2026-07-12 07:46:01 2026-07-20 08:43:16 0000-00-00 00:00:00 2026 0 Ljubljana 0 Ljubljana IX, 39 str., [3] str. pril. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083 160492 285367043 60671.pdf 60671.pdf 1 7DD2284A6E5D1FC1DC31285EEC892687 f6ff32767ca8394ad166a8e05bfa72e5ec365b51799d4ab24d5c259a67873764 d0d336ba-7db4-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=237630 Zdravstvena fakulteta 0 0 0