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Poznavanje in ravnanje z različnimi vrstami trahealnih kanil : diplomsko delo
ID Mekicar, Andreja (Author), ID Gorjup, Polona (Mentor) More about this mentor... This link opens in a new window, ID Gogova, Tina (Comentor), ID Ravljen, Mirjam (Reviewer)

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Abstract
Uvod: Pri približno 24 % bolnikov, ki se zdravijo v enotah intenzivne terapije, se izvede traheotomija. To je poseg, pri katerem skozi kožo na vratu in naprej v trahejo naredijo trajno ali pa začasno fistulo oz. traheostomo, ki omogoča dihanje. Za poseg se lahko odločijo načrtovano ali urgentno. Izraz traheostoma se uporablja tudi ob trajnostni odstranitvi grla oz. laringektomiji. Ima številne prednosti pred endotrahealno intubacijo, zato je prva izbira ob dolgotrajnih težavah z dihalno potjo. Bolnik, ki ima traheostomo, potrebuje pomoč pri vseh življenjskih aktivnostih. Medicinske sestre preživijo največ časa ob bolnikih in so odgovorne za njihovo fizično in psihično stanje. Zdravstvena nega bolnika s traheostomo zahteva kompetentne in odgovorne medicinske sestre, ki so pripravljene na kontinuirano izvajanje procesov zdravstvene nege na najvišjem strokovnem nivoju. Namen: Namen diplomskega dela je s pomočjo pregleda literature predstaviti različne vrste trahealnih kanil in glavne razlike med njimi. Osrednji namen pa je predstaviti pravilno ravnanje z njimi pri delu medicinskih sester. Metode dela: Uporabili smo deskriptivno metodo dela s pregledom znanstvene in strokovne literature. Iskanje je potekalo v bazah podatkov CINAHL, MEDLINE in PubMed. Rezultati: S pregledom literature smo zajeli 20 znanstvenih člankov, ki so se ujemali z izbrano temo in cilji diplomskega dela. Ugotovili smo, da so medicinske sestre nepogrešljiv član multidisciplinarnega tima, ki pristopa pri bolnikih s traheostomo in da je njihova vloga ključna pri ravnanju s trahealnimi kanilami. Razprava in zaključek: Traheotomija je postala vse pogostejša tehnika oskrbe dihalnih poti, zato je ključno, da medicinske sestre poznajo različne vrste trahealnih kanil in ravnanje z njimi. Obstajajo standardi glede aspiracije in preveze traheostome. Ne obstajajo pa standardi glede toalete trahealnih kanil, ravnanja s trahealnimi kanilami in uporaba le teh. V kliničnem okolju se upoštevajo le navodila, ki so jih zapisali proizvajalci in pa strokovna literatura, v kateri zdravstveni delavci pišejo o praktičnih izkušnjah glede ravnanja s trahealnimi kanilami. Zdravstvena nega pacienta s trahealno kanilo se lahko izboljšuje z vzpostavitvijo in upoštevanjem enotnih standardov. Medicinska sestra mora ob obravnavi pacienta upoštevati njegovo avtonomnost in biti dosledna pri izvajanju vseh intervencij zdravstvene nege.

Language:Slovenian
Keywords:diplomska dela, zdravstvena nega, traheotomija, oskrba traheostome, medicinske sestre
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[A. Mekicar]
Year:2023
Number of pages:34 str.
PID:20.500.12556/RUL-151160 This link opens in a new window
UDC:616-083
COBISS.SI-ID:166752771 This link opens in a new window
Publication date in RUL:30.09.2023
Views:1090
Downloads:207
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Secondary language

Language:English
Title:Knowledge and handling of different types of tracheal cannula : diploma work
Abstract:
Introduction: Approximately 24% of patients treated in intensive care units undergo a tracheotomy. This is a procedure in which a permanent or temporary fistula is made through the skin on the neck and further into the trachea. a tracheostomy that allows breathing. They can decide to have the intervention planned or urgent. The term tracheostomy is also used in case of permanent removal of the larynx or laryngectomy. It has many advantages over endotracheal intubation, so it is the first choice for long-term airway problems. A patient with a tracheostomy needs help with all life activities. Nurses spend most of their time with patients and are responsible for their physical and psychological condition. Nursing care of a patient with a tracheostomy requires competent and responsible nurses who are ready to continuously perform nursing care processes at the highest professional level. Purpose: The purpose of the thesis is to present different types of tracheal cannulae and the main differences between them by means of a literature review. The main purpose is to present the correct handling of them in the work of nurses. Methods: We used a descriptive method of work with a review of scientific and professional literature. The CINAHL, MEDLINE and PubMed databases were searched. Results: Through the review of the literature, we have included 20 scientific articles that corresponded to the chosen topic and the objectives of the thesis. We found that nurses are an indispensable member of the multidisciplinary team that approaches tracheotomized patients and that their role is crucial in the management of tracheal cannulae. Discussion and conclusion: Tracheotomy has become an increasingly common airway care technique, so it is critical that nurses know the different types of tracheal tubes and how to handle them. There are standards for aspiration and tracheostomy dressing. However, there are no standards regarding the toilet of tracheal cannulae, the handling of tracheal cannulae and their use only. In the clinical environment, only the instructions written by the manufacturers and the professional literature, in which health professionals write about practical experiences regarding the handling of tracheal cannulae, are followed. Nursing care of the patient with a tracheal cannula can be improved by establishing and following uniform standards. When treating the patient, the nurse must take into account his autonomy and be consistent in the implementation of all nursing interventions.

Keywords:diploma theses, nursing care, tracheotomy, tracheostomy care, nurses

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