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Title:VLOGA MEDICINSKE SESTRE V OPERATIVNI DEJAVNOSTI PRI OBRAVNAVI PACIENTA Z ZLOMOM KOLKA
Authors:ID Kolman, Tjaša (Author)
ID Saje, Mojca (Mentor) More about this mentor... New window
Files:.pdf 3851$$dn_tjasa_kolman_izredni_zn.pdf (1,15 MB)
MD5: 06D2A25BC5A6EE5B167A7C580B698077
 
Language:Slovenian
Work type:Bachelor thesis/paper
Organization:UNM FZV - University of Novo mesto - Faculty of Health Sciences
Abstract:Izhodišča: Zlom kolka je pogosta poškodba pri starejših, pri čemer so običajno posledica padca in zmanjšanja gostote kosti v kasnejših letih življenja. Pogostejši so pri ženskah. Pri starejših ljudeh, ki pogosto trpijo zaradi bolezni srca in ožilja, težav s pljuči, nevroloških bolezni ali sladkorne bolezni, ti zlomi predstavljajo velik zdravstveni izziv. Neustrezno zdravljen zlom kolka lahko pripelje do hudih telesnih omejitev in invalidnosti. Metode: Uporabili smo deskriptivno metodo dela. Literaturo smo iskali s pomočjo ključnih besed v slovenskem in angleškem jeziku: operativni poseg (surgical procedure), pacient (patient), zlom kolka (hip fracture), vloga medicinske sestre (role of nurse) in zdravstvena nega (healthcare). Za iskanje virov smo uporabili mednarodne podatkovne baze: PubMed, Wiley, ScienceDirect. S PRIZMA-diagramom smo prikazali proces izločevanja zadetkov. Pri vsebinski analizi smo uporabili tehniko kodiranja in oblikovanja vsebinskih kategorij. Rezultati: Pregledali smo skupno 838 znanstvenih virov, izmed katerih je bilo na koncu vključenih 13 v obdelavo spoznanj. Vključili smo znanstvene in strokovne članke, objavljene od leta 2015 do leta 2025, ki so bili prosto dostopni na spletu v obsegu celotnega besedila. Z izvedbo kvalitativne vsebinske analize smo iz člankov izluščili 42 vsebinskih kod, ki smo jih združili v štiri kategorije. V pregled smo vključili osem sistematičnih pregledov literature, dve randomizirani študiji, eno nerandomizirano študijo, eno prospektivno kohortno študijo in eno kvalitativno študijo. Rezultati so pokazali, da medicinske sestre poskrbijo za pripravo pacienta na operacijo, z učinkovitimi preventivnimi ukrepi zmanjšujejo tveganje za pooperativne zaplete, kot so globoka venska tromboza in okužbe. Slednje skrbijo za nadzor vitalnih funkcij ter skrbijo za izobraževanje pacientov in zgodnjo mobilizacijo. Razprava: Medicinske sestre imajo ključno vlogo pri celostni obravnavi pacientov z zlomom kolka, saj sodelujejo v vseh fazah zdravljenja – od predoperativne priprave do rehabilitacije – in s tem pomembno prispevajo k uspešnemu okrevanju. Njihovo strokovno znanje, dosledno izvajanje protokolov in sodelovanje z zdravstvenim timom bistveno zmanjšujejo tveganje za zaplete in izboljšujejo kakovost življenja pacientov.
Keywords:zlom kolka, operativni poseg, vloga medicinske sestre, pacient
Year of publishing:2025
PID:20.500.12556/ReVIS-12182 New window
Publication date in ReVIS:12.09.2025
Views:37
Downloads:2
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Secondary language

Language:English
Title:THE ROLE OF THE NURSE IN THE OPERATIVE ACTIVITY IN THE TREATMENT OF A PATIENT WITH A HIP FRACTURE
Abstract:Introduction: Hip fractures are a common injury among the elderly, usually resulting from a fall and decreased bone density in later stages of life. They are more frequent in women. In older adults, who often suffer from cardiovascular diseases, pulmonary conditions, neurological disorders, or diabetes, these fractures pose a major health challenge. Inadequately treated hip fractures can lead to severe physical limitations and disability. Methods: We used the descriptive work method. Literature was searched using the following keywords: surgical procedure, patient, hip fracture, role of nurse, and healthcare. For source retrieval, we used international databases: PubMed, Wiley, and ScienceDirect. The PRISMA diagram was used to present the exclusion process of the search results. In the content analysis, we applied coding and the formation of content categories. Results: We reviewed a total of 838 scientific sources, of which 13 were ultimately included in the data synthesis. We included scientific and professional articles published between 2015 and 2025, which were freely available online in full-text format. Through qualitative content analysis, we extracted 42 content codes from the articles and grouped them into four categories. The review included eight systematic literature reviews, two randomised studies, one non-randomised study, one prospective cohort study, and one qualitative study. The results showed that nurses are responsible for preparing patients for surgery and, through effective preventive measures, reducing the risk of postoperative complications such as deep vein thrombosis and infections. They also monitor vital signs, provide patient education, and encourage early mobilisation. Discussion: Nurses play a key role in the holistic care of patients with hip fractures, as they are involved in all stages of treatment – from preoperative preparation to rehabilitation – thereby significantly contributing to successful recovery. Their professional expertise, consistent implementation of protocols, and collaboration with the healthcare team considerably reduce the risk of complications and improve patients’ quality of life.
Keywords:hip fracture, surgical procedure, role of the nurse, patient


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