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Title:ZDRAVSTVENA NEGA PACIENTA PO TRANSPLANTACIJI PLJUČ
Authors:ID Oblak, Monika (Author)
ID Saje, Mojca (Mentor) More about this mentor... New window
Files:.pdf DIP_Oblak_Monika_2025.pdf (1,64 MB)
MD5: 5DD5D9C397505FCBF28F8E03BE016F52
 
Language:Slovenian
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:UNM FZV - University of Novo mesto - Faculty of Health Sciences
Abstract:Izhodišča: V zadnjih letih je prišlo do velikih sprememb v obravnavi pacientov po transplantaciji pljuč. Namen diplomske naloge je najprej usmerjen v teoretično opredelitev in opis zdravstvene nege pacienta po transplantaciji pljuč, čemur sledi kvalitativni raziskovalni del. Posebno pozornost smo namenili ugotavljanju novosti v smernicah obravnave pacienta po transplantaciji pljuč. Metoda: Uporabili smo domačo in tujo literaturo, ki jo smo na podlagi izločitvenih kriterijev pridobili v bibliografskih bazah (PbMed, PMC, Google učenjak, BMJ, DIKUL, SpingerLink). Vsi izvlečki izbranih zadetkov so pregledani z namenom izločitve potencialno primernih prispevkov in izborom ustreznih za nadaljnji pregled. Uporabili smo naslednje ključne iskalne besedne zveze: medicinska sestra, transplantacija pljuč, zdravstvena nega po operaciji, zdravstvena nega, zdravstveno vzgojno delo ter nurse, lung transplantation, postoperative care, nursing care, patient education v angleškem jeziku. Za namen raziskave smo uporabili literaturo, ki je bila prosto dostopna v celotnem obsegu od leta 2013 do leta 2023. Izbrana literatura je bila omejena na slovenski in angleški jezik. Izključili smo članke, ki so se podvajali in članke, ki niso vključevali določene iskane vsebine. Pri iskanju literature smo ključne besede povezali z Boolovimi operatorji (AND). Rezultati: V raziskavo in končno analizo smo vključili 2 randomizirani študiji, 1 posamično prospektivno kohortno študijo, 1 posamično presečno študijo, 1 posamično poglobljeno kvalitativno študijo in 5 mnenj strokovnjakov oziroma poročil primerov. Rezultati, pridobljeni z analizo 10 enot literature, kažejo, da je potek zdravstvene nege pri obravnavi pacienta po transplantaciji pljuč multidisciplinaren in kompleksen. Postopek zdravstvene nege pacienta vključuje tako neposredno pooperativno oskrbo kot dolgoročno spremljanje pacienta. Medicinske sestre imajo pomembno vlogo pri spremljanju fizioloških parametrov pacienta takoj po posegu. To vključuje spremljanje vitalnih funkcij in drugih kazalnikov, ki omogočajo hitro prepoznavanje morebitnih zapletov. Po odpustu iz bolnišnice se zdravstvena nega usmeri v dolgoročno spremljanje pacienta. To vključuje redne kontrole, prilagoditev imunosupresivnih zdravil, preprečevanje okužb in zagotavljanje, da pacient razume in sledi terapevtskemu načrtu. Razprava: Analiza pregleda literature je poudarila pomembno vlogo medicinske sestre pri obravnavi pacienta po transplantaciji pljuč. Le-ta vključuje tako tehnične naloge, kot tudi podporo pri psihološkem, čustvenem in socialnem zdravljenju pacienta.
Keywords:transplantacija pljuč, zdravstvena nega po operaciji, zdravstveno vzgojno delo, nove smernice v zdravstveni negi.
Year of publishing:2025
PID:20.500.12556/ReVIS-11621 New window
Publication date in ReVIS:20.04.2025
Views:158
Downloads:8
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Secondary language

Language:English
Title:NURSING CARE OF THE LUNG TRANSPLANT PATIENT
Abstract:Background: In recent years, significant changes have occurred in the care of patients after lung transplantation. The purpose of this thesis is directed towards the theoretical definition and description of nursing care for patients after lung transplantation, followed by a qualitative research part. Special attention was paid to identifying innovations in the guidelines for managing patients after lung transplantation. Method: We utilized both domestic and foreign literature, which we obtained from bibliographic databases (PbMed, PMC, Google Scholar, BMJ, DIKUL, SpringerLink) based on exclusion criteria. All abstracts of the selected search results were reviewed to eliminate potentially unsuitable contributions and to select relevant ones for further analysis. We used the following key search terms: medicinska sestra, transplantacija pljuč, zdravstvena nega po operaciji, zdravstvena nega, zdravstveno vzgojno delo as well as their English equivalents: nurse, lung transplantation, postoperative care, nursing care, patient education. For the purposes of this research, we used literature that was freely available in full-text format from 2013 to 2023. The selected literature was limited to Slovenian and English languages. We excluded duplicate articles and those that did not include the specific content being searched for. Boolean operators (AND) were used to combine the keywords in the literature search. Results: The study and final analysis included 2 randomized studies, 1 individual prospective cohort study, 1 individual cross-sectional study, 1 individual in-depth qualitative study, and 5 expert opinions or case reports. The results obtained from the analysis of 10 literature sources indicate that the nursing care process for patients after lung transplantation is multidisciplinary and complex. The nursing care procedure includes both immediate postoperative care and long-term patient monitoring. Nurses play a crucial role in monitoring the patient’s physiological parameters immediately after the procedure, which includes tracking vital signs and other indicators to enable the early detection of potential complications. After hospital discharge, nursing care shifts to long-term patient follow-up, including regular check-ups, adjustment of immunosuppressive medications, infection prevention, and ensuring that the patient understands and adheres to the therapeutic plan. Discussion: The analysis of the literature review emphasized the critical role of nurses in the care of patients after lung transplantation. This includes technical tasks, as well as providing psychological, emotional, and social support for the patient.
Keywords:nursing care, lung transplantation, postoperative nursing care, health education, new guidelines in nursing care.


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