5 research outputs found
"Healthcare of chronic wounds"
KroniÄne rane su jedan od veÄih problema s kojima se medicinska sestra susreÄe u svakodnevnom radu. Od davne povijesti predstavljaju veliki izazov, jer unatoÄ napretku na brojnim podruÄjima i u danaÅ”nje vrijeme javljaju se problemi pri lijeÄenju i izljeÄenju kroniÄne rane. Pod kroniÄnom ranom smatra se rana koja ne cijeli uz standardne postupke lijeÄenja u razdoblju od 6 do 8 tjedana. Ona predstavlja optereÄenje za bolesnika, jer u velikoj mjeri naruÅ”ava kvalitetu života, utjeÄe na smanjene fiziÄke i radne sposobnosti, a isto tako dovodi do socijalne izolacije Zbog dugotrajnog lijeÄenja i problema koji se javljaju u isto vrijeme je veliko optereÄenje i za okolinu, a isto tako i financijski teret za druÅ”tvo. U procesu zdravstvene njege pacijenata s kroniÄnim ranama, osim preventivnih mjera, intervencije medicinske sestre/tehniÄara usmjerene s prema uklanjanju poteÅ”koÄa i problema iz podruÄja zdravstvenog funkcioniranja koji su proizaÅ”li kao posljedica naruÅ”enog zdravstvenog stanja. Kvalitetna zdravstvena njega je od velike važnosti tijekom lijeÄenja bolesnika. Cilj ovog zavrÅ”nog rada je istražiti uÄestalost oboljelih s tipiÄnim ranama prema dobi i prema spolu u OpÄoj bolnici Dubrovnik, u razdoblju od 01. sijeÄnja 2014. do 31. prosinca 2015., utvrditi broj opskrbnih dana, te istražiti metode lijeÄenja kroniÄnih rana u ispitivanoj Ustanovi. U istraživanju je izvrÅ”ena dvogodiÅ”nja retrospektivna analiza u OB Dubrovnik u razdoblju od 01.01.2014. do 31.12.2015. Uzorak ispitanika Äinilo je 88 bolesnika koji su imali kroniÄne rane u navedenom razdoblju. Podaci o bolesnicima prikupljeni su iz bolniÄkog informacijskog sustava (BIS) i sestrinske dokumentacije koja se uvodi u elektriÄnom obliku. Obradom dobivenih rezultata utvrÄeno je da u najveÄem broju obolijevaju muÅ”karci, najveÄi broj oboljelih spada u dobnu skupinu od 60 do 79 godina, dok je najveÄi postotak hospitaliziranih lijeÄen u ustanovi od 10-19 dana. Od tipova kroniÄnih rana najveÄi broj oboljelih je s dijabetiÄnim stopalo. Obzirom na naÄin tretiranja kroniÄne rane doÅ”lo se do podatka da se u terapiji lijeÄenja kroniÄnih rana u znaÄajnoj mjeri primjenjuju klasiÄne metode previjanja, iako posljednih godina 2 kontinuirano raste primjena modernog naÄina previjanja kao i koriÅ”tenje suportivne terapije. TretirajuÄi bolesnika na holistiÄki naÄin, medicinska sestra planira i provodi intervencije kojima se želi skrb i lijeÄenje postiÄi Å”to uÄinkovitijima. Zbog kompleksnosti lijeÄenja kroniÄnih rana, medicinska sestra uz znanje i iskustvo ima potrebu za kontinuiranom edukacijom, a sve s ciljem poveÄanja kvalitete zdravstvene njege, a ujedno i kvalitete života bolesnika s kroniÄnom ranom.Chronic wounds are among the major problems that the nurse faces in everyday work. They have been a major challenge worldwide since ancient history, because despite the progress in many areas there are still problems in the treatment and healing of chronic wounds. A chronic wound is a wound that does not heal after a period of 6 to 8 weeks of standard treatment. It is a burden for the patient, because it greatly impairs the quality of life, the physical and work abilities, and also leads to social isolation. Due to long-term treatment and relevant health issues, it is at the same time a large burden for the social environment and a financial burden to the society. When treating patients with chronic wounds, in addition to preventive measures interventions of nurses / technicians are focused on eliminating the health issues caused by impaired health, as well as patient education. The aim of this final paper was to explore the chronic wound incidence in the General Hospital Dubrovnik according to age and gender in the period from 1st January 2014 to 31st December 2015, to determine the treatment period and explore the chronic wound treatment