diplomsko delo
Eva Kržišnik (Author), Bernarda Djekić (Reviewer), Andreja Kvas (Mentor), Drago Satošek (Co-mentor)

Abstract

Uvod: Paroksizmalna supraventrikularna tahikardija je motnja srčnega ritma, ki lahko prizadene tudi mlade in osebe z zdravim srcem. Prognoza paroksizmalne supraventrikularne tahikardije je dobra in možnost popolne ozdravitve je visoka. Simptomi se razlikujejo od blagih do hudih palpitacij, ki povzročijo utrujenost, dihalno stisko, omotico. Napadi lahko trajajo od nekaj minut do nekaj dni. Namen: Namen diplomskega dela je na osnovi pregleda literature predstaviti zdravstveno nego pri pacientu s paroksizmalno supraventrikularno tahikardijo ob sprejemu v bolnišnico. Zanimajo nas najpogostejše intervencije zdravstvene nege, ki jih opravi medicinska sestra pri pacientu s paroksizmalno supraventrikularno tahikardijo. Metode dela: Uporabljena je bila opisna metoda dela s pregledom literature. Literaturo smo iskali v podatkovnih bazah CINAHL, Medline in Science Direct. Pomagali smo si tudi s spletnim brskalnikom Google učenjak. Iskanje literature je potekalo tudi prek knjižničnega kataloga COBIB.SI. V pregled in analizo je bila vključena literatura v slovenskem, angleškem in hrvaškem jeziku. Iskanje literature je potekalo od maja 2019 do avgusta 2021. Vključena je bila literatura, objavljena od leta 2008 naprej. Rezultati: Ugotovili smo, da je vloga medicinske sestre ob sprejemu pacienta s paroksizmalno supraventrikularno tahikardijo zelo pomembna. Medicinska sestra tesno sodeluje z zdravnikom in z ostalimi člani tima pri izvajanju intervencij zdravstvene nege. Pacienta ves čas spremlja, izvaja meritve, odvzame vzorce krvi za preiskave, sodeluje v procesu zdravljenja pacienta, po naročilu zdravnika aplicira zdravila in nadzira morebitne zaplete po terapiji, posegih in postopkih. Izvaja intervencije zdravstvene nege pri vagalnih manevrih, snemanju elektrokardiograma, pri elektrokonverziji in po njej. Sodeluje med elektrofiziološko preiskavo in radiofrekvenčno ablacijo ter izvaja intervencije zdravstvene nege po posegu. Pomembno je, da se pacientu pred vsakim posegom in intervencijo zdravstvene nege razložijo postopki in morebitni zapleti, treba je pridobiti tudi pacientovo privolitev za preiskave in posege. Razprava in zaključek: Medicinska sestra spremlja pacienta s paroksizmalno supraventrikularno tahikardijo med celotno obravnavo in zdravljenju, in sicer tako ob sprejemu v bolnišnico kot ob morebitnem sprejemu na oddelek. Medicinska sestra je samostojna pri spremljanju pacientovih vitalnih funkcij in izvaja različne intervencije zdravstvene nege. Med obravnavo pacienta s paroksizmalno supraventrikularno tahikardijo je odgovorna za pravilno izvedene intervencije zdravstvene nege in za nadzor pacienta. Izvaja tudi zdravstveno vzgojo pacienta s paroksizmalno supraventrikularno tahikardijo in vanjo vključuje tudi njegove svojce in pomembne druge. Medicinska sestra je nepogrešljiva članica zdravstvenega tima.

Keywords

diplomska dela;zdravstvena nega;zdravljenje;medicinske sestre;srčni ritem;elektrokonverzija;opazovanje;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [E. Kržišnik]
UDC: 616-083
COBISS: 90776579 Link will open in a new window
Views: 299
Downloads: 40
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Other data

Secondary language: English
Secondary title: Nursing care of patient with paroxysmal supraventricular tachycardia
Secondary abstract: Introduction: Paroxysmal supraventricular tachycardia is a heart-rate disorder, which can also affect young people and people with a healthy heart. The prognosis of paroxysmal supraventricular tachycardia is good, and the possibility of complete recovery is high. Symptoms range from mild to severe palpitations causing fatigue, respiratory distress, and dizziness. Attacks can last anywhere from a few minutes to a few days. Purpose: The purpose of this diploma thesis is to present the nursing care of a patient with paroxysmal supraventricular tachycardia upon admission to hospital on the basis of a literature review. We want to study the most frequent interventions in patients with paroxysmal supraventricular tachycardia performed by nurses. Methods: A descriptive method of work with a literature review was used. We reviewed the literature and used accessible articles in Slovene, English, and Croatian. CINAHL, Medline, and Science Direct databases formed the basis of our literature search. We also used the Google Scholar web browser and the COBIB.si library catalogue. The literature search took place from May 2019 to August 2021. Only literature published from 2008 onwards was included. Results: We have found that the during the admission of a patient with paroxysmal supraventricular tachycardia to hospital, the role of a nurse is very important. They work closely with the doctor and other team members to perform interventions. The nurse constantly monitors the patient, performs measurements, takes samples, participates in the treatment of the patient, applies medication at the request of the doctor, and monitors any complications after therapy, interventions, and procedures. The nurse performs nursing care interventions in vagal maneuvers, electrocardiographic imaging, during electrical conversion, and after it. The nurse also assists in electrofrequency studies and radiofrequency ablations, performing nursing care interventions before and after the procedure. It is important to explain the procedure and possible complications to the patient before each procedure and intervention. It is also necessary to obtain an informed consent for each examination and procedure from the patient. Discussion and conclusion: A patient with paroxysmal supraventricular tachycardia is accompanied by a nurse during the entire course of treatment, both upon admission to the hospital and potential admission to the ward. The nurse is independent in monitoring the patient's vital signs and performing various nursing interventions. During treatment, they are responsible for professionally performing interventions and supervising the patient. The nurse also provides health education to the patient with paroxysmal supraventricular tachycardia, their relatives, and other loved ones. A nurse is thus an indispensable member of the medical team.
Secondary keywords: diploma theses;nursing care;treatment;nurses;heart rate;electrical conversion;observation;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Pages: 35 str.
ID: 14129081