Vloga medicinske sestre pri celostni obravnavi pacienta s sindromom karpalnega kanala : pregled literature

Grubar, Andreja (author), Pajnič, Manca (mentor)

Uvod: Sindrom karpalnega kanala je najpogostejša oblika periferne nefropatije in prizadene približno 3 % odraslih. Tipični simptomi so bolečina, omrtvelost, in mravljinčenje v dlani in prstih, ki jih oživčuje medialni živec. Težave so hujše po obremenitvi, ponoči pa se pacient zbuja z otrplimi rokami. Zaradi poznega obiska pri specialistu mnogo pacientov potrebuje operativno zdravljenje. Namen: Namen diplomskega dela je predstaviti značilnosti sindroma karpalnega kanala, ter vlogo medicinske sestre, poučevanje in rehabilitacijo pri pacientu s sindromom karpalnega kanala. Metode dela: Uporabljena je bila deskriptivna ali opisna metoda dela s pregledom domače in tuje strokovne literature s področja obravnavane tematike. Narejen je pregled s področja anatomije karpalnega kanala, zdravstvena nege in vloga medicinske sestre pri pacientu s sindromom karpalnega kanala. Prikazan je obrazec klinične poti Kirurškega sanatorija Rožna dolina. Razprava in zaključek: Rezultati so pokazali, da je od leta 2012 do 2015 na operativni poseg za sindrom karpalnega kanala v Kirurškem sanatoriju povprečna starost pacientov 64 let. Simptomi karpalnega kanala se pogosteje pojavljajo pri ženskah kot pri moških, zaradi pogostejših finih, ročnih prijemov. Pri povečanem obsegu števila pacientov dnevno je premalo časa za individualno obravnavo. Vloga iste medicinske sestre v času celostne obravnave pacienta v Kirurškem sanatoriju prispeva k boljši pripravi pacienta na operativni poseg. Pacienti prejmejo tudi navodila v ustni in pisni obliki za samooskrbo po operativnem posegu. Uporablja se klinična pot Kirurškega sanatorija Rožna dolina za sindrom karpalnega kanala. Menim, da gre za dobro sodelovanje med medicinsko sestro in pacientom.

• Language: Slovenian
• Keywords: roka, bolečina, mravljinčenje, medicinska sestra, lokalna anestezija
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2017
• PID: 20.500.12556/RUL-92567
• COBISS.SI-ID: 5269867
• Publication date in RUL: 14.06.2017

GRUBAR, Andreja, 2017, Vloga medicinske sestre pri celostni obravnavi pacienta s sindromom karpalnega kanala : pregled literature [online]. Bachelor’s thesis. [Accessed 29 May 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=92567

Secondary language

• Language: English
• Title: The role of nurse in the comprehensive treatment of patient with carpal tunnel syndrome : literature review

Abstract

Introduction: The carpal tunnel syndrome is the most common form of peripheral neuropathy and affects approximately 3 % of adults. Typical symptoms are: a pain, numbness, tingling in a palm and fingers, which is served by the medial nerve. The problems get worse after burdening, at night when a patient wakes up with hand numbness. For the reason of not visiting a specialist earlier, a lot of patients need operational treatment. The aim: The aim of this diploma work is to introduce the characteristics of the carpal tunnel syndrome, the role of a nurse, patient teaching and rehabilitation connected to the carpal tunnel syndrome. The working methods: A descriptive working method by domestic and foreign literature review within the treated topic was used. The review of the field of carpal tunnel anatomy is made, medical care and the role of the nurse by the patient with the carpal tunnel syndrome. A formular of the clinical way of Surgical sanatory of Rožna dolina was represented. The discussion and conclusion: The results demonstrated as from years 2012 until 2015 show the average year of patients waiting for the carpal tunnel syndrome operation procedure was 64. The symptoms of the carpal tunnel are more often appeared with women as with men, since women are more exposed because of fine and manual holds. By increased number of the patients daily there is not enough time for the individual treatment. The role of the nurse during total patient treatment in the Surgical sanatory contributes to better patient preparing to the operation procedure. The patients receive oral and written instructions for the self-supply after the operation procedure. The clinical way of the Surgical sanatory of Rožna dolina for the carpal tunnel syndrome is used. I consider the collaboration between a nurse and a patient is well.

• Keywords: a hand, a pain, tingling, a nurse, local anaesthesia