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Vloga medicinske sestre pri primarni artroplastiki kolčnega sklepa : pregled literature
ID Lešek, Urška (Author), ID Sazonov, Amalija (Mentor) More about this mentor... This link opens in a new window

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PID: 20.500.12556/rul/4485d881-31f3-4c37-bb10-4d4eb664dd81

Abstract
Uvod: Artroza je degenerativna sklepna bolezen in se kaže s propadom sklepnega hrustanca, ki povzroči oženje sklepne špranje. Najpogosteje prizadene ljudi srednjih let in starejše. Zaradi bolečin je vedno bolj oteženo gibanje, s čimer se slabša kvaliteta življenja obolelih. Kadar bolečine ne moremo več lajšati s konzervativno terapijo, se odločimo za vstavitev totalne kolčne endoproteze. Pri obravnavi ortopedskega pacienta ima v interdisciplinarnem timu pomembno vlogo tudi medicinska sestra, saj s kakovostno zdravstveno nego po operaciji pripomore k njegovi hitrejši rehabilitaciji. Namen: Namen diplomskega dela je predstaviti delo in vlogo medicinske sestre pri obravnavi ortopedskega pacienta po kirurškem posegu vstavitve primarne kolčne endoproteze. Metode dela: V diplomskem delu je uporabljena deskriptivna metoda dela s pregledom slovenske in tuje strokovne ter znanstvene literature s področja zdravstvenih ved in socialnega varstva. Pregled literature je potekal s tehniko kritičnega branja, in sicer s področja anatomije in fiziologije kolka, artroze, osteoartroze, operacije totalne endoproteze kolka ter zdravstvene nege ortopedskega pacienta. Razprava in sklep: Totalna artroplastika kolka predstavlja uspešno in trajno rešitev pri zdravljenju obrabljenih sklepov, le-ta zmanjša predvsem bolečino in izboljša sklepno funkcijo. Rezultati kažejo, da ima pomemben delež pri okrevanju in rehabilitaciji pacienta tudi dobro načrtovana in profesionalno opravljena zdravstvena nega, ki jo po sodobni metodi dela izvaja medicinska sestra. Medicinska sestra nudi celostno, kontinuirano in profesionalno zdravstveno nego od sprejema do odpusta pacienta iz bolniškega oddelka. Dinamičnost dobrega in zaupnega medsebojnega odnosa med medicinsko sestro ter pacientom prispeva k boljšemu razumevanju varovančevih potreb, njegovih občutkov, težav in prepričanj.

Language:Slovenian
Keywords:totalna endoproteza kolka, artroza kolčnega sklepa, pacient po kolčni endoprotezi, zdravstvena nega po operaciji
Work type:Bachelor thesis/paper
Organization:ZF - Faculty of Health Sciences
Year:2017
PID:20.500.12556/RUL-92485 This link opens in a new window
COBISS.SI-ID:5264235 This link opens in a new window
Publication date in RUL:05.06.2017
Views:3052
Downloads:457
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Secondary language

Language:English
Title:Role of registered nurse at primary arthroplasty of a hip : literature review
Abstract:
Arthrosis is a degenerative joint disease, which is shown in the degeneration of the articular cartilage, which causes the narrowing of the joint splint. Most commonly it affects people in midlife age or elderly people. The pain causes difficult movement that worsens the quality of life. When the pain becomes impossible to bear with the help of conservative therapy, we can decide for the insertion of the total hip prosthesis. When dealing with an orthopedic patient, nurse has a significant role regarding the quality of the care after the surgery and contributes to the faster rehabilitation of the patient. Purpose: The aim of the dissertation is to present the role of the nurse when treating the orthopedic patients after the insertion of the primary hip endoprosthesis. Methods: In the dissertation we used the descriptive method of work with the overview of the Slovenian and foreign health care scientific literature. The literature was overviewed with the technique of critical reading from the field of anatomy and physiology of the hip, arthrosis, osteoarthrosis, insertion of the total hip arthroplasty and the health care of the orthopedic patient. Discussion and conclusion: The total hip arthroplasty presents an efficient and permanent solution after threating the deteriorated join; with the operation we reduce the pain and improve the joint function. The results show that in the recovery and rehabilitation of the patient a well-planned and professionally carried out health care, which is the modern method of work, implemented by the nurse, plays a significant role. After the joint replacement the registered nurse offers a wholesome care from the admission of the patient to his rehabilitation and his discharge from the orthopedic ward. The nurse also offers the patient a holistic, professional and ongoing health care, which provides them both with a good relationship, based on trust and better understanding of the patient’s needs, feelings, problems and beliefs.

Keywords:total hip arthroplasty, hip arthrosis, patient after hip replacement, postoperative nursing care

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