diplomsko delo
Teja Pirc (Avtor), Renata Vettorazzi (Recenzent), Manca Pajnič (Mentor), Tatjana Trotovšek (Komentor)

Povzetek

Uvod: Prirojene nepravilnosti so stanja prenatalnega izvora, prisotna ob rojstvu, ki lahko vplivajo na zdravje, razvoj in preživetje otroka. Razdelimo jih lahko v tri skupine glede na vzrok: genetske, okoljske in večfaktorske, pri čemer so slednje posledica interakcij med genetskimi in okoljskimi dejavniki. Resnost teh nepravilnosti se razlikuje; nekatere ne vplivajo na preživetje, druge pa lahko vodijo v spontani splav, mrtvorojenost ali smrt v zgodnjem poporodnem obdobju. Prirojene nepravilnosti roke so zaradi svoje raznolike narave klinično zahtevne, saj se posamezni primeri močno razlikujejo po anatomski prizadetosti, resnosti in funkcionalni okvari, kar včasih zahteva več operativnih posegov ali terapij. Za optimalne rezultate in doseganje visoke kakovosti življenja pacientov je potreben multidisciplinarni pristop in skrbno dolgoročno načrtovanje zdravljenja. Namen: Namen diplomskega dela je predstaviti vlogo operacijske medicinske sestre pri operativni obravnavi otroka s prirojenimi nepravilnostmi roke in predstaviti posebnosti pri operativni obravnavi otroka v operacijski dvorani. Metode dela: Diplomsko delo temelji na deskriptivni metodi raziskovanja, izveden je bil pregled znanstvene in strokovne literature v slovenskem in angleškem jeziku. Literatura je bila pridobljena preko portala Digitalne knjižnice Univerze v Ljubljani. Uporabljene so bile podatkovne baze MEDLINE (PubMed), CINAHL, COBIB.SI in iskalniki Mendeley, Libgen in ScienceDirect. Rezultati: Otrok s prirojenimi nepravilnostmi roke je deležen različnih operativnih posegov, zato mora operacijska medicinska sestra pri zdravstveni negi upoštevati kronološko starost in stopnjo razvoja, da ustrezno prilagodi pristop. Varna perioperativna zdravstvena nega se začne s temeljito predoperativno obravnavo otroka ter njegovih staršev ali skrbnikov. Operacijska medicinska sestra mora v času celotnega perioperativnega obdobja otroku zagotavljati varnost s pravilnim položajem na operacijski mizi, zmanjševanjem tesnobe in strahu, ukrepi za preprečevanje okužb in vzdrževanjem normotermije. Razprava in zaključek: Prirojene nepravilnosti roke vključujejo različna stanja z različnimi stopnjami invalidnosti, ki vplivajo na fizični videz ter kognitivne in socialne funkcije otroka. Operacijska medicinska sestra mora imeti poglobljeno znanje in izkušnje ter zagotavljati varnost in kakovost oskrbe v skladu s perioperativnimi standardi. Pri perioperativni zdravstveni negi je pomembno, da operacijska medicinska sestra skrbno spremlja položaj otroka na operacijski mizi, preprečuje hipotermijo, pravilno uporablja opremo v operacijski dvorani, izvaja aktivnosti za preprečevanje okužb ter zmanjšuje strah in tesnobo otroka ter staršev ali skrbnikov. Celostna zdravstvena nega mora vključevati tudi družino otroka, nuditi mora ustrezne informacije ter prilagoditi postopke glede na otrokovo starost.

Ključne besede

diplomska dela;zdravstvena nega;perioperativna zdravstvena nega;otrok;operacija roke;skrb za varnost;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.11 - Diplomsko delo
Organizacija: UL ZF - Zdravstvena fakulteta
Založnik: [T. Pirc]
UDK: 616-083
COBISS: 229633539 Povezava se bo odprla v novem oknu
Št. ogledov: 176
Št. prenosov: 36
Ocena: 0 (0 glasov)
Metapodatki: JSON JSON-RDF JSON-LD TURTLE N-TRIPLES XML RDFA MICRODATA DC-XML DC-RDF RDF

Ostali podatki

Sekundarni jezik: Angleški jezik
Sekundarni naslov: ǂThe ǂrole of perioperative nurse in surgical treatment of child with congenital hand anomalies
Sekundarni povzetek: Introduction: Congenital anomalies are conditions of prenatal origin present at birth. They can affect the health, development and survival of the child. They can be divided into three groups according to the cause: genetic, environmental and multifactorial; the latter being the consequence of interactions between the genetic and environmental factors. The severity of these anomalies varies; some do not affect survival, while others may lead to miscarriage, stillbirth or death in the early postnatal period. Congenital hand anomalies are clinically challenging due to their heterogeneous nature, as the individual cases vary widely in anatomical defects, severity and functional impairment. Sometimes this requires multiple surgical interventions or therapies. A multidisciplinary approach and careful long-term planning of treatment are needed to achieve optimal results and a high quality of patients’ lives. Purpose: The aim of this thesis is to present the role of the perioperative nurse in the operative management of child with congenital hand abnormalities and to present the specificities of the surgical treatment of child in operating room. Methods: The thesis is based on the descriptive method of research. A review of scientific and professional literature in Slovene and English was carried out. The literature was obtained through the Digital Library of the University of Ljubljana. MEDLINE (PubMed), CINAHL, COBIB.SI databases and Mendeley, Libgen and ScienceDirect search engines were used. Results: Child with congenital hand anomalies undergo a variety of surgical procedures, and the perioperative nurse must take into account their chronological age and stage of development in order to tailor the approach accordingly. Safe perioperative nursing care for children begins with a thorough pre-operative assessment of the child and their parents or guardians. The perioperative nurse should keep the child safe throughout the perioperative period by ensuring correct positioning on the operation table, reducing anxiety and fear, taking measures to prevent infection and maintaining normothermia Discussion and conclusion: Congenital hand anomalies include a variety of conditions with varying degrees of disability that affect the physical appearance and cognitive and social functions of the child. The perioperative nurse should have in-depth knowledge and experience to ensure safety and quality of care according to perioperative standards. In perioperative care, it is important that the perioperative nurse carefully monitors position of the child on the operating table, prevents hypothermia, uses the equipment in the operating room correctly, carries out activities to prevent infections and reduces fear and anxiety in the child and parents or guardians. Holistic care should also involve the child’s family, providing appropriate information and adapting procedures according to the child’s age.
Sekundarne ključne besede: diploma theses;nursing care;perioperative nursing;child;hand surgery;ensuring safety;
Vrsta dela (COBISS): Diplomsko delo/naloga
Študijski program: 0
Komentar na gradivo: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Strani: 35 str.
ID: 26084236