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Title:ZDRAVSTVENA NEGA PRI PACIENTU S PLJUČNIM EDEMOM
Authors:ID Oman, Janja (Author)
ID Šimec, Mateja (Mentor) More about this mentor... New window
Files:.pdf 3951$$diplomska_naloga__janja_oman.pdf (1,08 MB)
MD5: BE571973A8BBB44D8520977DE78348A8
 
Language:Slovenian
Work type:Bachelor thesis/paper
Organization:UNM FZV - University of Novo mesto - Faculty of Health Sciences
Abstract:POVZETEK Teoretična izhodišča: Pljučni edem spada v urgentno stanje, pri katerem se kopiči tekočina v pljučih. To onemogoči izmenjavo plinov, kar vodi v dihalno stisko. Medicinske sestre imajo pri obravnavi pomembno vlogo, saj so izobražene, da zgodaj prepoznajo simptome, izvajajo ustrezne ukrepe ter na koncu ob odpustu izobrazijo paciente in svojce. Raziskava se osredotoča na zdravstveno nego pacientov s pljučnim edemom. Preučuje znanja in usposobljenost izvajalcev zdravstvene nege, izvajanje nujnih ukrepov, organizacijske in sistemske ovire, komunikacijo znotraj tima, izobraževanje pacientov ter svojcev, potrebe po dodatnem izobraževanju ter predloge o izboljšanju kakovosti oskrbe. Metoda: Raziskava je bila narejena na kvalitativnem raziskovalnem pristopu. Uporabili smo deskriptivno metodo dela. Podatki so bili zbrani s pomočjo polstrukturiranih intervjujev. V intervjuju je sodelovalo deset diplomiranih medicinskih sester in diplomiranih zdravstvenikov iz primarnega, sekundarnega in terciarnega zdravstvenega varstva. Analizirani pa so bili tudi sekundarni viri s pomočjo strokovne literature. Rezultati: Raziskava je pokazala, da izvajalci zdravstvene nege najpogosteje prepoznajo pljučni edem po težkem dihanju, tahikardiji, nizki saturaciji, modrikavosti ter penečem rožnatem ali belkastem izmečku. Ukrepi, ki jih izvajajo, vključujejo sedeči ali polsedeči položaj, aplikacijo kisika (najpogosteje prek OHIO maske), aplikacijo diuretikov, morfija in nitroglicerina. Uporabljajo pa tudi neinvazivno ventilacijo in monitoring. Med ovirami, ki onemogočajo učinkovito zdravstveno nego, so izpostavili kadrovsko nedohranjenost, slabo opremo, neizkušenost osebja ter neustrezno organizacijo dela. Potrdili pa so tudi potrebo po dodatnih izobraževanjih. Razprava: Ugotovili smo, da je vloga medicinskih sester pri pacientih s pljučnim edemom ključna. Prve namreč prepoznajo znake poslabšanja in strokovno ukrepajo. Pokazala se je potreba po stalnem usposabljanju, boljši organizaciji ter opremi, ki jo potrebujejo za obravnavo takih pacientov. Pomembna pa je tudi edukacija pacienta ter svojcev, saj ima neposreden pomemben vpliv na obvladovanje bolezni po odpustu iz bolnišnice. Za obravnavo urgentnih stanj so nujni medsebojno sodelovanje in jasni protokoli posredovanja.
Keywords:pljučni edem, zdravstvena nega, komunikacija s pacientom, edukacija pacienta.
Year of publishing:2025
PID:20.500.12556/ReVIS-12314 New window
Publication date in ReVIS:27.09.2025
Views:121
Downloads:13
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Secondary language

Language:English
Title:NURSING CARE OF A PATIENT WITH PULMONARY EDEMA
Abstract:ABSTRACT Introduction: Pulmonary edema is a medical emergency in which fluid accumulates in the lungs, impairing gas exchange and leading to respiratory distress. The theoretical part of the thesis presents the types and causes of pulmonary edema, risk factors, diagnostic approaches, treatment options, and key measures for managing the condition. Nurses play a vital role in care, as they are trained to recognize symptoms early, implement appropriate interventions and provide education patients and their relatives upon discharge. The research focuses on the nursing care of patients with pulmonary edema. It explores healhtcare professionals knowledge and competencies, the implementation of emergency interventions, organizitional and systemic barriers, interprofessional communication, patient and family education, the need for ongoing professional development, and recommendations for improving the overall quality of care. Method: The research was conducted using a qualitative research approach. We used aa descriptive method of work. Data were collected through semi-structured interviews. Ten graduate nurses and medical doctors from primary, secondary and tertiary healthcare level participated in the interview. Secondary sources were also analysed using proffessional literature. Results: The study showed that healthcare providers most often recognize pulmonary edema by signs such as labored breathing, tachycardia, low oxygen saturation, cyanosis, and frothy pink or whitish sputum. Interventionsinclude placing the patient in a sitting or semi-sitting position, administering oxygen (most commonly via an OHIO mask), diuretics, morphine, and nitrolingual. Non-invasive ventilation and continuous monitoringare also used. Obstacles to effective care include understaffing, inadequate equipment, lack of experience among staff and poor organizational structure. Participants also emphasized the need for additional training. Discussion: The study confirms that the role of nurses in managing patients with pulmonary edema is crucial. Nurses are oftenthe first to recognize signs of deterioration and take appropriateaction. The findings highlight the importance of continuous training, improved organization, and better access to necessary equipment. Patient and family education is also critical, as it significantly impacts disease management after hospital discharge. Effective emergency care relies on mutual cooperation and clear intervention protocols.are essential for the treatment of emergencies.
Keywords:pulmonary edema, nursing, patient communication, patient education.


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