Primerjava kakovosti izvajanja temeljnih postopkov oživljanja stoje ob postelji z oživljanjem kleče na postelji : diplomsko delo

Berginc, Patrik (author), Slabe, Damjan (mentor), Dolenc, Eva (comentor), Prestor, Jože (reviewer)

Uvod: Temeljni postopki oživljanja (TPO) so bili že pred 50 leti prepoznani kot ključna intervencija v primeru srčnega zastoja. Zaradi spoznanja, da je zastoj krvnega obtoka lahko le prehoden, če odstranimo njegov vzrok, prizadeto osebo pa medtem vzdržujemo pri življenju s TPO, so nekatere države po letu 1973 pričele z množičnim izobraževanjem zdravstvenih delavcev. Za izvajanje stisov prsnega koša v bolnišničnem okolju je najbolj standarden položaj stoje ob postelji, zato se poraja vprašanje, ali je položaj kleče na postelji ob pacientu po kakovosti primerljiv položaju stoje ob postelji. Namen: Primerjati, v katerem položaju osebe, ki izvaja TPO, so stisi prsnega koša bolj učinkoviti – stoje ob postelji ali kleče na postelji. Metode dela: Uporabili smo kvantitativno in kvalitativno metodo raziskovanja. Izvedli smo simuliran eksperiment srčnega zastoja na modelu za oživljanje, v katerem smo pridobili kvantitativne podatke z merjenjem vnaprej določenih parametrov. Kvalitativne podatke smo pridobili s polstrukturiranim vprašalnikom za udeležence raziskave. Rezultati: V raziskavi je sodelovalo 40 študentov Zdravstvene fakultete Univerze v Ljubljani. Rezultati so pokazali 81 % uspešnost TPO stoje ob postelji in 86,5 % uspešnost kleče na postelji, med skupinama pa ni bilo statistično pomembnih razlik (p = 0,400). Udeleženci so fizično zahtevnost TPO stoje ob postelji ocenili s 5,4 in psihično s 5,1, medtem ko so fizično zahtevnost kleče na postelji ocenili s 5,1 in psihično s 5,4 (na lestvici od 1 do 10). Med oživljanjem v stoječem položaju je največ udeležencev izpostavilo, da so imeli tako boljšo stabilnost, med TPO kleče pa so bili manj utrujeni. Razprava in zaključek: Oba položaja sta kakovostna ter primerna za izvajanje stisov prsnega koša. Bila so zaznana manjša odstopanja, vendar so ta tako majhna, da jih ne moremo upoštevati kot pomembna in kot takšna, da bi lahko trdili, da je en položaj učinkovitejši od drugega. Za izvajanje stisov prsnega koša v bolnišničnem okolju priporočamo oba načina oziroma način, ki je izvajalcu bolj udoben ter praktičen, saj ima vsak svoje prednosti in slabosti

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, srčni zastoj, stisi prsnega koša, položaj izvajanja stisov prsnega koša, občutki udeležencev
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [P. Berginc]
• Year: 2024
• Number of pages: 19 str., [2] str. pril.
• PID: 20.500.12556/RUL-165122
• UDC: 616-083
• COBISS.SI-ID: 216289795
• Publication date in RUL: 23.11.2024

Secondary language

• Language: English
• Title: Quality of chest compressions while standing next to the bed compared to chest compressions while kneeling on the bed : diploma work

Abstract

Introduction: Cardiopulmonary resuscitation (CPR) was recognized as a key intervention in cardiac arrest already 50 years ago. Due to the realization that circulatory arrest can only be temporary if its cause is removed and the affected person is meanwhile kept alive with CPR, some countries started mass training of medical professionals after 1973. For performing chest compressions in a hospital environment, the most standard position is standing by the bed, so the question arises whether the position of kneeling on the bed next to the patient is comparable in quality to the standing position at the bedside. Purpose: To compare in which position of the person performing CPR chest compressions are more effective – standing by the bed or kneeling on the bed. Methods: We used quantitative and qualitative research methods. We performed a simulated cardiac arrest experiment on a resuscitation model in which we obtained quantitative data by measuring predefined parameters. Qualitative data were obtained using a semi-structured questionnaire for research participants. Results: 40 students of the Faculty of Health of the University of Ljubljana participated in the research. The results showed an 81 % success rate for CPR standing by the bedside and 86.5 % for kneeling on the bed, with no statistically significant differences between the groups (p = 0.400). The participants rated the physical difficulty of CPR standing by the bed as 5.4 and the psychological difficulty as 5.1, while they rated the physical difficulty of kneeling as 5.1 and the mental difficulty as 5.4 (on a scale of 1 to 10). During CPR in the standing position, most participants pointed out that they had better stability, and they were less tired during the kneeling position. Discussion and conclusion: Both positions are good and suitable for performing chest compressions. Minor deviations were detected, but these are so small that we cannot consider them as important and as such that we could claim that one position is more effective than the other. For performing chest compressions in a hospital environment, we recommend both methods, or the method that is more comfortable and practical for the practitioner, as each has its own advantages and disadvantages.

• Keywords: diploma theses, nursing care, cardiac arrest, chest compressions, chest compression position, participants' feelings