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Title: Vloga izvajalcev zdravstvene nege pri obravnavi pacienta po operaciji trebušne slinavke in jeter Authors: ID Klemenčič, Mirjana (Author) ID Zupančič, Vesna (Mentor) More about this mentor... Files: 3982$$Klemencic_MD.pdf (917,41 KB) MD5: BC6A05A1191FCA02524EA63FAFB8D719   Language: Slovenian Work type: Master's thesis/paper Organization: UNM FZV - University of Novo mesto - Faculty of Health Sciences Abstract: Teoretična izhodišča: Kirurško zdravljenje ima ključno vlogo pri obravnavi raka trebušne slinavke in tumorskih sprememb jeter, kadar je operacija izvedljiva. Izbira kirurškega posega je odvisna od stadija bolezni, velikosti in lokacije tumorja ter histoloških značilnosti. Robotska kirurgija omogoča manj invazivne posege, kar vodi v hitrejše okrevanje in hitrejšo vrnitev bolnikov v vsakdanje življenje. Namen magistrskega dela je prestaviti raka trebušne slinavke ter tumorskih sprememb v jetrih s poudarkom na primerjavi klasične in robotske operacije rakavih sprememb ter primerjava okrevanja ter kakovosti življenja bolnika po operaciji. Namen vsebuje tudi primerjavo vlog izvajalcev zdravstvene nege pri klasičnih ter robotskih posegih. Metode: V raziskavi smo uporabili kvalitativni raziskovalni pristop ter sistematičen pregled domače in tuje znanstvene literature iz bibliografskih baz. Primarne podatke smo pridobili s polstrukturiranim intervjujem, ki smo ga izvedli pri 15 izvajalcih zdravstvene nege. Intervjuje smo izvedli v obdobju od marca do maja 2025. Opravili smo tudi analizo zdravniške in negovalne dokumentacije bolnikov iz Kliničnega oddelka za abdominalno kirurgijo v Univerzitetnem kliničnem centru Ljubljana. Pridobljene ugotovitve iz pregleda dokumentacije bolnikov in intervjujev z izvajalci zdravstvene nege smo primerjali s strokovno literaturo. Rezultati: Rezultati raziskave jasno razkrivajo ključne razlike med klasičnimi in robotsko asistiranimi operacijami jeter in trebušne slinavke. Ti posegi se med seboj razlikujejo z vidika dolžine hospitalizacije, pogostosti zapletov, potrebe po analgeziji, uvajanja prehrane, hitrosti mobilizacije ter zaznane kakovosti življenja pacientov. Rezultati intervjujev z medicinskimi sestrami so potrdili, da robotski pristop pacientom prinaša številne prednosti, ki neposredno vplivajo na potek zdravstvene nege in obremenjenost zdravstvenega osebja. Razprava: Kirurško zdravljenje predstavlja ključen pristop pri obravnavi raka trebušne slinavke in tumorskih sprememb v jetrih, kadar je bolezen operabilna. Izbira kirurške metode, bodisi klasične ali robotsko asistirane, je odvisna od številnih dejavnikov, kot so velikost in lega tumorja, razširjenost bolezni ter splošno zdravstveno stanje pacienta. V zadnjih letih robotska kirurgija vse bolj izpodriva tradicionalne metode, predvsem zaradi svoje minimalno invazivne narave in ugodnega vpliva na bolnikov pooperativni potek. Rezultati naše raziskave potrjujejo, da robotski kirurški posegi vodijo do krajšega časa hospitalizacije, manjše potrebe po analgetikih, hitrejše uvedbe peroralne prehrane, zgodnejše mobilizacije in boljše psihofizične stabilnosti pacientov. Ti učinki niso pomembni le z vidika bolnika, ampak tudi z vidika izvajalcev zdravstvene nege, saj pomenijo manjšo obremenitev in več možnosti za individualno ter edukativno obravnavo. Vloga medicinske sestre se ob tem spreminja, iz izrazito oskrbovalne v bolj podporno, svetovalno in edukativno. Keywords: rak trebušne slinavke, rak jeter, vloga medicinske sestre, zdravstvena nega, operacija jeter, operacija trebušne slinavke Year of publishing: 2025 PID: 20.500.12556/ReVIS-12581  Publication date in ReVIS: 20.11.2025 Views: 28 Downloads: 0 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 role of nursing care providers in the care of patients after pancreatic liver surgery
Abstract:	Theoretical background: Surgical treatment plays a key role in the treatment of pancreatic cancer and liver tumors when surgery is feasible. The choice of surgical procedure depends on the stage of the disease, the size and the location of the tumor, and the histological characteristics. Robotic surgery allows for less invasive procedures, whish leads to faster recovery and a faster return of patients to everyday life. The purpose of the master's thesis is to present panceratic cancer and tumor changes in the liver with an emphasis on comparing conventional and robotic surgery of cancer changes and comparing the recovery and quality of live of the patients after surgery. The purpose also includes a comparison of the roles of healthcare providers in classical and robotic surgery. Methods: We used a qualitative research approach and a systematic review of domestic and foreign scientific literature from bibliographic databases. Primary data were obtained through semi-structured interviews with healthcare providers and analysis of medical and nursing documentation of patients from the Clinical department of abdominal surgery at the University Hospital Center Ljubljana. The findings obtained from the review of patient documentation and interviews with healthcare providers were compared with scientific literature. Results: The results of the study clearly reveal key differences between conventional and robot-assisted liver and pancreatic surgeries. These procedures differ in terms of length of hospitalization, frequency of complications, need for analgesia, introduction of nutrition, speed of mobilization, and patients' perceived quality of life. The results of the interviews with nurses confirmed that he robotic approach brings numerous benefits to patients that directly affect the course of nursing care and the workload of medical staff. Discussion: Surgical treatment is a key approach in the treatment of pancreatic cancer and liver tumors when the disease is operable. The choice of surgical method – whether conventional of robot-assisted – depends on many factors, such as the size and location of the tumor, the extent of the disease, and the patient's general health. In recent years, robotic surgery has increasingly replaced traditional methods, mainly due to its minimally invasive nature and favorable impact on the patient's postoperative course. The results of our research confirm that robotic surgical procedures lead to shorter hospitalization times, less need for analgesics, faster introduction of oral nutrition, earlier mobilization, and better psychophysical stability of patients. These effects are not only important from the patient's perspective, but also from the perspective of healthcare providers, as they mean a lower burden and more opportunities for individual education treatment. The role of the nurse in changing.- from a distinctly caring role to a more supportive, advisory and educational one.
Keywords:	pancreatic cancer, liver cancer, nurse's role, nursing care, liver surgery, pancreatic surgery

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