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Priprava pacienta s klasično hemofilijo na načrtovan operacijski poseg
Kobal, Andreja (Author), Ravljen, Mirjam (Mentor) More about this mentor... This link opens in a new window

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Abstract
Uvod: Hemofilija je motnja koagulacije, ki nastane zaradi pomanjkanja specifičnega faktorja strjevanja krvi. Je redka motnja, ki jo je zapleteno diagnosticirati in voditi. Pacienti s hemofilijo potrebujejo dodatno zdravstveno obravnavo že zaradi same bolezni, ko pa potrebujejo operativni poseg, predstavlja to veliko dodatnega načrtovanja in usklajenega delovanja vseh članov zdravstvenega tima. Namen: Namen diplomskega dela je prikazati pripravo pacienta s hemofilijo na načrtovan operativni poseg in opredeliti vlogo medicinske sestre pri tem. Metode: Za izdelavo diplomskega dela je bila uporabljena deskriptivna metoda dela s kritičnim pregledom domače in tuje literature. Literatura je bila iskana s pomočjo elektronskih podatkovnih baz CINAHL, MEDLINE in The Cochrane Library ter vzajemne bibliografsko-kataloške baze podatkov COBIB.SI. Glede na vključitvene in izključitvene kriterije smo uporabili 40 enot strokovne in znanstvene literature iz obdobja zadnjih 12 let. Razprava in sklep: Klasična hemofilija ali hemofilija A je dedna motnja strjevanja krvi zaradi pomanjkanja ali pomanjkljive aktivnosti faktorja VIII. Operativni poseg pri takem pacientu zahteva od zdravstvenih delavcev več dodatnega načrtovanja kot pri ljudeh, ki te bolezni nimajo. Celoten tim, ki sodeluje v perioperativnem obdobju, mora imeti veliko znanja in izkušenj. Vloga medicinske sestre je nepogrešljiva, saj pacienta spremlja v celotnem obdobju. Svoje delo mora opravljati strokovno in v skladu z etičnimi pravili. V pregledani literaturi nismo našli opisa vloge medicinske sestre pri pripravi pacienta s hemofilijo na operativni poseg.

Language:Slovenian
Keywords:motnje koagulacije, hemofilija A, operativni poseg, vloga medicinske sestre
Work type:Bachelor thesis/paper (mb11)
Organization:ZF - University College of Health Studies
Year:2017
COBISS.SI-ID:5232747 Link is opened in a new window
Views:1171
Downloads:891
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Secondary language

Language:English
Title:Preparing the patient with classical hemophilia for the planned surgery
Abstract:
Introduction: Haemophilia is an inherited genetic disorder of coagulation, caused by a lack of specific factor of clotting. Haemophilia is a rare disorder, which is difficult to diagnose and manage. Patients with haemophilia need an additional medical treatment due to the disease itself, but when they also need a surgery, it has to be carefully planned. Purpose: The purpose of the thesis is to present a proper preparation of a haemophiliac for the planned surgical procedure and to define the role of nurses. Methods: These thesis was written by using the descriptive methods with a critical review of Slovenian and foreign literature. The articles used were found with help of online databases and the bibliographic catalogue database COBIB.SI. In the research, 40 different articles of the scientific literature were found, written in the range of last 12 years, and chosen according to the inclusion criteria. Discussion and conclusion: Classic haemophilia or haemophilia A is an inherited disorder of blood coagulation due to the lack or insufficient activity of the factor VIII. A surgical procedure must be, in the case of haemophilia, even more planned as the procedures in the case of people who don’t suffer from the disease mentioned. The team that participates in the surgical procedure has to have experience with patients with bleeding disorder. The nurse plays an important role, because she must be present with the patient all the time. She must carry out her work professionally and according to the ethical rules. In the reviewed literature, no description of the role of nurses in the preparation of a patient with haemophilia in surgery was found.

Keywords:coagulation disorders, haemophilia A, surgical procedure, the role of nurses

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