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Naslov: VLOGA DIPLOMIRANE MEDICINSKE SESTRE PRI OBRAVNAVI BOLNIKA Z RESPIRATORNO ODPOVEDJO Avtorji: ID Motoz, Maja (Avtor) ID Kren, Aljaž (Mentor) Več o mentorju... Datoteke: 4350$$maja_motoz_-_diplomska_naloga_koncna.pdf (2,04 MB) MD5: 36C269CFB0B54590778F9FB4AA94EF16   Jezik: Slovenski jezik Vrsta gradiva: Diplomsko delo/naloga Organizacija: UNM FZV - Univerza v Novem mestu - Fakulteta za zdravstvene vede Opis: Teoretična izhodišča: Respiratorni sistem omogoča izmenjavo plinov med organizmom in zunanjim okoljem ter s tem zagotavlja ustrezno oskrbo tkiv s kisikom in odstranjevanje ogljikovega dioksida. Sestavljata ga zgornji in spodnji respiratorni sistem. Respiratorna odpoved je lahko akutna ali kronična ter se klinično kaže kot hipoksemična ali hiperkapnična oblika. Med najpogostejše vzroke za nastanek respiratorne odpovedi sodijo pljučnica, pljučni edem, pljučna embolija (PE), kronična obstruktivna pljučna bolezen (KOPB), astma in akutni respiratorni distresni sindrom (ARDS). Diagnostika temelji na klinični sliki, plinski analizi arterijske krvi, pulzni oksimetriji, kapnometriji ter slikovnih preiskavah. Zdravljenje vključuje kisikovo terapijo, neinvazivno ali invazivno ventilacijo ter ustrezno farmakoterapijo. Pri obravnavi bolnika z respiratorno odpovedjo ima zelo pomembno vlogo diplomirana medicinska sestra, ki spremlja vitalne znake, izvaja terapijo, zagotavlja prehodnost dihalnih poti ter sodeluje pri zdravstvenovzgojnem delu in dokumentiranju bolnikovega stanja.Namen raziskave je bil ugotoviti in predstaviti vlogo diplomirane medicinske sestre pri obravnavi bolnika z respiratorno odpovedjo. Metode: V raziskavo smo vključili sedem diplomiranih medicinskih sester oziroma diplomiranih zdravstvenikov z najmanj enoletnimi delovnimi izkušnjami, zaposlenih na internističnem področju. Uporabili smo kvalitativni raziskovalni pristop z deskriptivno metodo dela. Na podlagi pregleda domače in tuje znanstvene, oziroma strokovne literature ter podatkovnih baz Cobiss, PubMed, Google Učenjak, Obzornik zdravstvene nege, SpringerLink in MEDLINE smo pripravili vprašanja za intervju, razdeljena na dva sklopa. V raziskavi smo upoštevali etična načela raziskovanja. Pridobljene podatke smo analizirali kvantitativno, odgovore intervjuvancev razvrstili v tabele, podatke kodirali in jih interpretirali. Rezultati: V raziskavi je bil uporabljen namenski vzorec, ki je zajemal sedem diplomiranih medicinskih sester oziroma diplomiranih zdravstvenikov, zaposlenih na internističnem področju najmanj eno leto. V raziskavi je sodelovalo pet žensk in dva moška, starih od 27 do 54 let. Rezultati raziskave kažejo, da intervjuvanci razlikujejo med vrstami respiratorne odpovedi, prepoznajo njeno klinično sliko ter ustrezno ukrepajo ob pojavu. Ugotovljeno je bilo, da je vloga diplomirane medicinske sestre pri obravnavi bolnika z respiratorno odpovedjo zelo pomembna in vključuje predvsem merjenje vitalnih funkcij, opazovanje in spremljanje bolnikovega stanja, izvajanje kisikove terapije, poznavanje in sodelovanje pri neinvazivni ter invazivni ventilaciji, izvajanje higiene respiratornih poti, komunikacijo in sodelovanje z zdravstvenim timom zdravstvenovzgojno delo ter ustrezno dokumentiranje. Rezultati prav tako kažejo, da je respiratorna odpoved pogosto klinično stanje, s katerim se zdravstveni delavci srečujejo vsakodnevno. Intervjuvanci ob tem poudarjajo, da je obravnava takšnih bolnikov lahko čustveno zahteva in stresna, vendar hkrati zahteva strokovnost, hitro prepoznavanje poslabšanja ter ustrezno in pravočasno ukrepanje. Razprava: Diplomirane medicinske sestre na internističnem področju dobro poznajo različne oblike respiratorne odpovedi ter načine njihovega zdravljenja. Ugotovitve poudarjajo pomembno vlogo diplomirane medicinske sestre pri spremljanju bolnikovega stanja, pravočasnem prepoznavanju poslabšanja, izvajanju terapije, sodelovanje pri ventilacijski podpori ter zagotavljanju psihološke podpore bolniku. Raziskava je prav tako pokazala, da se diplomirane medicinske sestre zelo pogosto srečujejo z respiratorno odpovedjo, kar prispeva k njihovim izkušnjam, vendar hkrati poudarja potrebo po stalnem strokovnem izobraževanju in nadgrajevanju znanja za zagotavljanje kakovostne zdravstvene obravnave. Ključne besede: respiratorna odpoved, diplomirana medicinska sestra, aplikacija kisika, respiratorni sistem, kronična obstruktivna pljučna bolezen. Leto izida: 2026 PID: 20.500.12556/ReVIS-13978  Datum objave v ReVIS: 03.06.2026 Število ogledov: 27 Število prenosov: 2 Metapodatki:    Citiraj gradivo Navadno besedilo BibTeX EndNote XML EndNote/Refer RIS ABNT ACM Ref AMA APA Chicago 17th Author-Date Harvard IEEE ISO 690 MLA Vancouver : Kopiraj citat

