20.500.12556/ReVIS-13949 PREPREČEVANJE BOLNIŠNIČNIH OKUŽB PRI PACIENTU Z ARTERIJSKO HIPERTENZIJO HOSPITAL INFECTION PREVENTION STRATEGIES FOR PATIENTS WITH ARTERIAL HYPERTENSION Teoretična izhodišča: Bolnišnične okužbe (BO) predstavljajo pomemben problem vsakega zdravstvenega sistema, pri čemer v Sloveniji opažamo njihov porast. Pacient z arterijsko hipertenzijo (AH) je zaradi dolgotrajnega poteka bolezni, pogostejših hospitalizacij ter potrebe po invazivnih postopkih, kot so urinska kateterizacija, vstavitev intravenskih kanalov in zdravljenje s kisikom, bolj izpostavljen tveganju za nastanek BO. Medicinske sestre imajo ključno vlogo pri preprečevanju BO pri pacientu z AH, pri čemer so temeljni ukrepi naslednji: higiena rok po pravilu petih trenutkov za higieno rok, uporaba osebne varovalne opreme, delo po strokovnih smernicah ter razkuževanje pacientove okolice in medicinskih pripomočkov. Merjenje krvnega tlaka je rutinski postopek, ki lahko predstavlja dodaten dejavnik tveganja za prenos BO. Namen diplomskega dela z empiričnim delom je raziskati preprečevanje BO pri pacientih z arterijsko hipertenzijo. Metoda: Raziskava je bila kvantitativna in deskriptivna ter izvedena z anonimnim spletnim anketiranjem po principu snežne kepe. Anketni vprašalnik je bil pripravljen na podlagi teoretičnih izhodišč in razposlan izvajalcem zdravstvene nege. Vzorec je bil priložnosten in je obsegal 203 v celoti in ustrezno izpolnjenih anket. Rezultati: Anketiranci so izkazali dobro poznavanje in izvajanje ukrepov za preprečevanje BO pri pacientu z AH. Analiza variance (ANOVA) ni pokazala statistično pomembnih razlik glede na delovno dobo, delovno mesto ali izobrazbo (p > 0,05). Pearsonova korelacijska analiza je pokazala statistično značilno zmerno močno pozitivno povezanost med samooceno usposobljenosti in izvajanjem ukrepov (r = 0,536; p < 0,001). Kot najbolj pomembni oviri pri preprečevanju BO sta bila izpostavljena pomanjkanje kadra in pomanjkanje časa. Razprava: Ugotovitve kažejo, da medicinske sestre razpolagajo z ustreznim znanjem in v veliki meri dosledno izvajajo ukrepe za preprečevanje bolnišničnih okužb pri pacientu z arterijsko hipertenzijo ne glede na delovno dobo, izobrazbo ali delovno mesto. Kljub temu se v klinični praksi soočajo z organizacijskimi in tehničnimi omejitvami, predvsem s pomanjkanjem kadra, časovno stisko ter omejitvami pri uporabi merilnikov in manšet za merjenje KT. Theoretical background: Healthcare-associated infections (HAIs) represent a major challenge for healthcare systems, with an increasing trend observed in Slovenia. Patients with arterial hypertension (AH) are at higher risk of HAIs due to the chronic nature of the disease, frequent hospitalizations, and the need for invasive procedures such as urinary catheterization, intravenous access, and oxygen therapy. Nurses play a key role in the prevention of HAIs in patients with AH. Fundamental preventive measures include hand hygiene according to the “Five Moments for Hand Hygiene,” appropriate use of personal protective equipment, adherence to clinical guidelines, and proper disinfection of the patient’s environment and medical devices. Blood pressure measurement is a routine procedure that may represent an additional risk factor for HAI transmission. The aim of this bachelor’s thesis with an empirical component is to investigate the prevention of HAIs in patients with arterial hypertension. Methods: The study was quantitative and descriptive, conducted using an anonymous online questionnaire based on the snowball sampling method. The questionnaire was developed from theoretical foundations and distributed among nursing professionals. The convenience sample included 203 fully and correctly completed questionnaires. Results: The respondents demonstrated good knowledge and consistent implementation of HAI prevention measures in patients with AH. Analysis of variance (ANOVA) showed no statistically significant differences in the implementation of preventive measures with regard to work experience, workplace, or level of education (p > 0.05). Pearson’s correlation analysis revealed a statistically significant moderate positive correlation between self-assessed competence and implementation of preventive measures (r = 0.536; p < 0.001). The most frequently reported barriers to HAI prevention were staff shortages and lack of time. Discussion: The findings indicate that nurses possess adequate knowledge and generally apply HAI prevention measures in patients with arterial hypertension, regardless of education level, work experience, or workplace. However, organizational and technical constraints, particularly staff shortages, time pressure, and limitations related to blood pressure measuring devices, remain important challenges in clinical practice. Bolnišnična okužba arterijska hipertenzija preprečevanje ukrepi. Hospital-acquired infection arterial hypertension prevention interventions. true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-06-02 16:20:27 2026-06-02 16:20:28 2026-06-03 03:27:26 0000-00-00 00:00:00 2026 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 1970-01-01 24935 4266$$klementina_kumer_diplomska_naloga_poprava.pdf 4266$$klementina_kumer_diplomska_naloga_poprava.pdf 1 C2D228B8CAD43C1C149406B5106F7E84 3d30ffd8d5de1b06f2a38e6150fbd8564f8fde969485bdd2e0132cb0fc62b702 3448b655-5e8e-11f1-8e51-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=16915 Univerza v Novem mestu - Fakulteta za zdravstvene vede 0 0 0