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Title:ZDRAVSTVENA NEGA PACIENTA PO PERKUTANI VSTAVITVI AORTNE ZAKLOPKE
Authors:ID Stegenšek, Živa (Author)
ID Šimec, Mateja (Mentor) More about this mentor... New window
Files:.pdf 3734$$dip_stegensek_ziva_2025.pdf (999,28 KB)
MD5: 34C89AFB2A997D7354FBC1E7C32BD2B8
 
Language:Slovenian
Work type:Bachelor thesis/paper
Organization:UNM FZV - University of Novo mesto - Faculty of Health Sciences
Abstract:Zaradi staranja prebivalstva se povečuje pojavnost aortne stenoze (AS) kot ene glavnih bolezni srčnih zaklopk, zlasti pri starejših moških. Perkutana vstavitev aortne zaklopke (TAVI) je minimalno invaziven postopek, ki se uporablja kot alternativa kirurški zamenjavi zaklopke pri bolnikih z visokim operativnim tveganjem. Postopek omogoča hitrejše okrevanje, vendar zahteva posebno pozornost zaradi tveganja za zaplete, kot so tromboza, krvavitve, okužbe in motnje srčnega ritma. Zdravstvena nega po TAVI vključuje skrbno spremljanje, zgodnjo mobilizacijo ter ustrezno izobraževanje bolnika in njegove družine. Namen raziskave je bil preučiti zdravstveno nego pacienta po perkutani vstavitvi aortne zaklopke s pregledom literature in obstoječih raziskav. Raziskava je temeljila na analizi domače in tuje znanstvene ter strokovne literature, ki obravnava vlogo medicinskih sester po perkutani vstavitvi aortne zaklopke. Uporabljene so bile bibliografske baze podatkov PubMed, Google Scholar, ScienceDirect, Springer Link in COBISS. Iskanje je potekalo s pomočjo Boolovih operatorjev (and, or, not) za ključne besede v angleščini in slovenščini. Gradivo je bilo omejeno na obdobje od 2014 do 2024. Zbrani podatki so bili tematsko analizirani, da se izpostavijo glavne metode, izzivi in priporočila. Rezultati raziskave so pokazali, da je vloga medicinskih sester pri negi bolnikov po TAVI pomembna za preprečevanje zapletov in izboljšanje izidov zdravljenja. Medicinske sestre so odgovorne za spremljanje vitalnih funkcij, preprečevanje zapletov, skrb za rane, izvajanje predpisane farmakoterapije, mobilizacijo, rehabilitacijo ter psihosocialno podporo bolnikom. Tudi zdravstvena vzgoja bolnikov in njihovih družin prispeva k boljšim izidom zdravljenja. Raziskava je potrdila pomembno vlogo medicinskih sester pri negi bolnikov po TAVI. Njihov pristop k preprečevanju zapletov in zagotavljanju kontinuirane oskrbe bistveno vpliva na izide zdravljenja. Priporočamo redna specializirana izobraževanja in simulacijske treninge za medicinske sestre, razvoj in implementacijo standardiziranih protokolov za nego ter uporabo naprednih tehnologij za spremljanje bolnikovega stanja. Zgodnja mobilizacija bolnikov po posegu in vključevanje v nadzorovane rehabilitacijske programe zmanjšujeta tveganje za zaplete in izboljšujeta kakovost življenja.
Keywords:nega, srce, aortna stenoza, TAVI
Year of publishing:2025
PID:20.500.12556/ReVIS-11647 New window
Publication date in ReVIS:26.04.2025
Views:133
Downloads:4
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Secondary language

Language:English
Title:NURSING CARE OF THE PATIENT AFTER PERCUTANEOUS AORTIC VALVE INSERTION
Abstract:Due to the aging population, the incidence of aortic stenosis (AS), one of the main heart valve diseases, is increasing, particularly among elderly men. Transcatheter aortic valve implantation (TAVI) is a minimally invasive procedure used as an alternative to surgical valve replacement in high-risk patients. The procedure allows faster recovery but requires special attention due to the risk of complications such as thrombosis, bleeding, infections, and heart rhythm disorders. Post-TAVI nursing care focuses on careful monitoring, early mobilization, and appropriate patient and family education. The aim of this study was to investigate the nursing care of patients after percutaneous aortic valve implantation using a literature review and existing research. The research was based on an analysis of domestic and international scientific and professional literature addressing the role of nurses after transcatheter aortic valve implantation. Bibliographic databases such as PubMed, Google Scholar, ScienceDirect, Springer Link and COBISS were used. The search was conducted using Boolean operators (AND, OR, NOT) for keywords in English and Slovenian. The literature was limited to the period from 2014 to 2024. Collected data were thematically analyzed to highlight main methods, challenges, and recommendations. The results showed that the role of nurses in caring for patients after TAVI is crucial for preventing complications and improving treatment outcomes. Nurses are responsible for monitoring vital signs, preventing complications, wound care, administering prescribed pharmacotherapy, mobilization and rehabilitation, and providing psychosocial support to patients. Education of patient and his family is also important, contributing to better treatment outcomes. The research confirmed the significant role of nurses in caring for patients after TAVI. Their approach to preventing complications and ensuring continuous care significantly impacts treatment outcomes. Regular specialized training and simulation exercises for nurses, the development and implementation of standardized care protocols, and the use of advanced technologies for patient monitoring are recommended. Early mobilization of patients after the procedure and involvement in supervised rehabilitation programs reduce the risk of complications and improve quality of life.
Keywords:nursing, heart, aortic stenosis, TAVI


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