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Vloga medicinske sestre pri oskrbi odraslega pacienta s hudo poškodbo glave : diplomsko delo
ID Černigoj, Gaj (Author), ID Gogova, Tina (Mentor) More about this mentor... This link opens in a new window, ID Svilar, Valerija (Comentor), ID Sotler, Robert (Reviewer)

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Abstract
Uvod: Huda poškodba glave je kompleksen zdravstveni problem z visoko incidenco in smrtnostjo. Pristop k zdravljenju zahteva multidisciplinarno sodelovanje, kjer igra medicinska sestra pomembno vlogo v procesu zdravljenja. Namen: Namen diplomskega dela je s pomočjo relevantne literature ugotoviti, katere intervencije zdravstvene nege medicinska sestra izvaja in s tem pripomore k preprečevanju širitve sekundarne poškodbe možganov. Metode dela: Uporabljena je bila deskriptivna metoda dela s pregledom slovenske in tuje literature. Izbrane so bile raziskave, ki proučujejo paciente v enotah intenzivnih terapij po hudi poškodbi možganov in opisujejo vlogo medicinske sestre pri obravnavi le-teh. Časovni okvir je zajemal literaturo v obdobju od 2014 do 2024, iskano s pomočjo digitalne knjižnice Univerze v Ljubljani v podatkovnih bazah CINAHL in PubMed/Medline ter iskalniku Google Učenjak. Podrobno smo pregledali 10 enot literature. Rezultati: Ugotovili smo, da intervencije medicinskih sester močno vplivajo na vitalne funkcije in izmerjene vrednosti funkcij možganov ter da medicinska sestra s svojimi intervencijami lahko prepreči širitev sekundarne poškodbe možganov. S pregledom literature smo ugotovili, da je pomembno tudi strokovno izobraževanje medicinskih sester, da lahko zagotovijo strokovno oskrbo pacienta s hudo poškodbo glave. Razprava in zaključek: Medicinska sestra je pomemben člen v multidisciplinarnem timu, ki skrbi za pacienta s hudo poškodbo glave, njena vloga je kompleksna in večplastna, saj vključuje tako klinične kot tudi psihosocialne vidike oskrbe pacienta. Medicinska sestra opravlja vrsto pomembnih nalog, od stalnega spremljanja vitalnih funkcij, upravljanja z medicinskimi napravami in izvajanja navodil zdravnika do nudenja čustvene podpore pacientom in svojcem. S stalno prisotnostjo ob pacientu je prva, ki opazi spremembe pri zdravstvenem stanju pacienta, in prva odreagira. Ugotovili smo, da so negovalne intervencije pomembne pri preprečevanju širjenja sekundarne poškodbe možganov.

Language:Slovenian
Keywords:diplomska dela, zdravstvena nega, huda poškodba možganov, preprečevanje sekundarne poškodbe možganov
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[G. Černigoj]
Year:2024
Number of pages:31 str.
PID:20.500.12556/RUL-165121 This link opens in a new window
UDC:616-083
COBISS.SI-ID:216264963 This link opens in a new window
Publication date in RUL:23.11.2024
Views:30
Downloads:3
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Secondary language

Language:English
Title:The role of the nurse in the care of an adult patient with severe head injury : diploma work
Abstract:
Introduction: Traumatic brain injury is a complex health issue with high incidence and mortality rates. The approach to treatment requires multidisciplinary collaboration, where the nurse plays a key role in the process of treatment. Purpose: The purpose of this paper is to identify, through relevant literature, the nursing interventions that nurses perform, contributing to the prevention of the spread of secondary brain injury Methods: The descriptive method was used, reviewing both Slovenian and international literature. Selected studies focused on patients in intensive care units after traumatic brain injury and described the role of the nurse in their treatment. The time frame covered literature from 2014 to 2024, sourced through the University of Ljubljana’s digital library, using databases such as CINAHL, PubMed/Medline, and the Google Scholar search engine. In total 10 articles were analysed. Results: Nursing interventions have been found to significantly impact vital signs and measured brain function values, and through their interventions, nurses can prevent the progression of secondary brain injury. A review of the literature has shown that professional education for nurses is also crucial in ensuring they can provide expert care for patients with severe head injuries. Discussion and conclusion: The role of the nurse is complex and multifaceted, involving both clinical and psychosocial aspects of patient care. Nurses perform a variety of important tasks, from continuous monitoring of vital signs and management of medical devices to executing doctors' orders and providing emotional support to patients and their families. With her constant presence beside the patient, she is the first to notice changes in the patient's health condition and the first to respond. Her nursing interventions are crucial in preventing the spread of secondary brain injury. Nurses are a crucial element in the multidisciplinary team caring for patients with traumatic brain injury.

Keywords:diploma theses, nursing care, traumatic brain injury, secondary brain injury

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