diplomsko delo
Sara Kuduzović (Avtor), Mirjam Ravljen (Recenzent), Lucija Matič (Mentor), Anja Brčan (Komentor)

Povzetek

Uvod: Transplantacija ledvic je najučinkovitejša metoda zdravljenja končne odpovedi ledvic in ima številne prednosti pred zdravljenjem z dializo. Za pacienta s kronično ledvično boleznijo pomeni transplantacija ledvice pomembno prelomnico, novo priložnost za bolj kakovostno življenje, a hkrati tudi vrsto izzivov. Zdravljenje s transplantacijo se v Sloveniji opravlja v Univerzitetnem kliničnem centru (UKC) Ljubljana. Medicinske sestre so aktivno vključene v obravnavo pacienta pred in po transplantaciji ledvice – od priprave in ocenjevanja kandidatov za transplantacijo, preko pooperativne oskrbe, do dolgotrajnega spremljanja in svetovanja po posegu. Namen: Namen diplomskega dela je opredeliti vlogo medicinske sestre in predstaviti intervencije zdravstvene nege v predoperativnem in pooperativnem obdobju transplantacije ledvice. Metode dela: Za izdelavo diplomskega dela je bila uporabljena deskriptivna metoda dela s pregledom strokovne ter znanstvene literature v slovenskem in angleškem jeziku. Iskanje literature je potekalo v podatkovnih bazah MEDLINE in CINAHL Ultimate ter v iskalnikih PubMed in Google Učenjak. Rezultati: V končno analizo je bilo vključenih 10 raziskav. V predoperativnem obdobju so bile identificirane štiri glavne vloge medicinske sestre: medicinska sestra kot koordinatorka v procesu transplantacije, edukatorka, izvajalka diagnostično terapevtskih posegov in podpornica. V perioperativnem in zgodnjem pooperativnem obdobju je medicinska sestra prepoznana kot izvajalka diagnostično-terapevtskih posegov in številnih drugih nalog, ki zahtevajo strokovno znanje, tehnične kompetence in visoko stopnjo odgovornosti. V poznem pooperativnem obdobju pa ima medicinska sestra vlogo koordinatorke, edukatorke, načrtovalke odpusta in ocenjevalke tveganja. Vseskozi pa nudi psihosocialno podporo in s pacientom ustvarja odnos zaupanja. Razprava in zaključek: Ugotovljeno je bilo, da so programi spremljanja pacienta po transplantaciji ledvice in strukturirane edukacijske intervencije učinkoviti načini za izboljšanje pripravljenosti na odpust, zmanjšanje ponovnih hospitalizacij in povečanje zadovoljstva pacientov z zdravstveno oskrbo. Z nadaljnjimi izboljšavami je možno oblikovati strukturirane izobraževalne programe za medicinske sestre, razvijati zbirko potrebnih znanj za novo zaposlene, podpreti uporabo telemedicine ter okrepiti vlogo medicinskih sester pri odločanju in vodenju pacientov. Samo s celostnim pristopom in kontinuirano oskrbo lahko izboljšamo kakovost življenja pacientov in zagotovimo dolgotrajno delovanje presadka.

Ključne besede

diplomska dela;zdravstvena nega;nefrološka obravnava;transplantacijska dejavnost;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.11 - Diplomsko delo
Organizacija: UL ZF - Zdravstvena fakulteta
Založnik: [S. Kuduzović]
UDK: 616-083
COBISS: 248032771 Povezava se bo odprla v novem oknu
Št. ogledov: 103
Št. prenosov: 29
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 a nurse during preoperative and postoperative period of the kidney transplant
Sekundarni povzetek: Introduction: Kidney transplantation is the most effective treatment method for end-stage renal disease and offers numerous advantages over dialysis. For a patient with chronic kidney disease, kidney transplantation represents a significant milestone—a new opportunity for a better quality of life, but also a range of challenges. In Slovenia, kidney transplantation is performed at the University Medical Centre Ljubljana (UKC Ljubljana). Nurses are actively involved in the care of patients before and after kidney transplantation—from candidate preparation and evaluation, through postoperative care, to long-term follow-up and counseling after the procedure. Purpose: The aim of this thesis is to define the role of the nurse and present nursing interventions in the preoperative and postoperative periods of kidney transplantation through a review of scientific and professional literature. Methods: A descriptive method was used for the thesis, reviewing professional and scientific literature in Slovenian and English. Literature was searched in databases such as PubMed, MEDLINE, and CINAHL Ultimate, as well as through Google Scholar. Results: A total of 10 studies were included in the final analysis. In the preoperative period, four main roles of the nurse were identified: the nurse as a coordinator, an educator, a provider of diagnostic and therapeutic procedures and a supporter. In the perioperative and early postoperative periods, the nurse is recognized as a provider of diagnostic and therapeutic interventions and performs numerous tasks that require professional knowledge, technical skills, and a high level of responsibility. In the late postoperative period, the nurse takes on the role of coordinator, educator, discharge planner, risk assessor. Throughout all stages, the nurse provides psychosocial support and builds a relationship of trust with the patient. Discussion and conclusion: It was found that patient follow-up programs after kidney transplantation and structured educational interventions are effective ways to improve discharge readiness, reduce rehospitalizations and increase patient satisfaction with healthcare services. Further improvements may include the development of structured training programs for nurses, the creation of a knowledge base for newly hired staff, support for the use of telemedicine, and strengthening the role of nurses in decision-making and patient management. Only through a holistic approach and continuous care can the quality of life of patients be improved and long-term graft function ensured.
Sekundarne ključne besede: diploma theses;nursing care;nephrology care;transplantation;
Vrsta dela (COBISS): Diplomsko delo/naloga
Študijski program: 0
Komentar na gradivo: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Strani: 1 spletni vir (1 datoteka PDF (31 str.))
ID: 27417701