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Title: Vloga medicinske sestre pri obravnavi pacienta s sivo mreno z multifokalno ali multifokalno torično intrakularno lečo Authors: ID Kastelec, Maša (Author) ID Frangež, Igor (Mentor) More about this mentor... Files: 3821$$masa_kastelec-_magistrsko_delo.pdf (1,12 MB) MD5: AAC0276DD525AA7656FC7BA2CD94E6BA   Language: Slovenian Work type: Master's thesis/paper Organization: UNM FZV - University of Novo mesto - Faculty of Health Sciences Abstract: Izhodišča: Namen raziskave je bil ugotoviti pooperativno dioptrijo ter subjektivno zadovoljstvo pri pacientih, operiranih z multifokalno ali multifokalno torično intraokularno lečo, ter ugotoviti, v katerem delu zdravljenja je podpora medicinske sestre za pacienta najpomembnejša (v predoperativnem ali pooperativnem obdobju). Cilji raziskave: - Ugotoviti pooperativno dioptrijo pri pacientih po vstavitvi multifokalne in pri pacientih po vstavitvi multifokalne torične intraokularne leče. - Ugotoviti, pri kateri pooperativni dioptriji po vstavitvi multifokalne in pri pacientih po vstavitvi multifokalne torične intraokularne leče so pacienti še subjektivno zadovoljni. - Ugotoviti, v katerem delu je vloga medicinske sestre v zdravstveni negi za pacienta najpomembnejša (v predoperativnem ali pooperativnem obdobju). Metode: Podatke smo zbirali kvantitativno (merjenje pooperativne dioptrije) in kvalitativno (vprašalnik o zadovoljstvu - zadovoljstvo po operaciji ter vloga diplomirane medicinske sestre pred in po operativnem posegu). Raziskava je potekala na sekundarni ravni zdravstvene dejavnosti v Očesnem kirurškem centru dr. Pfeifer. Predvideni raziskovalni vzorec je vključeval 90 operiranih očes pacientov s sivo mreno, starih nad 40 let v obdobju od 3 do 9 mesecev po operaciji. Pri vseh pacientih smo zbrali podatke za obe očesi. Paciente smo poklicali in jih povabili na ponovni pregled po operaciji. Izključitveni kriteriji za operacijo z multifokalno ali multifokalno torično introakularno lečo so bili pacienti z boleznimi roženice ali kakršnokoli drugo patologijo sprednjega dela očesa, diabetično retinopatijo, glavkomom in patologijo mrežnice ter vidnega živca. Vključitveni kriteriji za operacijo z multifokalno ali multifokalno torično intraokularno lečo so bili pacienti s popolnoma zdravim sprednjim in zadnjim delom očesa. Rezultati: Naš najpomembnejši rezultat je, da so bili operiranci najbolj zadovoljni s pooperativno dioptrijo 0, saj je takšno dioptrijo imelo 54 % očes, in da je za kakovostno obravnavo za pacienta najpomembnejša predoperativna zdravstvena nega, saj se jih s takšno odločitvijo strinja 71 % anketirancev. Razprava: V naši raziskavi je bila v 54 % dosežena pooperativna dioptrija 0, v 23 % pa je bila pooperativna dioptrija med -0,50 in +0,50. Rezultat glede pooperativne dioptrije je v naši raziskavi zelo vzpodbuden, saj je imelo največ anketirancev pooperativno dioptrijo 0. S takšno pooperativno dioptrijo so bili pacienti najbolj zadovoljni, kar je bistvenega pomena, saj se moramo še naprej truditi za zagotavljanje takšnih pooperativnih rezultatov. Vse pa je odvisno od predoperativnega stanja očesa, zato pri vsakem pacientu takšen rezultat ni možen. Pomembno vlogo igra tudi ozaveščenost pacienta glede pričakovane pooperativne dioptrije. Timsko delo se torej odraža na zadovoljstvu pacienta, zato je trud še toliko bolj pomemben. Predoperativna zdravstvena nega je zelo pomemben člen obravnave pacienta pred operacijo sive mrene. Glede zadovoljstva pacientov o predoperativni zdravstveni negi nas je zanimalo, v kolikšni meri so se strinjali z določeno trditvijo, ki se je nanašala na predoperativno zdravstveno nego. S tem smo lahko ugotovili predvsem usposobljenost in angažiranost medicinskih sester. Iz naših rezultatov je razvidno, da je potrebno dodatno izobraževanje medicinskih sester na področju predoperativne zdravstvene nege, saj odstotki zadovoljstva pacientov niso zelo visoki. Keywords: siva mrena, multifokalna intraokularna leča, multifokalna torična intraokularna leča, medicinska sestra. Year of publishing: 2025 PID: 20.500.12556/ReVIS-12389  Publication date in ReVIS: 09.10.2025 Views: 61 Downloads: 1 Metadata:    Cite this work Plain text BibTeX EndNote XML EndNote/Refer RIS ABNT ACM Ref AMA APA Chicago 17th Author-Date Harvard IEEE ISO 690 MLA Vancouver : Copy citation

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Language:	English
Title:	The nurse´s role in managing the cataract patient with a multifocal or multifocal toric intraocular lens
Abstract:	Background: The purpose of the study was to determine postoperative refraction and subjective satisfaction in patients who had surgery with multifocal or multifocal toric intraocular lenses, and to identify at which stage of treatment (preoperative or postoperative) nursing support is most important to the patient. Research Objectives: -To determine postoperative refraction in patients after the implantation of multifocal and multifocal toric intraocular lenses. -To determine the range of postoperative refraction with multifocal and multifocal toric intraocular lenses at which patients remain subjectively satisfied. -To determine at which stage of care (preoperative or postoperative) the nurse’s role is most important for the patient. Methods: We collected data using quantitative methods (measuring postoperative refraction) and qualitative methods (a questionnaire on satisfaction — satisfaction after surgery and the role of the registered nurse before and after the procedure). The research was conducted at the secondary healthcare level at the Eye Surgery Center of Dr. Pfeifer. The planned research sample included 90 patients over the age of 40 who underwent cataract surgery, 3 to 9 months postoperatively. Data were collected for both eyes of each patient. The patients were contacted and invited for a follow-up examination after the surgery. Exclusion criteria for surgery with multifocal or multifocal toric intraocular lenses included patients with corneal diseases or any other anterior segment pathology, diabetic retinopathy, glaucoma, and retinal or optic nerve pathology. Inclusion criteria were patients with a completely healthy anterior and posterior segment of the eye. Results: Our most important finding is that patients were most satisfied with a postoperative refraction of 0, as this was the case in 54% of eyes. Furthermore, 71% of respondents agreed that the most important aspect of quality care is preoperative nursing care. Discussion: In our study, 54% of eyes achieved a postoperative refraction of 0, and 23% had a refraction between -0.50 and +0.50. The results regarding postoperative refraction are very encouraging, as most respondents achieved a refraction of 0, with which they were most satisfied. This is crucial, as we must continue striving to achieve such outcomes. However, this depends heavily on the preoperative condition of the eye, and such results may not be possible in every case. Patient awareness of expected postoperative refraction also plays a significant role. Teamwork is reflected in patient satisfaction, which makes our efforts all the more important. Preoperative nursing care is a very important component of managing patients prior to cataract surgery. We wanted to assess how much patients agreed with specific statements related to preoperative nursing care, which helped us evaluate the competence and engagement of nurses. Our results show that additional education is needed for nurses in the field of preoperative care, as patient satisfaction rates were not very high.
Keywords:	cataract, multifocal intraocular lenses, multifocal toric intraocular lenses, nurse.

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