diplomsko delo
Tjaša Zadravec (Author), Lucija Matič (Reviewer), Manca Pajnič (Mentor)

Abstract

Uvod: Spastičnost je oblika hipertonije cerebralnega ali spinalnega izvora, za katero so značilni neprostovoljni, hitrostno odvisni in prekomerno vzdražni tonični refleksi na nateg. Pojavi se lahko pri odraslih in otrocih kot posledica poškodbe hrbtenjače, multiple skleroze, možganske kapi ali cerebralne paralize. Kirurško zdravljenje spastičnosti zajema ortopedske in nevrokirurške posege. Indicirano je, ko odpovedo vse druge metode zdravljenja spastičnosti. Za izbiro najustreznejše oblike zdravljenja sta potrebna individualna obravnava in interdisciplinarno sodelovanje. Namen: Namen diplomskega dela je predstaviti pomembnost dela operacijske medicinske sestre pri nevrokirurškem zdravljenju spastičnosti. Metode dela: Diplomsko delo temelji na deskriptivni metodi raziskovanja, v sklopu katere je bil izveden pregled znanstvene in strokovne literature slovenskih in angleških podatkovnih baz. Uporabljeni so bili brskalniki in podatkovne baze Cochrane library, MedLine (PubMed), ResearchGate, ScienceDirect, CINAHL, COBISS ter Google Učenjak (Scholar). V diplomsko delo je zajetih 49 enot literature. Rezultati: V ospredju nevrokirurškega zdravljenja hude in moteče spastičnosti sta vstavitev baklofenske črpalke in selektivna dorzalna rizotomija. Vsak operativni poseg ima svoje specifične lastnosti, ki jih mora operacijska medicinska sestra izčrpno poznati in nanje biti pripravljena. V času celotnega perioperativnega obdobja je v ospredju dela operacijske medicinske sestre zagotavljanje varnosti pacienta, ki se kaže v pravilnem nameščanju v operativni položaj, aseptični tehniki dela in ustreznem dokumentiranju. Razprava in zaključek: Nevrokirurško zdravljenje spastičnosti je za pacienta zelo koristno, vendar so prisotna tudi določena tveganja. Operativni posegi zahtevajo veliko tehničnega znanja, operacijska medicinska sestra mora biti ustrezno usposobljena, se neprestano izobraževati, slediti napredni kirurški tehnologiji in to implementirati v prakso za zagotavljanje kakovostne zdravstvene nege med operativnimi posegi. Za učinkovito opravljeno delo je potrebna ustrezna komunikacija v času interdisciplinarnega sodelovanja, pri čemer operacijska medicinska sestra deluje kot povezovalni člen.

Keywords

diplomska dela;zdravstvena nega;spastičnost;nevrokirurško zdravljenje;operacijske medicinske sestre;interdisciplinarnost;komunikacija;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [T. Zadravec]
UDC: 616-083
COBISS: 162141187 Link will open in a new window
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Downloads: 16
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Other data

Secondary language: English
Secondary title: ǂThe ǂrole of the operating room nurse in neurosurgical treatment of spasticity
Secondary abstract: Introduction: Spasticity is a form of hypertonia, of cerebral or spinal origin, characterised by involuntary, rate-dependent and excessively excitable tonic reflexes to stretch. It can occur in adults and children as a result of spinal cord injury, multiple sclerosis, stroke or cerebral palsy. Surgical treatment of spasticity includes orthopaedic and neurosurgical procedures. The indication for surgical treatment is that all other methods of treating spasticity have failed. Individualised treatment and interdisciplinary cooperation are needed to select the most appropriate form of treatment. Purpose: The purpose of this thesis is to present the importance of the work of the operating room nurse in the neurosurgical treatment of spasticity. Methods: The diploma thesis is based on a descriptive research method, which included a systematic review of literature in Slovenian and English databases. The databases used were Cochrane library, MedLine (PubMed), ResearchGate, ScienceDirect, CINAHL, COBISS and Google Scholar. The thesis includes 49 references. Results: The neurosurgical treatment of severe spasticity includes the implantation of a baclofen pump and selective dorsal rhizotomy. Each surgical procedure has its own specific characteristics, which the operating room nurse must be fully aware of and prepared for. Throughout the perioperative period, the focus of the operating room nurses work is on ensuring patient safety, based on correct patient positioning, aseptic technique and proper documentation. Discussion and conclusion: Neurosurgical treatment of spasticity has a lot of benefits for the patient, but there are also some risks. Surgical procedures require a great deal of technical knowledge, the operating room nurse needs to be adequately trained, continuously educated, keep abreast of advances in surgical technology, and implement this into practice to ensure quality nursing care during the surgical procedures. Effective work requires good communication in the course of interdisciplinary collaboration, with the operating room nurse acting as a connecting link.
Secondary keywords: diploma theses;nursing care;spasticity;neurosurgical treatment;operating room nurses;interdisciplinarity;communication;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Pages: 33 str.
ID: 19841883