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Title:Vloga medicinske sestre pri pripravi pacienta na transplantacijo jeter
Authors:ID Križnar, Nina (Author)
ID Šimec, Mateja (Mentor) More about this mentor... New window
Files:.pdf 3945$$vloga_medicinske_sestre_pri_pripravi_pacienta_na_transplantacijo_jeter.pdf (1,37 MB)
MD5: E40107E7651CAD1C9E25D52ABE09FCE9
 
Language:Slovenian
Work type:Bachelor thesis/paper
Organization:UNM FZV - University of Novo mesto - Faculty of Health Sciences
Abstract:Teoretična izhodišča: Transplantacija jeter je kompleksen medicinski poseg, ki zahteva usklajeno delovanje multidisciplinarnega tima. Medicinska sestra ima ključno vlogo pri pripravi pacienta na transplantacijo – spremlja pacientovo zdravstveno stanje, zagotavlja informacije, nudi psihično podporo in organizira, da pacient opravi vse potrebne preiskave in preglede. S tem prispeva k boljšemu razumevanju postopka ter večji uspešnosti zdravljenja. Namen raziskave je proučiti vlogo medicinske sestre pri pripravi pacienta na transplantacijo jeter. Metode: Raziskava je temeljila na kvalitativnem raziskovalnem pristopu in deskriptivni metodi dela. Primarni podatki za analizo so bili pridobljeni s tehniko intervjuvanja. Sekundarno zbiranje podatkov je potekalo s pregledom strokovne in znanstvene literature, pridobljene s pomočjo podatkovnih baz Cobiss, PubMed, MEDLINE in Google Učenjak. V raziskavi je sodelovalo šest medicinskih sester, ki imajo več kot eno leto delovnih izkušenj. Rezultati: Rezultati raziskave kažejo, da imajo medicinske sestre ključno vlogo pri pripravi pacientov na transplantacijo jeter, saj so pomemben povezovalni člen med pacienti, zdravniki in drugimi specialisti. Dobro poznajo protokol priprave, kar jim omogoča učinkovito organizacijo preiskav ter zagotavljanje potrebne psihične in fizične podpore pacientom. Pogosti zapleti, kot so hepatična encefalopatija, ascites in krvavitev iz varic, zahtevajo stalno spremljanje in ukrepanje, pri čemer aktivno sodelujejo. Razlike med urgentno in redno transplantacijo so izrazite predvsem v časovni dinamiki in obsegu priprav, kar od njih zahteva prilagodljivost in hitro odločanje. Kljub dobri usposobljenosti pa so izpostavljene organizacijskim in kadrovskim omejitvam, ki otežujejo kakovostno izvajanje priprav. Potreben je bolj strukturiran in celosten pristop z boljšim usklajevanjem, krajšim časom hospitalizacije ter večjo vključitvijo svojcev. Celostna podpora pacientom in izboljšave v organizaciji dela bodo prispevale k uspešnejši pripravi in boljši izkušnji pacientov pred transplantacijo. Razprava: Ugotovili smo, da imajo medicinske sestre veliko znanja na področju transplantacije jeter in hepatologije, kakovostno in varno skrbijo za pacienta, pri tem upoštevajo protokole in standarde, hkrati pa se zavedajo zapletov in težav, ki bi se lahko pojavili, če svojega dela ne bi opravljale kakovostno in varno.
Keywords:pacient, transplantacija, vloga medicinske sestre, obolenja jeter
Year of publishing:2025
PID:20.500.12556/ReVIS-12370 New window
Publication date in ReVIS:05.10.2025
Views:59
Downloads:1
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Secondary language

Language:English
Title:The role of the nurse in preparation of patient before the liver transplantation
Abstract:Introduction: Liver transplantation is a complex medical procedure that requires the coordinated work of a multidisciplinary team. Nurses play a key role in preparing patients for transplantation – monitoring their health, providing information, offering psychological support, and organising all necessary tests and examinations. This contributes to a better understanding of the procedure and greater treatment success. The purpose of the study was to examine the role of nurses in preparing patients for liver transplantation. Methods: The study was based on a qualitative research approach and a descriptive working method. Primary data for analysis were obtained using the interview technique. Secondary data collection was carried out by reviewing professional and scientific literature obtained from the databases Cobiss, PubMed, MEDLINE and Google Scholar. Six nurses with more than one year of work experience participated in the study. Results: The findings show that nurses play a key role in preparing patients for liver transplantation, as they are an important link between patients, doctors, and other specialists. They are well acquainted with the preparation protocol, which enables them to efficiently organise examinations and provide the necessary psychological and physical support to patients. Common complications such as hepatic encephalopathy, ascites, and variceal bleeding require constant monitoring and intervention, in which nurses actively participate. The differences between emergency and elective transplantation are most evident in the time dynamics and scope of preparations, which demand flexibility and rapid decision-making. Despite good training, organisational and staffing limitations make it difficult to carry out preparations at a high quality level. A more structured and comprehensive approach is needed, with better coordination, shorter hospital stays, and greater involvement of relatives. Comprehensive patient support and improvements in work organisation will contribute to more successful preparation and a better patient experience before transplantation. Discussion: We found that nurses possess extensive knowledge in the field of liver transplantation and hepatology, provide high-quality and safe patient care, follow protocols and standards, and are aware of the complications and difficulties that may arise if their work is not performed in a high-quality and safe manner.
Keywords:patient, transplantation, role of the nurse, liver diseases


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