20.500.12556/ReVIS-14035 Vloga medicinske sestre pri predoperativni pripravi pacienta na totalno endoprotezo kolka na ortopedskem oddelku SB Murska Sobota diplomsko delo visokošolskega strokovnega študijskega programa prve bolonjske stopnje Zdravstvena nega Uvod: Totalna endoproteza (TEP) kolka je eden najpogostejših ortopedskih posegov za lajšanje bolečin in izboljšanje gibljivosti. Predoperativna priprava je ključna za zmanjšanje tveganja zapletov in hitrejše okrevanje. Medicinska sestra ima pri tem osrednjo vlogo, saj združuje administrativne, fizične in psihološke vidike priprave pacienta. Metoda: Raziskava je temeljila na kvantitativni metodologiji. Podatki so bili zbrani z anonimnim strukturiranim anketnim vprašalnikom, ki ga je izpolnilo 18 medicinskih sester in zdravstvenih tehnikov na ortopedskem oddelku Splošne bolnišnice Murska Sobota. Vprašalnik je zajemal demografske podatke ter vprašanja o pripravi pacienta, organizaciji dela in zaznanih izzivih. Analiza je bila izvedena z deskriptivnimi statističnimi metodami. Rezultati: Ugotovljeno je bilo, da medicinske sestre največ pozornosti namenjajo psihološki pripravi (94%), predvsem pogovoru, pomiritvi in zmanjševanju tesnobe. Pomembna je tudi fizična priprava, zlasti priprava kože, merjenje vitalnih funkcij ter aplikacija premedikacije in antibiotika. Administrativna priprava zajema urejanje dokumentacije, preverjanje soglasij in naročanje preiskav. Najpogostejša izziva sta pomanjkanje kadra in časovni pritiski (100%), ki otežujejo individualni pristop. Razprava: Raziskava potrjuje, da so medicinske sestre nepogrešljiv člen pri predoperativni pripravi na TEP kolka. S strokovnim znanjem, tehničnimi spretnostmi in empatijo pomembno prispevajo k varnosti in okrevanju pacientov. Kljub visoki zavzetosti rezultati opozarjajo na kadrovske primanjkljaje in časovno obremenjenost, kar zmanjšuje kakovost obravnave. Potrebne so izboljšave v organizaciji dela, dodatna izobraževanja ter večja podpora osebju za celostnejšo obravnavo pacientov. Introduction: Total hip replacement (THR) is one of the most common orthopedic procedures for relieving pain and improving mobility. Preoperative preparation is crucial to reduce the risk of complications and support faster recovery. Nurses play a central role by combining administrative, physical, and psychological aspects of patient care. Method: The study was based on a quantitative methodology. Data were collected using an anonymous structured questionnaire completed by 18 nurses and healthcare technicians working in the orthopedic department of the Murska Sobota General Hospital. The questionnaire included demographic data and questions on patient preparation, work organization, and perceived challenges. The analysis was carried out using descriptive statistical methods. Results: The findings show that nurses place the greatest emphasis on psychological preparation (94%), particularly through conversation, reassurance, and reducing anxiety. Physical preparation is also essential, especially skin preparation, measurement of vital functions, and the administration of premedication and antibiotics. Administrative preparation includes managing documentation, checking signed consent forms, and arranging additional examinations. The most frequently reported challenges were staff shortages and time pressure (100%), which hinder an individualized approach. Discussion: The study confirms that nurses are an indispensable part of preoperative preparation for THR. With professional knowledge, technical skills, and empathy, they contribute significantly to patient safety and recovery. Despite their high commitment, the results highlight systemic limitations, especially staff shortages and workload, which lower the quality of care. Improvements in work organization, additional training, and stronger support for healthcare staff are needed to ensure more effective and holistic patient management before surgery. medicinska sestra predoperativna priprava totalna endoproteza kolka zdravstvena nega ortopedija nurse preoperative preparation total hip replacement nursing care orthopaedics true false false M. Veberič Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-06-15 13:06:32 2026-06-15 13:06:33 2026-06-16 03:10:44 0000-00-00 00:00:00 2025 0 Maribor 2025 Maribor 35 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 614.253.5:617.3(043.2) 281643779 Veberic_Melisa_dd_2025.pdf Veberic_Melisa_dd_2025.pdf 1 70DB1D7CD97CADC044BC39B31C56F3A7 a9301623fcd692fb52d410ef7b44ebe938a321a4638bd196cc519cacbd9682c8 4b9124c6-68aa-11f1-aebd-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=17014 Univerza Alma Mater Europaea 0 0 0