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Title: OBRAVNAVA STAROSTNIKA PO ZLOMU KOLKA V BOLNIŠNIČNEM OKOLJU Authors: ID Kovjenić, Goran (Author) ID Leskovic, Ljiljana (Mentor) More about this mentor... Files: RAZ_Kovjenic_Goran_i2024.pdf (1,19 MB) MD5: 4E640641E4A3E874ADFF5DBBA6BA16EE   Language: Slovenian Work type: Bachelor thesis/paper Organization: UNM FZV - University of Novo mesto - Faculty of Health Sciences Abstract: Teoretična izhodišča: Zlom kolka je pogosta poškodba pri starejših ljudeh in ima resne posledice na kakovost življenja, zahteva pa tudi kompleksno bolnišnično obravnavo. Oskrba starostnika po zlomu kolka v bolnišnici se osredinja na zdravljenje poškodbe, preprečevanje zapletov in na rehabilitacijo za povratek k čim boljši funkcionalnosti. Namen diplomske naloge je bil z uporabo pregleda literature od leta 2013 do leta 2023 preučiti vlogo diplomirane medicinske sestre in proces bolnišnične obravnave starostnika po zlomu kolka. Metoda: Osnova za raziskavo je temeljila na kvalitativnem raziskovalnem pristopu s sistematičnim pregledom znanstvene in strokovne literature. V pregled smo vključili podatkovne baze: PubMed, ScienceDirect, Google učenjak in Cobiss. Ključne besede za iskanje literature so bile: »medicinska sestra«, »standard obravnave starostnika po zlomu kolka«, »znanje medicinskih sester pri zlomu kolka«, »starejši ljudi« in »zdravstvena nega«, v angleškem jeziku pa: »nurse«, »standard of taking care of elderly people«, »nurses knowledge of hip fracture«, »elderly people« in »nursing care«. Vključitveno merilo je bilo slovenski ali angleški jezik s časovnim okvirom med letoma 2013 in 2023 – recenzirani znanstveni in strokovni članki v polnem besedilu. Rezultati: Uporabili smo literaturo znanstvenoraziskovalnega in strokovnega publiciranja, ki je bila dostopna v časovnem obdobju 2013–2023. Prvotno iskanje znanstvenih in strokovnih virov je rezultiralo 2645 zadetkov ob uporabi ključnih besed. Zavrgli smo tiste, ki niso bili relevantni za temo naše raziskave. Nato smo natančno preučili 20 zadetkov in jih razvrstili v tri kategorije glede na kode. Rezultati, ki smo jih pridobili z analizo literature, kažejo, da so dejavniki tveganja arterijska hipertenzija, prekomerna teža, Parkinsonova bolezen ter raven hemoglobina v krvi pomembno vplivali na pojavnost zdravstvenih zapletov in tveganje bolnišnične umrljivosti pri pacientih, starejših nad 65 let, po operaciji zloma stegnenice. Ugotovljeno je, da je sodelovanja starostnikov po zlomu kolka pri njihovi oskrbi v bolnišničnem okolju pomembno za hitrejše okrevanje. Za izboljšanje ocene bolečine je potrebnega več znanja in individualne pozornosti na starejše ljudi pa tudi boljša koordinacija diplomiranih medicinskih sester in preostalega osebja med pooperativnimi oddelki. V analizirani literaturi zasledimo, da je bila ležalna doba leta 2013 krajša (4,4 dneva) kot v letu 2010 (5,3 dneva), kot razlog navajajo boljši standard oskrbe in vrste posega, pri tem pa igra zelo pomembno vlogo diplomirana medicinska sestra, ki s pravilno, kakovostno in s celostno oskrbo pomembno skrajša čas akutne hospitalizacije starostnika po zlomu kolka. Razprava: Obravnava starostnika po zlomu kolka v bolnišničnem okolju je ključnega pomena, saj se ne osredinja le na zdravljenje same poškodbe, ampak tudi na preprečevanje morebitnih zapletov in rehabilitacijo, ki omogoča pacientu čim bolj kakovosten povratek v domače okolje. S temi pristopi lahko dosežemo najboljše mogoče rezultate za starostnike po zlomu kolka ter izboljšamo kakovost njihovega življenja in funkcionalno stanje po okrevanju. Pomen medicinske sestre je vsekakor v celostnem pristopu obravnave starostnika po zlomu kolka. Keywords: medicinska sestra, standard obravnave starostnika po zlomu kolka, znanje medicinskih sester pri zlomu kolka, starejši, zdravstvena nega Year of publishing: 2024 PID: 20.500.12556/ReVIS-10569  COBISS.SI-ID: 198163459  Publication date in ReVIS: 31.05.2024 Views: 483 Downloads: 33 Metadata:    Cite this work Plain text BibTeX EndNote XML EndNote/Refer RIS ABNT ACM Ref AMA APA Chicago 17th Author-Date Harvard IEEE ISO 690 MLA Vancouver : Copy citation

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Secondary language

Language:	English
Title:	TREATMENT OF AN ELDERLY PERSON AFTER A FIP FRACTURE IN A HOSPITAL CARE
Abstract:	Theoretical starting points: Hip fracture is a common injury in elderly people and has serious consequences on the quality of life, and also requires complex hospital treatment. The care of an elderly person after a hip fracture in the hospital focuses on the treatment of the injury, prevention of complications and rehabilitation to return to the best possible functionality. The purpose of the thesis was to study the role of the registered nurse and the process of hospital treatment of the elderly after a hip fracture using a literature review from 2013 to 2023. Method: The basis for the research was based on a qualitative research approach with a systematic review of scientific and professional literature. We included the following databases in the review: PubMed, ScienceDirect, CINAHL, Google Scholar and Cobiss. Key words for the literature search were: "nurse", "standard of treatment of the elderly after hip fracture", "knowledge of nurses in hip fracture", "elderly" and "health care", and in the English language: "nurses", " standard of taking care of elderly", "nurses knowledge of hip fracture", "elderly people" and "nursing care". The inclusion criterion was Slovenian or English language with a time frame between 2013 and 2023 - peer-reviewed scientific and professional articles in full text. The results: The results obtained from the analysis of 20 units of literature show that the risk factors of arterial hypertension, overweight, Parkinson's disease and hemoglobin level significantly influenced the occurrence of medical complications and the risk of in-hospital mortality in patients over 65 years old after fracture surgery femurs. It has been established that the participation of elderly people after a hip fracture in their care in the hospital environment is important for faster recovery. To improve pain assessment, more knowledge and individual attention to the elderly are needed, as well as better coordination of registered nurses and other staff between post-operative departments. In the analyzed literature, we can see that the bed rest period was shorter in 2013 (4.4 days) than in 2010 (5.3 days); they cite a better standard of care and type of intervention as the reason, and a qualified nurse plays a very important role in this, who with correct, high-quality and integrated care significantly shortens the time of acute hospitalization of an elderly person after a hip fracture. Discussion: The treatment of an elderly person after a hip fracture in a hospital environment is crucial, as it focuses not only on the treatment of the injury itself, but also on the prevention of possible complications and rehabilitation, which enables the patient to return to the home environment in the best possible way. With these approaches, we can achieve the best possible results for the elderly after a hip fracture and improve their quality of life and functional status after recovery. The importance of the nurse is definitely in the holistic approach of treating an elderly person after a hip fracture.
Keywords:	nurse, standard of care for the elderly after hip fracture, nurses' knowledge in hip fracture, elderly, nursing care

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