Title Pristup bolesniku s poremećajem srčanog ritma u OHBP-u OB Zadar u razdoblju od 2015. do 2017. godine
Title (english) Accessing a Patient with Heart Rhythm Disorder in OHBP OB Zadar in the period from 2015 to 2017
Author Anđela Colić
Mentor Dražen Zekanović (mentor)
Committee member Dražen Zekanović (predsjednik povjerenstva)
Committee member Nataša Skitarelić (član povjerenstva)
Committee member Ivo Klarin (član povjerenstva)
Granter University of Zadar (Department of Health Studies) Zadar
Defense date and country 2018-12-12, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Aritmija je poremećaj srčanog ritma. Nastaje zbog poremećaja u stvaranju i/ili provođenju električnog impulsa. Aritmija je čest razlog dolaska bolesnika u OHBP. Odlike sestre za takvo radno mjesto bile bi visoki stupanj educiranosti, profesionalnost a ujedno empatija, spretnost i brza moć zapažanja te mogućnost ispravnog i pravovremenog interveniranja, često samostalnost u donošenju odluka, izvrsne komunikacijske vještine i snalažljivost u izvanrednim situacijama. Cilj rada: Prikazati važnost uloge medicinske sestre pri zbrinjavanju pacijenta s aritmijom na Objedinjenom hitnom bolničkom prijemu, na osnovi dobivenih rezultata iz razdoblja od 2015. do 2017. godine. Materijali i metode: Prikupljanje i obrada podataka o prijemu pacijenata ispunjavanjem obrasca za trijažu elektronskim putem, te liječnička dokumentacija ispunjena također elektronskim putem. Korišteni su navedeni kriteriji: sveukupni broj pacijenata upisanih u OHBP tijekom trogodišnjeg razdoblja, broj upisanih pacijenata bez uputnice i broj s uputnicom, ukupan broj pacijenata premještenih u stacionar i broj pacijenata premještenih na odsjeke kardiologije, broj zastupljenih trijažnih kategorija za iste te broj pacijenata s pozitivno ispunjenom stavkom o pitanju kardijalnih simptoma po dolasku pacijenta na trijažni punkt, broj pacijenata s uputnom dijagnozom aritmije i broj pacijenata s prijemnom dijagnozom aritmije. Ispitanici su pacijenti zaprimljeni na OHBP Zadar pod dijagnozom aritmije tijekom razdoblja od 2015. do 2017. godine, neovisno o dobi i spolu. Zaključak: U cilju unapređenja liječenja pacijenata s aritmijom u OHBP-u, sa sestrinskog je aspekta potrebno redovito obnavljanje edukacije i usavršavanje, kao i treninzi vještina, oformljivanje reanimacijskih timova, te korekcija strukturno-organizacijskih problema. S relativno malo angažmana, ali ozbiljnog, može se time bitno unaprijediti ovaj izuzetno važan segment zdravstvene skrbi.
Abstract (english) Arrhythmia is heart rhythm disorder. It is caused by a disturbance in the creation and / or conduction of an electrical impulse. Arrhythmia is a common cause of the arrival of patients in OHBP. The sister's qualities for such a job would be a high level of education, professionalism and empathy, skill and quick observation power, as well as the possibility of right time and correct intervention, often decision-making autonomy, excellent communication skills and resourcefulness in emergency situations. Goal of work: To show the importance of the nurse's role in treating a patient with arrhythmia at the United Hospital Emergency Reception, based on the results obtained from 2015 to 2017. Materials and Methods: Collecting and processing the patients reception data by filling in a form for electronic check-up, as well as medical documentation completed electronically. The following criteria were used: the total number of patients enrolled in OHBP during the threeyear period, the number of enrolled patients with or without referral number, the total number of patients transferred to the station and the number of patients transferred to the cardiology departments, the number of triage categories for the same and the number of patients with positively filled form with the question of cardiac symptoms upon the arrival of the patient at the triage point, the number of patients with a referral diagnosis of arrhythmia and the number of patients receiving arrhythmia diagnosis. The data subjects were patients admitted to OHBP Zadar under the diagnosis of arrhythmia during the period from 2015 to 2017, regardless of age and sex. Conclusion: In order to improve the treatment of patients with arrhythmia in OHBP, from the nursing point of view,it is necessary to regularly renew the education and training, as well as skill trainings,forming reanimation teams, and correction of structural-organizational problems. With a relatively small amount of engagement, but the serious one, this extremely important healthcare segment can be significantly improved.
Keywords
Aritmija
sinuatrijski
atrioventrikularni
tahiaritmija
bradiaritmija
medicinska sestra
pacijent
Objedinjeni hitni bolnički prijem
Keywords (english)
Arrhythmia
sinuatric
atrioventricular
tachyarrhythmia
bradarithmia
nurse
patient
unified emergency hospital admissions
Language croatian
URN:NBN urn:nbn:hr:162:232172
Study programme Title: Nursing Study programme type: university Study level: graduate Academic / professional title: Magistar/magistra sestrinstva (Magistar/magistra sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Access restricted to students and staff of home institution
Terms of use
Created on 2019-04-26 16:27:09