Zadovoljstvo bolnikov s programom ambulantne kardiološke rehabilitacije v Splošni bolnišnici Murska Sobota : magistrsko delo

Štrancar, Anita (author), Farkaš-Lainščak, Jerneja (mentor), Kvas, Andreja (comentor), Pandel Mikuš, Ruža (reviewer)

Uvod: Program ambulantne kardiološke rehabilitacije bolnikov po akutnem miokardnem infarktu je vsebinsko strukturiran in kardiološko nadzorovan program, ki sloni na redni telesni vadbi in dokazano zmanjša umrljivost zaradi bolezni srca in žilja. Pomembno vlogo pri presojanju kakovosti programa ambulantne kardiološke rehabilitacije ima tudi bolnikovo mnenje. Merjenje zadovoljstva bolnikov nam pomaga pri izboljševanju programa ambulantne kardiološke rehabilitacije. Namen: Namen magistrskega dela je predstaviti oblike, potek in razvoj programov kardiološke rehabilitacije v Sloveniji in ugotoviti, kako zadovoljni so bolniki po prebolelem akutnem miokardnem infarktu s programom ambulantne kardiološke rehabilitacije v Splošni bolnišnici Murska Sobota. Metode dela: Izvedena je bila neeksperimentalna presečna raziskava. V teoretičnem delu smo uporabili metodo pregleda domače in tuje strokovne literature, v empiričnem delu pa smo uporabili neeksperimentalno kvantitativno metodo z uporabo anketnega vprašalnika. Zbrane podatke smo obdelali in analizirali s programoma Microsoft® Excel in SPSS. Vzorec je predstavljalo 140 bolnikov po prebolelem akutnem miokardnem infarktu, od tega je bilo 77,9 % moških in 22,1 % žensk, s povprečno starostjo 63 let. Rezultati: Raziskava je pokazala, da je bilo 80,7 % bolnikov zelo zadovoljnih s programom ambulantne kardiološke rehabilitacije, 83,6 % bolnikov je bilo zelo zadovoljnih z vadbenim delom programa, 76,4 % bolnikov pa je bilo zelo zadovoljnih s svetovanjem o spremembi življenjskega sloga v sklopu programa. Med različnimi vidiki in koristmi programa ambulantne kardiološke rehabilitacije so bili bolniki najbolj zadovoljni z odnosom medicinskih sester in fizioterapevtov (4,95 ± 0,219 in 4,95 ± 0,219) ter odnosom zdravnikov (4,79 ± 0,424). Razprava in zaključek: Naša raziskava je prva na področju preučevanja zadovoljstva bolnikov s programom ambulantne kardiološke rehabilitacije, ki v Sloveniji poteka od leta 2017, v Splošni bolnišnici Murska Sobota pa od leta 2018. Pokazala je, da so povprečne vrednosti vseh trditev, ki se nanašajo na zadovoljstvo s programom ambulantne kardiološke rehabilitacije v Splošni bolnišnici Murska Sobota, zelo visoke. Rezultati raziskave ponujajo izhodišča za oblikovanje organizacijskih in vsebinskih dopolnitev programa ambulantne kardiološke rehabilitacije, ki bo na ta način še bolj prilagojen potrebam bolnikov.

• Language: Slovenian
• Keywords: magistrska dela, zdravstvena nega, rehabilitacija, akutni miokardni infarkt, zdravstvena vzgoja, timska obravnava, medicinske sestre
• Work type: Master's thesis/paper
• Typology: 2.09 - Master's Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [A. Štrancar]
• Year: 2021
• Number of pages: 79 str., [9] str. pril.
• PID: 20.500.12556/RUL-134223
• UDC: 616-083
• COBISS.SI-ID: 91658243
• Publication date in RUL: 31.12.2021

Secondary language

• Language: English
• Title: Patient satisfaction with outpatient hospital-based cardiac rehabilitation program in General hospital Murska Sobota : master thesis

Abstract

Introduction: The outpatient hospital-based cardiac rehabilitation program after acute myocardial infarction is content-structured and cardiologically controlled program that is based on regular physical exercise and has been proven to reduce mortality of cardiovascular disease. The patient`s opinion plays an important role in assessing the quality of outpatient hospital-based cardiac rehabilitation program. Measuring patient satisfaction can help us to improve the outpatient hospital-based cardiac rehabilitation program. Purpose: The purpose is to determine the form, course and development of cardiac rehabilitation programs in Slovenia and find out the satisfaction of acute myocardial infarction patients with outpatient hospital-based cardiac rehabilitation program in General Hospital Murska Sobota. Methods: A non-experimental cross-sectional study research methodology was used. For the theoretical part, we analysed Slovenian and foreign professional literature. For empirical part, we used the non-experimental quantitative method. With survey questionnaire, we collected the opinions of patients and statistically analysed the data with descriptive statistics, Microsoft® Excel and SPSS. The questionnaire was answered by 140 respondents, 77,9 % of men and 22,1 % of women. Average age of respondents was 63. Results: The results of the study showed that 80,7 % of patients were generally very satisfied with the outpatient hospital-based cardiac rehabilitation program. We found that 83,6 % of patients were very satisfied with the exercise part of program and 76,4 % of patients were very satisfied with lifestyle counsellig. Among the various aspects and benefits of the outpatient hospital-based cardiac rehabilitation program, patients were most satisfied with the attitude of nurses and physiotherapists (4.95 ± 0.219 and 4.95 ± 0.219) and the attitude of physicians (4.79 ± 0.424). Discussion and conclusion: Our research is the first survey in the field of measuring patient satisfaction with the outpatient hospital-based cardiac rehabilitation program, which has been taking place in Slovenia since 2017 and at General Hospital Murska Sobota since 2018. Our research showed that the average values of all statements relating to satisfaction with the outpatient hospital-based cardiac rehabilitation program are very high. The identified views of patients represent the starting points for organizational and content updates to the outpatient hospital-based cardiac rehabilitation program, which will become even more tailored to the perceived needs of patients.

• Keywords: master theses, nursing care, rehabilitation, acute myocardial infarction, health education, team treatment, nurses