(magistrsko delo)
Nataša Medved (Author), Ivan Eržen (Mentor), Milica Lahe (Co-mentor)

Abstract

Izhodišča: Diplomirana medicinska sestra je v letu 2011 postala del tima v referenčni ambulanti družinske medicine. Izvaja preventivne preglede (presejanje) ciljne populacije za zgodnje odkrivanje dejavnikov tveganja in ogroženosti za kronično nenalezljive bolezni. Metodologija raziskovanja: Namen raziskave je oceniti pomen in učinkovitost referenčnih ambulant družinske medicine kot organizacijskega modela za izvajanje programov promocije zdravja in preventive bolezni med odraslimi prebivalci v Sloveniji. Najprej smo opravili analizo zbranih podatkov, iz baze Nacionalnega inštituta za javno zdravje, po regijah za obdobje od 1. 1 .2011 do 31. 12. 2013. Osnovo za raziskavo smo oblikovali s podatki, ki so bili pridobljeni z vprašalnikom, pred izvedbo preventivnega pregleda v letu 2013. Vprašalnik je bil izdelan za namen raziskave. V letu 2015 pa smo še pridobili podatke iz programa Promedika, iz vzorca 260 oseb, ki so bile obravnavane na preventivnem pregledu za kronične nenalezljive bolezni v letu 2007 in 2013. Pregledali smo tudi podatke v zdravstvenih kartonih pacientov, ki so imeli v letu 2007 opravljen preventivni pregled za srčno-žilne bolezni v ambulanti družinskega zdravnika. Pri izdelavi magistrskega dela smo uporabili deskriptivno epidemiološko študijo. Hipoteze smo preverjali s programom Med Calc 17.2 in IBM SPSS 23.0, opisno statistiko in programskim orodjem Microsoft office Excel 2010. Rezultati: Iz pregledanih podatkov smo ugotovili, da je leta 2013 delovalo 352 referenčnih ambulant družinske medicine. Skupaj je bilo obravnavanih 1.336.955 oseb nad 30 let. Razvidno je, da do razlik v regijah prihaja tudi med opazovanimi leti, kjer pojavnost nekaterih kroničnih nenalezljivih bolezni izrazito naraste. Ravno tako lahko trdimo, da referenčne ambulante družinske medicine predstavljajo učinkovitejši pristop za izvajanje promocije zdravja in zgodnje odkrivanje bolezni ter da ni statistično značilnih razlik glede na način vabljenja. Sklep: Ugotovili smo, da je delo tima v referenčni ambulanti strukturirano in zaradi tega kakovostno izvedeno. Iz analiziranih podatkov je razvidna razlika o številu zdravih oseb, oseb s prisotnimi dejavniki tveganja ter obolelimi za kronično nenalezljivo bolezen.

Keywords

diplomirane medicinske sestre;referenčne ambulante družinske medicine;preventivni pregledi;dejavniki tveganja;

Data

Language: Slovenian
Year of publishing:
Typology: 2.09 - Master's Thesis
Organization: UM FZV - Faculty of Health Sciences
Publisher: [N. Medved]
UDC: 614(043.2)
COBISS: 2363300 Link will open in a new window
Views: 1302
Downloads: 306
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Other data

Secondary language: English
Secondary title: Analysis of implementation of preventive check-ups and detection of risk factors for chronic noncommunicable diseases in reference clinics
Secondary abstract: Introduction: In 2011, a graduate nurse has become a part of a team in a model practice of family medicine. She performs preventive examinations (screening) of the target population for early detection of risk factors and health hazard for chronic non-communicable diseases. Research methodology: The purpose of the research was to estimate the importance and efficacy of model practices of family medicine as an organizational model for the implementation of health promotion and disease prevention programmes among adult residents in Slovenia. First, the analysis of data was conducted, collected from the database of the National Institute of Public Health by regions for the period from 1 January 2011 to 31 December 2013. The basis of the research was formed with data, obtained through a questionnaire before conducting the preventive examination in 2013. The questionnaire was designed for the purpose of the research. In 2015, the data from the Promedika programme were also obtained from a sample of 260 people, who were treated on a preventive examination for chronic non-communicable diseases in 2007 and 2013. We also reviewed data from patient records, who had a preventive examination for cardiovascular diseases in a family medicine practice. A descriptive epidemiological method was used to make the masters thesis. The hypotheses were verified using the Med Calc 17.2 and IBM SPSS 23.0 software, descriptive statistics and Microsoft Office Excel 2010 software. Results: Based on the examined data it was established that in 2013, 352 model practices of family medicine operated. A total of 1,336,955 people over the age of 30 were treated. It is evident that the differences among regions are also in the observed years, when the incidence of some chronic non-communicable disease increased significantly. It can also be claimed that the model practices of family medicine represent a more effective approach to implementing health promotion and early detection of diseases and that there are no statistically significant differences according to the invitation manner. Conclusion: We have found out that the team work in the model practice is structured and thus quality performed. The difference in the number of healthy people, people with risk factors and those suffering from a chronic non-communicable disease is evident from the analyzed data.
Secondary keywords: graduate nurse;reference clinic of family medicine;preventive examination;risk factors;Preventive medicine;Health services;Preventivna medicina;Zdravstvene službe;
URN: URN:SI:UM:
Type (COBISS): Master's thesis/paper
Thesis comment: Univ. v Mariboru, Fak. za zdravstvene vede
Pages: XI, 60 f., 3 f. pril.
ID: 10860541