methods in the target institution. A two-year retrospective analysis in the GH Dubrovnik in the period from 1st January 2014 to 31st December 2015 was carried out. The sample consisted of 88 patients with chronic wounds in the mentioned period. Data on the patients were collected from the Hospital Information System (BIS) and nursing documentation stored in the system. Analysis of the results obtained shows the prevalence in the male patients and in the age group 60-79, while the largest percentage of inpatients are treated at the facility from 10 to 19 days. The most frequent cause of chronic wounds is diabetic foot. The treatment methods mostly used are the classic dressing methods, although the modern methods of dressing are being increasingly applied in the recent years, as well as the use of supportive therapy. High quality healthcare is of utmost importance in the patient treatment, and holistic approach of the nurse is imperative. By taking into consideration all the patients' needs the nurse plans and implements interventions aiming to achieve the most efficient 4 treatment and care. Due to the complexities of the chronic wound treatment, the nurse needs not only the knowledge and experience but also a continued education in order to upgrade the quality of healthcare and at the same time the quality of life of the chronic wound patients
"Healthcare of chronic wounds"
KroniÄne rane su jedan od veÄih problema s kojima se medicinska sestra susreÄe u svakodnevnom radu. Od davne povijesti predstavljaju veliki izazov, jer unatoÄ napretku na brojnim podruÄjima i u danaÅ”nje vrijeme javljaju se problemi pri lijeÄenju i izljeÄenju kroniÄne rane. Pod kroniÄnom ranom smatra se rana koja ne cijeli uz standardne postupke lijeÄenja u razdoblju od 6 do 8 tjedana. Ona predstavlja optereÄenje za bolesnika, jer u velikoj mjeri naruÅ”ava kvalitetu života, utjeÄe na smanjene fiziÄke i radne sposobnosti, a isto tako dovodi do socijalne izolacije Zbog dugotrajnog lijeÄenja i problema koji se javljaju u isto vrijeme je veliko optereÄenje i za okolinu, a isto tako i financijski teret za druÅ”tvo. U procesu zdravstvene njege pacijenata s kroniÄnim ranama, osim preventivnih mjera, intervencije medicinske sestre/tehniÄara usmjerene s prema uklanjanju poteÅ”koÄa i problema iz podruÄja zdravstvenog funkcioniranja koji su proizaÅ”li kao posljedica naruÅ”enog zdravstvenog stanja. Kvalitetna zdravstvena njega je od velike važnosti tijekom lijeÄenja bolesnika. Cilj ovog zavrÅ”nog rada je istražiti uÄestalost oboljelih s tipiÄnim ranama prema dobi i prema spolu u OpÄoj bolnici Dubrovnik, u razdoblju od 01. sijeÄnja 2014. do 31. prosinca 2015., utvrditi broj opskrbnih dana, te istražiti metode lijeÄenja kroniÄnih rana u ispitivanoj Ustanovi. U istraživanju je izvrÅ”ena dvogodiÅ”nja retrospektivna analiza u OB Dubrovnik u razdoblju od 01.01.2014. do 31.12.2015. Uzorak ispitanika Äinilo je 88 bolesnika koji su imali kroniÄne rane u navedenom razdoblju. Podaci o bolesnicima prikupljeni su iz bolniÄkog informacijskog sustava (BIS) i sestrinske dokumentacije koja se uvodi u elektriÄnom obliku. Obradom dobivenih rezultata utvrÄeno je da u najveÄem broju obolijevaju muÅ”karci, najveÄi broj oboljelih spada u dobnu skupinu od 60 do 79 godina, dok je najveÄi postotak hospitaliziranih lijeÄen u ustanovi od 10-19 dana. Od tipova kroniÄnih rana najveÄi broj oboljelih je s dijabetiÄnim stopalo. Obzirom na naÄin tretiranja kroniÄne rane doÅ”lo se do podatka da se u terapiji lijeÄenja kroniÄnih rana u znaÄajnoj mjeri primjenjuju klasiÄne metode previjanja, iako posljednih godina 2 kontinuirano raste primjena modernog naÄina previjanja kao i koriÅ”tenje suportivne terapije. TretirajuÄi bolesnika na holistiÄki naÄin, medicinska sestra planira i provodi intervencije kojima se želi skrb i lijeÄenje postiÄi Å”to uÄinkovitijima. Zbog kompleksnosti lijeÄenja kroniÄnih rana, medicinska