20.500.12556/ReVIS-14052 Vloga medicinske sestre pri zgodnjem prepoznavanju miokardnega infarkta v urgentni dejavnosti, ključ do hitrega odziva na bolečine v prsnem košu diplomsko delo visokošolskega strokovnega študijskega programa prve bolonjske stopnje Zdravstvena nega Uvod: Miokardni infarkt predstavlja enega najpogostejših nujnih stanj v urgentni dejavnosti ter glavni dejavnik umrljivosti in invalidnosti. Ključnega pomena je njegovo čimprejšnje prepoznavanje, saj zgodnje ukrepanje bistveno izboljša prognozo. Medicinske sestre so pogosto prve v stiku s pacienti, ki imajo bolečine v prsnem košu, zato je njihova vloga pri zgodnjem prepoznavanju simptomov in začetnih terapevtskih ukrepih izjemno pomembna. Metode: V empiričnem delu je bila uporabljena kvantitativna raziskovalna metoda. Podatke smo zbrali s pomočjo strukturiranega anketnega vprašalnika, ki ga je izpolnilo 40 medicinskih sester, zaposlenih v urgentnem centru UKC Maribor. V raziskavi je bilo uporabljeno neslučajnostno namensko vzorčenje. S programom Microsoft Excel in SPSS Statistics Analizirani smo obdelali podatke o znanju, izkušnjah, kliničnih postopkih in ovirah pri prepoznavanju miokardnega infarkta. Rezultati: Rezultati raziskave so pokazali, da večina medicinskih sester dobro prepoznava značilne simptome MI, izziv pa jim predstavlja zaznavanje atipičnih oblik. Čeprav poznajo osnovna pravila ukrepanja (MONA), jih pogosto ne izvajajo samostojno. Ugotovljeno je bilo tudi, da se mnogi redko udeležujejo izobraževanj, a hkrati izražajo veliko zanimanje za dodatna usposabljanja, predvsem v obliki praktičnih simulacij. Največje ovire pri zgodnji prepoznavi simptomov so nejasna klinična slika, pomanjkanje časa in v določenih primerih nezadostno znanje. Razprava: Raziskava potrjuje, da je vloga medicinske sestre pri zgodnjem prepoznavanju miokardnega infarkta ključna, vendar v praksi še ni v celoti izkoriščena. K večji učinkovitosti bi prispevala širitev kompetenc medicnskih sester in redna strokovna izobraževanja. Introduction: Myocardial infarction is one of the most common emergency conditions and a significant cause of mortality and disability. Its early recognition is crucial, as early intervention significantly improves the prognosis. Nurses are often first to come into contact with patients with chest pain, so their role in early recognition of symptoms and initial therapeutic measures is extremely important. Methods: A quantitative research method was used in the empirical part. Data were collected using a structured questionnaire, which was completed by 40 nurses employed in the emergency department of the University Hospital Maribor. A non-probability purposive sampling was used in the study. Data on knowledge, experience, clinical procedures and barriers to recognizing myocardial infarction were analyzed using Microsoft Excel and SPSS Statistics. Results: The results of the study showed that most nurses are good at recognizing typical symptoms of MI, but face challenges in recognizing atypical forms. Although they know the basic rules of intervention (MONA), they often do not implement them independently. It was also revealed that many of them rarely attend training, but at the same time express great interest in additional education, especially in the form of practical simulations. The biggest obstacles to early recognition of symptoms are unclear clinical picture, lack of time and in some cases insufficient knowledge. Discussion: The research confirms that the role of the nurse in early recognition of myocardial infarction is crucial, but in practice it is not yet fully utilized. Expanding the competencies of nurses and regular professional training would contribute to greater efficiency. medicinska sestra urgentna dejavnost miokardni infarkt bolečina v prsnem košu zgodnje prepoznavanje nurse emergency care myocardial infarction chest pain early recognition true false false A. Števanec Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-06-17 11:48:24 2026-06-17 11:48:25 2026-06-18 03:07:37 0000-00-00 00:00:00 2025 0 Maribor 2025 Maribor 43 str., [4] f. pril. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.127-005.8-07:614.253.5(043.2) 281927171 Stevanec_Ana_dd_2025.pdf Stevanec_Ana_dd_2025.pdf 1 B92946946FC0306C3683888EF9DA4986 b121ceab24e83201b0d35941b093a09e91b1842b0e7f337bb3cbdfb5c7d3d13e b4b9b2b6-6a31-11f1-97b2-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=17037 Univerza Alma Mater Europaea 0 0 0