Zdravstvena nega po kirurški odstranitvi vraščenega nohta na nogi : diplomsko delo

Babnik, Špela (author), Pađen, Ljubiša (mentor)

Vraščen noht se v večini primerov pojavi na palcu noge. Vzrok je največkrat nepravilno striženje nohta in neprimerna obutev, zelo ogroženi so sladkorni pacienti. Druga in tretja stopnja bolezni se zdravi ambulantno s kirurškim posegom. Namen: Namen diplomskega dela je na teoretični ravni predstaviti zdravstveno nego pacienta po kirurški odstranitvi vraščenega nohta na nogi. Cilji so predstaviti dejavnike tveganja za vraščanje nohta na nogi, vrste kirurške zdravstvene oskrbe in možne zaplete, naloge medicinske sestre v preventivi, pred kirurškim zdravljenjem in po kirurškem zdravljenju vraščenega nohta, opisati naloge medicinske sestre pri zdravstveni oskrbi rane s primarnim in sekundarnim celjenjem in okužene rane. Metode: Opravljen je bil tematski narativni pregled znanstvene in strokovne literature v slovenskem in angleškem jeziku. Temeljno literaturo v slovenskem jeziku smo iskali prek vzajemne bibliografsko-kataloške baze podatkov COBIB in na spletnem brskalniku Google učenjak. Omejitve iskanja so bile literatura, izdana v časovnem obdobju med leti 2009 in 2019, članki s polnim besedilom. Temeljno literaturo v angleškem jeziku smo iskali po podatkovnih bazah CINAHL in PubMed in na spletnem brskalniku Google učenjak. Omejitve iskanja so bile angleški jezik, zadetki s polnim besedilom, znanstvene in strokovne recenzirane revije, časovno obdobje objave med leti 2009 in 2019. Rezultati: Po končanem operativnem posegu medicinska sestra v ambulanti splošne kirurgije pacientovo rano sterilno pokrije in svetuje pacientu, naj se do dva dni izogiba hoji, operirano nogo pa naj drži dvignjeno. Ne sme obuti ničesar, kar bi pritiskalo na prst, ob hujši bolečini naj se takoj vrne v ambulanto splošne medicine. Naroči ga na pregled in prevezo rane tretji dan po kirurškem posegu. Pacienta nauči preprečiti okužbo rane, ga pouči o znakih okužbe in o zdravstveni oskrbi okužene rane. Razprava in zaključek: Dober izid kirurškega zdravljenja vraščenega nohta ni odvisen le od izbire kirurške tehnike ter postoperativne oskrbe, temveč tudi od pravočasnega odkrivanja bolezni in opolnomočenja pacienta ter svojcev. Ključno vlogo pri zdravstveni vzgoji pacienta in svojcev imajo medicinske sestre.

• Language: Slovenian
• Keywords: ambulantna kirurška oskrba, zdravstvena vzgoja, medicinska sestra
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2019
• PID: 20.500.12556/RUL-107898
• COBISS.SI-ID: 5630315
• Publication date in RUL: 02.06.2019

Secondary language

• Language: English
• Title: Nursing care after ingrown toenail surgery : diploma work

Abstract

Ingrown nails in most cases appear on the toe of the leg. Most often causes are incorrect nail clipping and inadequate footwear, diabetics are at high risk. The second and third stage of the disease are treated with surgical intervention. Purpose: The purpose of the diploma work is to present the nursing care after ingrown toenail surgery. The goals are to present risk factors for ingrown toenail, types of surgical procedures and possible complications, tasks of the nurse in prevention, prior and after surgical treatment of ingrown toenail, describe the tasks of the nurse in primary and secondary healing wounds and infected wounds. Methods: A thematic narrative review of scientific literature in Slovene and English languages was carried out. We searched for basic literature in Slovenian language through national bibliographic database catalog COBIB and the Google Scholar Web browser. Search limits were published literature in the period between 2009 and 2019, full text articles. Basic literature in English language was searched using the CINAHL and PubMed databases and Google Scholar Web browser. Search limits were English language, full text articles, scientific and expert reviews, publication between 2009 and 2019. Results: After the surgery, the nurse in surgical ambulance takes care for proper wound dressing and advises the patient to avoid walking for 2 days and to keep the leg raised. Nurse refrain footwear sticking to finger and in case of severe pain, she advice immediately return to the ambulance. Wound dressing change will be done on the third day after surgery. Nurse also teach the patient to prevent infection of the wound, instruct him about signs of infection and care of the infected wound. Discussion and conclusion: A good outcome of ingrown nail surgical treatment depends not only on surgical technique choice and postoperative care, but also on timely detection of the disease and the empowerment of the patient and relatives. Nurses play a key role in health education of the patient and relatives.

• Keywords: ambulatory surgical care, health education, nurse