Telemetrično spremljanje bradikardnih motenj in vstavitev srčnega spodbujevalnika

(diplomsko delo)

Aljaž Markuš (Author), Vojko Kanič (Mentor), Anton Koželj (Co-mentor)

Abstract

Uvod: Aritmije so motnje srčnega ritma. Bradikardije so nenormalno znižan srčni utrip. Med bradikardije uvrščamo bolezen sinusnega vozla in atrio-ventrikularni (AV) blok I, II in III. Bolniki z boleznijo sinusnega vozla potrebujejo zdravljenje z zdravili ali vstavitev srčnega spodbujevalnika, bolniki z drugo- in tristopenjskim AV blokom pa zdravljenje z zdravili, če je potrebno, namestitev začasnega spodbujevalnika, nato pa vsaditev stalnega srčnega spodbujevalnika. Ključno vlogo pri zdravstveno negovalni oskrbi bradikardnih bolnikov ima strokovno delo medicinske sestre. Namen diplomskega dela je bil analizirati načine zdravljenja bradikardnih bolnikov in proučiti vlogo medicinske sestre pri oskrbi tovrstnih bolnikov. Metode: V raziskavi je sodelovalo 50 moških in ženskih bolnikov, ki so bili zaradi bradikardnih motenj zdravljeni na Oddelku za kardiologijo in angiologijo. Kvalitativne podatke smo zbrali z analizo znanstveno strokovne literature in bolniškim sprejemnim listom za anamnezo. Kvantitativne podatke smo zbrali s pomočjo telemetričnega opazovanja. Rezultati: Bolnike z motnjami srčnega ritma nadzorujemo s telemetrično diagnostiko. (8; 16 %) proučevanih bradikardnih bolnikov je prejelo izključno zdravljenje z zdravili, (42; 84 %) opazovanim bolnikom pa so vstavili srčni spodbujevalnik. Razprava in sklep: Anamnestični podatki v kombinaciji s telemetričnimi izsledki olajšajo odločitev za operativno zdravljenje bradikardnih bolnikov z vstavitvijo srčnega spodbujevalnika. Strokovno delo medicinske sestre je ključnega pomena za obravnavo bradikardnih bolnikov ter ohranitev kakovosti njihovega življenja. Bradikardne motnje srčnega ritma naraščajo, zato se potreba po zdravljenju z zdravili in operativnih posegih povečuje. Medicinska sestra mora biti na področju aritmij visoko izobražena in ustrezno strokovno usposobljena, še zlasti ko gre za delo v triaži in urgentni medicini.

Keywords

bradikardija;tahikardija;antiaritmiki;telemetrija;srčni spodbujevalnik;

Data

Language:	Slovenian
Year of publishing:	2022
Typology:	2.11 - Undergraduate Thesis
Organization:	UM - University of Maribor
Publisher:	[A. Markuš]
UDC:	616.12-008.313:004.5(043.2)
COBISS:	95789059
Views:	93
Downloads:	27
Average score:	0 (0 votes)
Metadata:

Other data

Secondary language:	English
Secondary title:	Telemetry control of bradycardic disorders and insertion of a pacemaker
Secondary abstract:	Introduction: Arrhythmias are heart rhythm disorders. Bradycardias are defined as an abnormally low heart rate. Bradycardias include sinus node disease or sick sinus syndrome and AV block I, II and III. The most important task in the care of patients with bradycardia is the highly professional work of nurses. Methods: The study included 50 male and female patients who were telemetrically observed for diagnosed bradycardia disorders and treated with medication and/or surgery in the Department of Cardiology and Angiology. Qualitative data were collected through analysis of scientific articles and a medical history form. Quantitative data were collected by telemetric observation. Results: Patients with cardiac arrhythmias were monitored using telemetry diagnostics. Of the bradycardic patients, (8; 16%) received drug-only therapy, and (42; 84%) of the monitored patients had a surgical pacemaker implanted. Medical history data in combination with telemetric findings facilitate the decision for surgical therapy (insertion of a pacemaker). Professional medical work is crucial for rapid and effective treatment of bradycardic patients and preservation of their quality of life. Discussion and conclusion: Bradycardic arrhythmias have been greatly increasing. As a result, the need for medical and surgical treatment has increased. The care and management of such patients requires well-educated and professionally trained nurses in the field of arrhythmia, especially when it comes to triage and emergency medical work.
Secondary keywords:	bradycardia;tachycardia;antiarrhythmics;telemetry;pacemaker;
Type (COBISS):	Bachelor thesis/paper
Thesis comment:	Univ. v Mariboru, Fak. za zdravstvene vede
Pages:	VII, 47 f., 5 f. pril.
ID:	14003635