diplomsko delo
Manca Povšič (Author), Damjan Slabe (Reviewer), Jože Prestor (Mentor)

Abstract

Uvod: Akutni koronarni sindrom predstavlja vodilni vzrok smrti in je eden glavnih vzrokov hospitalizacij. Je velik javno zdravstveni problem. Reševalci na terenu imajo ključno vlogo pri prepoznavi znakov akutnega koronarnega sindroma in njegovem zdravljenju. Namen: Namen diplomskega dela je strjeno predstaviti najnovejše in na dokazih temelječe znanje o akutnem koronarnem sindromu. Predstavljena je obravnava akutnega koronarnega sindroma na terenu in vloga reševalcev pri odkrivanju le-tega. Izpostavljen je tudi pomen izobraževanja reševalcev za bolj kakovostno delo. Metode dela: V diplomskem delu smo uporabili deskriptivno metodo raziskovanja. Pregledali in kritično smo preučili strokovno ter znanstveno literaturo s področja akutnega koronarnega sindroma od leta 2008 do 2018, z izjemo dveh starejših literatur. Vključili smo slovensko in tujo literaturo. Znanstveno literaturo smo iskali s pomočjo podatkovnih baz PubMed, ScienceDirect, WebofScience, Medline in Cobiss. Rezultati: Akutni koronarni sindrom pomeni bolezensko stanje, pri katerem se zmanjša pretok krvi skozi koronarno arterijo. Delimo ga na nestabilno angino pektoris, miokardni infarkt ali nenadno srčno smrt. Ekipa nujne medicinske pomoči mora ob prihodu na mesto dogodka poznati smernice za ukrepanje ob akutnem koronarnem sindromu, kajti zgolj s hitro in natančno obravnavo pacienta na terenu lahko zmanjšajo posledice akutnega koronarnega sindroma. Številna dodatna izobraževanja in vaje so ključ za izboljšanje rezultatov pri prepoznavi in obravnavi akutnega koronarnega sindroma na terenu. Razprava in zaključek: Doseganje dobrih rezultatov pri odkrivanju akutnega koronarnega sindroma na terenu še vedno predstavlja velik izziv tako v Sloveniji kot tudi drugod po svetu. Velik napredek prinaša modernizacija opreme v reševalnih vozilih ter vzpostavitev sodobnih sistemov komuniciranja med reševalno ekipo na terenu in bolnišnico oziroma dispečerjem. Ključnega pomena je neprestano izobraževanje reševalcev o pravilnem pristopu ter obravnavi akutnega koronarnega sindroma na terenu.

Keywords

diplomska dela;zdravstvena nega;akutni koronarni sindrom;zdravljenje;uspešnost;izobraževanje;ekipa nujne medicinske pomoči;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [M. Povšič]
UDC: 616-083
COBISS: 5640043 Link will open in a new window
Views: 784
Downloads: 209
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Other data

Secondary language: English
Secondary title: Successfulness of recognition of acute coronary syndrome by paramedics on field
Secondary abstract: Introduction: Acute coronary syndrome is the leading cause of the death and is one of the main causes of the hospitalization. It represents huge problem in public health system. Paramedics play a key role in identifying the signs of the acute coronary syndrome and its treating. Purpose: The purpose of the bachelor thesis is to present and to summarize the existing, up-to-date and evidence-based knowledge of the acute coronary syndrome. Further, it presents the treatment of acute coronary syndrome outside of the hospital and the role of rescuers of its detection. The importance of educating paramedics for higher quality work is also highlighted. Methods: We used a descriptive research method in the bachelor thesis. We reviewed and critically examined the domestic and foreign scientific literature in the field of acute coronary syndrome published between 2008 and 2018, with the exception of two older literatures. Scientific literature was researched using PubMed, ScienceDirect, Web of Science, Medline and Cobiss databases. Results: Acute coronary syndrome is a disease, in which blood flow through the coronary artery is reduced. We divided it into three subtypes: unstable angina pectoris, myocardial infarction or sudden cardiac death. The Emergency Medical Assistance team should be familiar with the guidelines of taking action in case of acute coronary syndrome upon arrival at the site of the event. Only with rapid and accurate treatment of the patient outside of the hospital, we can reduce the effects of acute coronary syndrome. Numerous additional training and exercises of paramedics are crucial for improving results of identifying and treating acute coronary syndrome. Discussion and conclusion: Achieving good results in detecting signs of acute coronary syndrome outside of the hospitals is still a major challenge both in Slovenia and in elsewhere around the world. Great progress has been made in the modernization of the equipment in ambulances and in the establishment of more modern communication systems between the paramedics and the hospital or the dispatcher. The most important thing is the continuous education and training of paramedics on modern approaches to addressing acute coronary syndrome.
Secondary keywords: diploma theses;nursing care;acute coronary syndrome;treatment;successfulness;education;emergency medical team;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Pages: 25 str.
ID: 11161623