Zdravstvena oskrba pacienta s periferno vstavljenim centralnim katetrom (PICC) : diplomsko delo

Čaušević, Sadela (author), Sotler, Robert (mentor), Mihelj, Erik (comentor), Mlinar, Suzana (reviewer)

Uvod: Za paciente v bolnišničnem in ambulantnem okolju, ki prejemajo intravenozno terapijo, je ključnega pomena, da imajo varno in zanesljivo dostopno mesto do ven, predvsem zaradi različnih diagnostičnih in terapevtskih postopkov. Zelo pogost način dostopa je s pomočjo periferno vstavljenega centralnega venskega katetra (PICC). Namen: Namen diplomskega dela je prepoznati in raziskati možne zaplete, ki nastanejo pri pacientih s PICC. Pri tem nas zanimajo vzroki, zakaj do teh zapletov sploh pride. Pri tem osvetljujemo tudi vlogo medicinskih sester, ki lahko preprečijo morebitne zaplete zaradi PICC oziroma s svojem ravnanjem minimizirajo dejavnike, da pride do teh zapletov. Metode dela: Diplomsko delo temelji na deskriptivnem pristopu k raziskovanju in sicer s preučevanjem tuje in domače strokovne literature s tega področja. Pri internetnih virih smo uporabljali izločitvene kriterije. Vsa literatura je novejša, objavljena po letu 2013. Rezultati: V tem poglavju analiziramo najbolj pogoste zaplete, ki se lahko pojavijo pri vstavljenemu PICC. Zanimajo nas tudi vzroki, zakaj do teh zapletov pride. Zapleti so pogosto povezani z individualnimi dejavniki (npr. neustrezno znanje medicinskih sester) ali pa z organizacijskimi dejavniki zdravstvenih ustanov. Razprava in zaključek: Medicinske sestre morajo poznati zaplete, ki nastanejo pri pacientih s PICC in nemudoma ukrepati, hkrati pa morajo minimizirati tveganja za nastanek kakršnih koli težav zaradi uporabe PICC. Pri tem se nam zdijo še posebej pomembne veščine, pa tudi znanje s tega področja, ki ga morajo medicinske sestre ves čas obnavljati in pridobivati – gre torej za permanenten proces učenja in usposabljanja. V tujini se na tem področju že močno uveljavlja uporaba certifikatov. Vse pomembnejša pa je tudi vloga zdravstvenih timov, ki so se izkazali uspešnejši od delovanja posameznikov.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, medicinske sestre, možni zapleti, PICC, zdravstveni tim
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [S. Čaušević]
• Year: 2024
• Number of pages: 27 str.
• PID: 20.500.12556/RUL-155092
• UDC: 616-083
• COBISS.SI-ID: 189583107
• Publication date in RUL: 20.03.2024

ČAUŠEVIĆ, Sadela, 2024, Zdravstvena oskrba pacienta s periferno vstavljenim centralnim katetrom (PICC) : diplomsko delo [online]. Bachelor’s thesis. Ljubljana : S. Čaušević. [Accessed 31 March 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=155092

Secondary language

• Language: English
• Title: Medical care of a patient with peripherally inserted central catheter (PICC) : diploma work

Abstract

Introduction: For patients in the inpatient and outpatient setting receiving intravenous therapy, it is crucial to have a safe and reliable access site to veins for various diagnostic and therapeutic procedures. A very common access method is via a peripherally inserted central venous catheter (PICC). Purpose: The purpose of this thesis is to identify and investigate the possible complications that arise in patients with PICC. In doing so, we are interested in the reasons why these complications occur in the first place. In doing so, we also shed light on the role of nurses to prevent possible complications due to PICC or to minimise the factors that lead to these complications. Methods: The thesis is based on a descriptive approach to research by studying foreign and domestic literature in this field. For internet sources, we used the exclusion criteria. All literature is recent, from 2013 onwards. Results: In this section, we analyse the most common complications that can arise when a PICC is inserted. We are also interested in the reasons why these complications occur. Complications are often related to individual factors (e.g. inadequate knowledge of nurses) or to organisational factors of healthcare institutions. Discussion and conclusion: with PICCs and take immediate action, while minimising the risks of any problems arising from the use of PICCs. In this regard, we consider it particularly important that nurses have knowledge and skills in this area, which they must continuously update and acquire - a continuous process of learning and training. Certificates in this field are already well established abroad. The role of health teams is also increasingly important and has proven to be more effective than the actions of individuals.

• Keywords: diploma theses, nursing care, nurses, possible complications, PICC, healthcare team