diplomsko delo
Klara Škufca (Author), Andreja Kvas (Reviewer), Lucija Matič (Mentor)

Abstract

Uvod: Koronarografija je invazivna diagnostična preiskava, ki se izvaja za prikaz strukture in anatomije žilnega sistema. Po potrebi ji lahko sledi terapevtski poseg. Deluje tako, da se preko žilnega katetra v krvni obtok vbrizga kontrastno sredstvo, ki s pomočjo rentgenskih žarkov omogoča prikaz koronarnih žil. Pogosto uporabljena metoda pristopa pri koronarografiji je femoralni pristop pri katerem se v koronarne arterije vstopi preko femoralne arterije v dimljah. Ta pristop predstavlja večje tveganje za pojav krvavitev, hematomov, žilnih zapletov ter bolečine v hrbtu in nogi. Namen: Namen diplomskega dela je s pregledom literature raziskati in predstaviti, kako so medicinske sestre vključene v proces koronarografije s femoralnim žilnim pristopom in kakšna je njihova vloga. Metode dela: Uporabljena je bila deskriptivna metoda dela. Literaturo smo iskali v bibliografskih zbirkah CINAHL Ultimate in MEDLINE. Pregled literature je potekal od decembra 2023 do januarja 2024. Vključitveni kriteriji so bili izvirni in pregledni znanstveni ter strokovni članki v slovenskem in angleškem jeziku, literatura iz obdobja od leta 2015 do leta 2024, prosto dostopni članki v celotnem obsegu in članki, ki so v skladu z vsebino diplomskega dela. V analizo smo vključili 15 člankov. Rezultati: Rezultati naše raziskave so se osredotočali na naslednje intervencije zdravstvene nege: lajšanje bolečine, zmanjševanje anksioznosti, skrb za vbodno mesto, zaustavljanje krvavitev, pomoč pri vstajanju, pomoč pri spreminjanju položajev, preprečevanje pojava žilnih zapletov po posegu in skrb za lastno varnost. Razprava in zaključek: Medicinska sestra ima pomembno vlogo pri fizični in psihični pripravi pacienta na poseg, pri sprejetju v kateterizacijski laboratorij, med samim posegom in pa z zdravstveno oskrbo po posegu. Poznati mora zdravstveno oskrbo pacienta po koronarografiji s femoralnim pristopom, prepoznati dejavnike tveganja, preprečevati zaplete, izvajati intervencije, ki zmanjšujejo anksioznost in lajšajo bolečino, skrbeti za fizično udobje pacienta in za zaščito pred sevanjem v kateterizacijskem laboratoriju. Medicinska sestra lahko s svojim delom povečuje udobje pacientov in njihovo zadovoljstvo z obravnavo.

Keywords

diplomska dela;zdravstvena nega;kardiologija;koronarne arterije;intervencije zdravstvene nege;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [K. Škufca]
UDC: 616-083
COBISS: 208502275 Link will open in a new window
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Other data

Secondary language: English
Secondary title: ǂThe ǂrole of the nurse in coronary angiography with the femoral approach
Secondary abstract: Introduction: Coronary angiography is an invasive diagnostic examination that is performed to show the structure and anatomy of the vascular system and which can be followed by therapeutic intervention if necessary. It works by injecting a contrast agent into the bloodstream via a vascular catheter, which allows the coronary vessels to be visualized with the help of X-rays. A frequently used method of approach in coronary angiography is the femoral approach, in which the coronary arteries are entered via the femoral artery in the groin. This approach carries a higher risk of bleeding, hematomas, vascular complications, and back and leg pain. Purpose: The purpose of the thesis is to investigate and present, through a review of the literature, how nurses are involved in the process of coronary angiography with a femoral vascular approach and what their role is. Methods: A descriptive method of work was used. Literature was searched in the bibliographic collections CINAHL Ultimate and MEDLINE. The literature review took place from December 2023 to January 2024. The inclusion criteria were original and transparent scientific and professional articles in Slovenian and English, literature from 2015 to 2024, freely accessible articles in their entirety and articles that comply with content of the thesis. We included 15 articles in the analysis. Results: The results of our research focused on the following medical interventions: pain relief, anxiety reduction, care of the puncture site, stopping bleeding, assistance in getting up, assistance in changing position, prevention of vascular complications after the procedure, and concern for one's own safety. Discussion and conclusion: The nurse plays an important role in the physical and psychological preparation of the patient for the procedure, in admission to the catheterization laboratory, during the procedure itself and with medical care after the procedure. She must know the medical care of the patient after coronary angiography with a femoral approach, identify risk factors, prevent complications, implement interventions that reduce anxiety and relieve pain, take care of the physical comfort of the patient and radiation protection in the catheterization laboratory. Through her work, the nurse can increase the comfort of the patients and their satisfaction with the treatment.
Secondary keywords: diploma theses;nursing care;cardiology;coronary arteries;nursing interventions;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Pages: 26 str.
ID: 25114649