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Sekundarni jezik

Jezik:	Angleški jezik
Naslov:	THE ROLE OF THE REGISTERED NURSE IN CARE OF A PATIENT WITH RESPIRATORY FAILURE
Opis:	Introduction: The respiratory system enables the exchange of gases between the body and the external environment, thereby ensuring adequate oxygen supply to tissues and the removal of carbon dioxide. It consists of the upper and lower respiratory systems. Respiratory failure may be acute or chronic and clinically presents as either hypoxemic or hypercapnic respiratory failure. The most common causes of respiratory failure include pneumonia, pulmonary edema, pulmonary embolism (PE), chronic obstructive pulmonary disease (COPD), asthma, and acute respiratory distress syndrome (ARDS). Diagnosis is based on the clinical presentation, arterial blood gas analysis, pulse oximetry, capnometry, and imaging studies. Treatment includes oxygen therapy, noninvasive or invasive ventilation, and appropriate pharmacotherapy. In the management of a patient with respiratory failure, the registered nurse plays a crucial role by monitoring vital signs, administering therapy, maintaining airway patency, and participating in health education and documentation of the patient’s condition. The aim of the study was to determine and present the role of a registered nurse in the management of a patient with respiratory failure. Methods: The study included seven registered nurses or healthcare professionals with at least one year of work experience, employed in the internal medicine field. We used a qualitative research approach with a descriptive method. Based on a review of domestic and international scientific and professional literature, as well as the databases Cobiss, PubMed, Google Scholar, Nursing Review, SpringerLink, and MEDLINE, we prepared interview questions divided into two sections. Ethical principles of research were observed throughout the study. The collected data were analyzed quantitatively, the participants’ responses were organized into tables, coded, and interpreted. Results: The study used a purposive sample that included seven registered nurses or graduate healthcare professionals who had been employed in the field of internal medicine for at least one year. Five women and two men participated in the study, aged from 27 to 54 years. The results of the study show that the interviewees are able to distinguish between different types of respiratory failure, recognize its clinical presentation, and respond appropriately when it occurs. It was found that the role of the registered nurse in the management of a patient with respiratory failure is very important and primarily includes measuring vital signs, observing and monitoring the patient’s condition, administering oxygen therapy, having knowledge of and participating in non-invasive and invasive ventilation, performing respiratory airway hygiene, communicating and collaborating with the healthcare team, providing health education, and maintaining appropriate documentation. The results also indicate that respiratory failure is a common clinical condition that healthcare professionals encounter in their daily practice. The interviewees emphasized that the management of such patients can be emotionally demanding and stressful; however, it requires professional competence, rapid recognition of deterioration, and appropriate and timely intervention. Discussion: Registered nurses working in the field of internal medicine have a good understanding of the different types of respiratory failure and the methods used for their treatment. The findings highlight the important role of registered nurses in monitoring the patient’s condition, recognizing deterioration in a timely manner, administering therapy, assisting with ventilatory support, and providing psychological support to the patient. The study also showed that registered nurses encounter respiratory failure very frequently in their clinical practice, which contributes to their experience; however, it also emphasizes the need for continuous professional education and the ongoing development of knowledge to ensure high-quality healthcare.
Ključne besede:	Respiratory failure, Registered nurse, Oxygen therapy, Respiratory system, Chronic obstructive pulmonary disease (COPD).

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