20.500.12556/RUL-186261 Zdravstvena nega pacienta ob akutni krvavitvi iz zgornjega dela prebavil diplomsko delo Nursing care of a patient with acute upper gastrointestinal bleeding diploma work Uvod: Akutna krvavitev iz zgornjega dela prebavil predstavlja pogosto urgentno stanje, ki lahko zaradi hitre izgube krvi povzroči hemodinamsko nestabilnost in neposredno ogrozi življenje pacienta. Uspešna obravnava temelji na pravočasnem prepoznavanju znakov krvavitve, ustrezni diagnostiki, učinkovitem zdravljenju in kakovostni zdravstveni negi. Medicinska sestra ima pomembno vlogo pri spremljanju pacientovega zdravstvenega stanja, izvajanju negovalnih intervencij, preprečevanju zapletov in zdravstveni vzgoji pacienta. Namen: Namen diplomskega dela je bil s pregledom strokovne in znanstvene literature opredeliti negovalne intervencije pri pacientu ob akutni krvavitvi iz zgornjega dela prebavil v okviru internistične obravnave, in sicer v urgentni in nadaljevalni obravnavi ter ob pripravi na odpust iz bolnišnice. Metode dela: Uporabljena je bila deskriptivna metoda dela s pregledom strokovne in znanstvene literature. Literatura je bila pridobljena v bibliografskih zbirkah COBISS, MEDLINE in CINAHL Ultimate ter preko iskalnikov DiKUL, PubMed in Google Učenjak. V končno analizo je bilo vključenih 14 strokovnih in znanstvenih virov literature, objavljenih med letoma 2016 in 2026. Rezultati: Pregled literature je pokazal, da ima medicinska sestra pomembno vlogo v vseh fazah obravnave pacienta z akutno krvavitvijo iz zgornjega dela prebavil. V urgentni obravnavi sodeluje pri triaži, začetni oceni zdravstvenega stanja, monitoringu vitalnih funkcij, vzpostavitvi venskega pristopa, medikamentoznem zdravljenju in pripravi pacienta na endoskopski poseg. V nadaljevalni obravnavi izvaja monitoring vitalnih funkcij, prepoznava znake ponovne krvavitve, zagotavlja prehransko in psihološko podporo ter med izvajanjem intervencij zdravstvene nege v nadaljevalni obravnavi izvaja tudi zdravstveno vzgojo. Pomemben del njenega dela predstavljata tudi zdravstvena vzgoja pred odpustom in priprava pacienta na odpust iz bolnišnice. Razprava in zaključek: Ugotovitve kažejo, da kakovostna, sistematična in na pacienta usmerjena zdravstvena nega pomembno prispeva k hemodinamski stabilizaciji pacienta, zgodnjemu prepoznavanju zapletov in preprečevanju ponovne krvavitve. Medicinska sestra s strokovnim znanjem, kontinuiranim spremljanjem zdravstvenega stanja in zdravstveno vzgojo pomembno vpliva na varnost pacienta ter uspešnost njegovega okrevanja. Introduction: Acute upper gastrointestinal bleeding is a common emergency condition that can lead to haemodynamic instability and directly threaten a patient’s life due to rapid blood loss. Successful management is based on the timely recognition of bleeding signs, appropriate diagnostics, effective treatment, and high-quality nursing care. Nurses play an important role in monitoring the patient's condition, implementing nursing interventions, preventing complications, and providing health education. Purpose: The purpose of this diploma thesis was to identify nursing interventions for patients with acute upper gastrointestinal bleeding in the context of internal medicine care during emergency and continuing care, as well as during discharge preparation, through a review of professional and scientific literature. Methods: A descriptive research method based on a review of professional and scientific literature was used. The literature was obtained from the COBISS, MEDLINE, and CINAHL Ultimate databases, as well as through the DiKUL, PubMed and Google Scholar search engines. A total of 14 professional and scientific sources published between 2016 and 2026 were included in the final analysis. Results: The literature review demonstrated that nurses play an important role in all phases of care for patients with acute upper gastrointestinal bleeding. In emergency care, nurses participate in triage, the initial assessment of the patient's condition, monitoring of vital signs, establishment of vascular access, pharmacological treatment, and preparation for endoscopic procedures. During continuing care, nurses monitor vital signs, identify signs of recurrent bleeding, provide nutritional and psychological support and health education while implementing nursing interventions during the subsequent phase of care. An important part of their role also includes patient education and preparation for discharge from the hospital. Discussion and Conclusion: The findings indicate that high-quality, systematic, and patient-centred nursing care significantly contributes to the haemodynamic stabilisation of patients, early recognition of complications, and prevention of recurrent bleeding. Through professional knowledge, continuous monitoring of the patient’s condition, and health education, nurses have a substantial impact on patient safety and the success of recovery. diplomska dela zdravstvena nega gastroenterologija akutna obravnava endoskopija hemostaza diploma theses nursing care gastroenterology acute care endoscopy hemostasis true false false [M. Kralj] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-08-29 07:47:12 2026-08-29 07:47:23 2026-08-31 08:19:34 0000-00-00 00:00:00 2026 0 Ljubljana 0 Ljubljana VIII, 28 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083 162751 289398019 63401.pdf 63401.pdf 1 FC519F3D4C07C7594DC2626D30B42946 32289a4d3371180d77065b0434a1292e44e7cc8c00a8ff25b26c6da9d4a78ab6 aed34d3c-a36c-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=245400 Zdravstvena fakulteta 0 0 0