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Title:VLOGA IZVAJALCEV ZDRAVSTVENE NEGE PRI SPREMLJANJU AKUTNE POOPERATIVNE BOLEČINE
Authors:ID Smrekar Kovačič, Nejc (Author)
ID Rakuša Krašovec, Kristina (Mentor) More about this mentor... New window
Files:.pdf 3886$$dip_smrekar_kovacic_nejc_2025.pdf (1,25 MB)
MD5: 8FAAE14F0E27CA45F131F3108484114D
 
Language:Slovenian
Work type:Bachelor thesis/paper
Organization:UNM FZV - University of Novo mesto - Faculty of Health Sciences
Abstract:Teoretična izhodišča: Akutna pooperativna bolečina je bolečina, ki se pojavi kot neposreden rezultat kirurškega posega ali poškodbe tkiva med operacijo. Izvajalci zdravstvene nege so odgovorni za spremljanje akutne pooperativne bolečine. Spremljanje temelji na uporabi lestvic za spremljanje akutne pooperativne bolečine, opazovanje vedenjskih znakov, spremljanje fizioloških parametrov, dokumentiranja in komunikacije v timu ter klinične presoje, ki temelji na podlagi izkušenj, znanja in celostne obravnave pacienta. Namen diplomske naloge je ugotoviti vlogo izvajalcev zdravstvene nege pri spremljanju akutne pooperativne bolečine. Metoda: Uporabili smo kvalitativen raziskovalen pristop in deskriptivno metodo dela. Kot inštrument za zbiranje podatkov smo izdelali predlogo za polstrukturiran intervju. Primarni podatki so bili pridobljeni s tehniko intervjuvanja. Vzorec je bil namenski in je vključeval izvajalce zdravstvene nege, ki imajo več kot eno leto delovne dobe na področju kirurške zdravstvene nege. V intervju smo vključili sedem izvajalcev zdravstvene nege, od tega dva diplomirana zdravstvenika, dve diplomirani medicinski sestri in dve magistri zdravstvene nege. Raziskava je potekala od januarja do maja 2025. Rezultati: Intervjuvani izvajalci zdravstvene nege se na svojem delovišču srečujejo z akutno pooperativno bolečino, ki jo prepoznajo na podlagi vedenjskih znakov, sprememb vitalnih funkcij in uporabe lestvic za spremljanje akutne pooperativne bolečine. Spremljanje akutne pooperativne bolečine izvedejo z uporabo numerične ocenjevalne lestvice (NRS), vizualno-analogne lestvice (VAS) in lestvice CPOT (angl. Critical-Care Pain Observation Tool). Spremljanje bolečine se prilagaja glede na pacientovo stanje in njegove individualne potrebe. Razprava: Raziskava prikazuje, da imajo izvajalci zdravstvene nege osrednjo vlogo pri ocenjevanju in spremljanju akutne pooperativne bolečine, kar je skladno s sodobnimi smernicami in strokovno literaturo. Pristop, ki vključuje kombinacijo farmakoloških in nefarmakoloških intervencij, omogoča boljšo prilagoditev individualnim potrebam pacientov. Ugotovitve potrjujejo pomen celostnega pristopa, ki vključuje natančno spremljanje akutne pooperativne bolečine kot tudi sprotno prilagajanje analgetične terapije.
Keywords:akutna pooperativna bolečina, spremljanje bolečine, zdravstvena nega, ocenjevalne lestvice.
Year of publishing:2025
PID:20.500.12556/ReVIS-12186 New window
Publication date in ReVIS:12.09.2025
Views:40
Downloads:4
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Secondary language

Language:English
Title:THE ROLE OF NURSING PROFESSIONALS IN MONITORING ACUTE POSTOPERATIVE PAIN
Abstract:Theoretical background:. Acute postoperative pain is the pain that occurs as a direct result of a surgical procedure or tissue injury during surgery. Nurses are responsible for monitoring acute postoperative pain. Monitoring is based on the use of pain assessment scales, observation of behavioral signs, monitoring of physiological parameters, documentation and communication within the team, as well as clinical judgment based on experience, knowledge, and a holistic approach to patient care. The aim of this thesis is to determine the role of nurses in monitoring acute postoperative pain. Method: A qualitative research approach and a descriptive working method were used. As a data collection instrument, we developed a template for a semi-structured interview. Primary data were obtained using the interview technique. The sample was purposive and included nurses with more than one year of work experience in the field of surgical nursing. The interviews included seven nursing professionals: two male graduates in nursing, two female graduate nurses, and two with a master's degree in nursing. The research was conducted from January 2025 to May 2025. Results: The interviewed nurses encounter acute postoperative pain in their clinical practice. They recognize it through behavioral signs, changes in vital functions, and the use of pain assessment scales. Monitoring is carried out using the Numeric Rating Scale (NRS), the Visual Analogue Scale (VAS) and the Critical-Care Pain Observation Tool (CPOT). Pain assessment is adapted to the patient's condition and individual needs. Discussion: The study demonstrates that nurses play a central role in the assessment and monitoring of acute postoperative pain, which is in line with modern guidelines and professional literature. An approach that combines pharmacological and non-pharmacological interventions enables better adaptation to the individual needs of patients. The findings confirm the importance of a holistic approach that includes accurate monitoring of acute postoperative pain as well as timely adjustment of analgesic therapy.
Keywords:acute postoperative pain, pain monitoring, nursing care, assessment scales.


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