sestra uz znanje i iskustvo ima potrebu za kontinuiranom edukacijom, a sve s ciljem poveÄanja kvalitete zdravstvene njege, a ujedno i kvalitete života bolesnika s kroniÄnom ranom.Chronic wounds are among the major problems that the nurse faces in everyday work. They have been a major challenge worldwide since ancient history, because despite the progress in many areas there are still problems in the treatment and healing of chronic wounds. A chronic wound is a wound that does not heal after a period of 6 to 8 weeks of standard treatment. It is a burden for the patient, because it greatly impairs the quality of life, the physical and work abilities, and also leads to social isolation. Due to long-term treatment and relevant health issues, it is at the same time a large burden for the social environment and a financial burden to the society. When treating patients with chronic wounds, in addition to preventive measures interventions of nurses / technicians are focused on eliminating the health issues caused by impaired health, as well as patient education. The aim of this final paper was to explore the chronic wound incidence in the General Hospital Dubrovnik according to age and gender in the period from 1st January 2014 to 31st December 2015, to determine the treatment period and explore the chronic wound treatment methods in the target institution. A two-year retrospective analysis in the GH Dubrovnik in the period from 1st January 2014 to 31st December 2015 was carried out. The sample consisted of 88 patients with chronic wounds in the mentioned period. Data on the patients were collected from the Hospital Information System (BIS) and nursing documentation stored in the system. Analysis of the results obtained shows the prevalence in the male patients and in the age group 60-79, while the largest percentage of inpatients are treated at the facility from 10 to 19 days. The most frequent cause of chronic wounds is diabetic foot. The treatment methods mostly used are the classic dressing methods, although the modern methods of dressing are being increasingly applied in the recent years, as well as the use of supportive therapy. High quality healthcare is of utmost importance in the patient treatment, and holistic approach of the nurse is imperative. By taking into consideration all the patients' needs the nurse plans and implements interventions aiming to achieve the most efficient 4 treatment and care. Due to the complexities of the chronic wound treatment, the nurse needs not only the knowledge and experience but also a continued education in order to upgrade the quality of healthcare and at the same time the quality of life of the chronic wound patients
Navika puÅ”enja na radnom mjestu kod medicinskih sestara - usporedba izmeÄu OpÄe bolnice i Doma zdravlja Dubrovnik
Danas kroniÄne nezarazne bolesti uzrokuju 63 % ukupnog
mortaliteta, a duhanski preparati jedan su od najveÄih riziÄnih
Äimbenika [1] . PuÅ”enje je riziÄni Äimbenik za nastanak
velikog broja bolesti koje znatno smanjuju stupanj kvalitete
života te uzrokuju prijevremenu smrt
"Methods of treatment of patients with open lower leg fracture in the general hospital Dubrovnik"
Prijelomi potkoljenice vrlo su Äesti i kompleksni prijelomi i mogu se javiti u svakoj životnoj dobi. S obzirom na anatomske osobitosti potkoljenice razlikujemo nekoliko tipova prijeloma koji su opisani u ovom radu. U zbrinjavanju prijeloma veoma je važan pravilan izbor lijeÄenja koji zahtjeva struÄnost, znanje i kompetentnost svih Älanova tima pa tako i medicinske sestre koja izravno sudjeluje u zbrinjavanju. Napredak u dijagnostici te razvoj i pravilno izvoÄenje kirurÅ”kih tehnika lijeÄenja, u danaÅ”nje vrijeme uvelike olakÅ”ava i ubrzava oporavak pacijenata nakon prijeloma te su komplikacije svedene na minimum. Kao i kod svih ostalih patoloÅ”kih stanja, bolesti i fraktura tako su i kod prijeloma potkoljenice ipak moguÄe komplikacije koje se adekvatnom skrbi, pravovremenom i pravilnom intervencijom mogu, a i trebaju izbjeÄi. Probleme sa kojima se susreÄe osoblje u radu sa traumatiziranim pacijentom te sam pacijent bit Äe detaljnije prikazane u nastavku. U ovom radu viÅ”e Äe pozornosti biti posveÄeno prijelomima goljeniÄne kosti s obzirom kako su ti prijelomi ÄeÅ”Äi i kompliciraniji od prijeloma lisne kosti.Lower leg fractures are very common and complex fractures and can occur at any age. Given the anatomical features of the lower leg, we distinguish several types of fractures that are described in this study. In the care of fractures, the correct choice of treatment is very important, which requires the expertise, knowledge and competence of all team members, including the nurse who is directly involved in the care. Advances in diagnosis and the development and proper performance of surgical treatment techniques, nowadays greatly facilitates and accelerates the recovery of patients after fractures, and the consequences are minimized. As with all other pathological conditions, diseases and fractures are also possible complications in lower leg fractures that can and should be avoided with adequate care, timely and proper intervention. The problems encountered by the staff in working with the traumatized patient and the patient himself will be presented in more detail below. In this study, more attention will be paid to tibial fractures since these fractures are more common and complicated than leaf bone fractures
"Methods of treatment of patients with open lower leg fracture in the general hospital Dubrovnik"
Prijelomi potkoljenice vrlo su Äesti i kompleksni prijelomi i mogu se javiti u svakoj životnoj dobi. S obzirom na anatomske osobitosti potkoljenice razlikujemo nekoliko tipova prijeloma koji su opisani u ovom radu. U zbrinjavanju prijeloma veoma je važan pravilan izbor lijeÄenja koji zahtjeva struÄnost, znanje i kompetentnost svih Älanova tima pa tako i medicinske sestre koja izravno sudjeluje u zbrinjavanju. Napredak u dijagnostici te razvoj i pravilno izvoÄenje kirurÅ”kih tehnika lijeÄenja, u danaÅ”nje vrijeme uvelike olakÅ”ava i ubrzava oporavak pacijenata nakon prijeloma te su komplikacije svedene na minimum. Kao i kod svih ostalih patoloÅ”kih stanja, bolesti i fraktura tako su i kod prijeloma potkoljenice ipak moguÄe komplikacije koje se adekvatnom skrbi, pravovremenom i pravilnom intervencijom mogu, a i trebaju izbjeÄi. Probleme sa kojima se susreÄe osoblje u radu sa traumatiziranim pacijentom te sam pacijent bit Äe detaljnije prikazane u nastavku. U ovom radu viÅ”e Äe pozornosti biti posveÄeno prijelomima goljeniÄne kosti s obzirom kako su ti prijelomi ÄeÅ”Äi i kompliciraniji od prijeloma lisne kosti.Lower leg fractures are very common and complex fractures and can occur at any age. Given the anatomical features of the lower leg, we distinguish several types of fractures that are described in this study. In the care of fractures, the correct choice of treatment is very important, which requires the expertise, knowledge and competence of all team members, including the nurse who is directly involved in the care. Advances in diagnosis and the development and proper performance of surgical treatment techniques, nowadays greatly facilitates and accelerates the recovery of patients after fractures, and the consequences are minimized. As with all other pathological conditions, diseases and fractures are also possible complications in lower leg fractures that can and should be avoided with adequate care, timely and proper intervention. The problems encountered by the staff in working with the traumatized patient and the patient himself will be presented in more detail below. In this study, more attention will be paid to tibial fractures since these fractures are more common and complicated than leaf bone fractures