Search

Teoretična izhodišča: Operativni poseg je dejanje, ki grobo posega v bolnikovo integriteto in s katerim se anestezijske medicinske sestre dnevno srečujejo pri svojem delu. Zato je zelo pomembno, da je pristop k obravnavi bolnika na najvišji strokovni ravni, tako pred, med in po operativnem posegu. V diplomskem delu smo opisali bolezni srca in vlogo anestezijske medicinske sestre pri operaciji na odprtem srcu in v perioperativni zdravstveni negi. Namen raziskave: Namen diplomskega dela je predstaviti vlogo anestezijske medicinske sestre pri operaciji na odprtem srcu in obravnavi bolnika pred, med in po operaciji, ter ugotoviti individualen pogled anestezijskih medicinskih sester na delo pri operaciji na srcu in njihovo vlogo v zdravstveni negi. Metode: V empiričnem delu smo izvedli klinično raziskavo. Podatke smo zbrali s pomočjo anketnega vprašalnika, ki je vseboval 17 vprašanj zaprtega tipa. Rezultati: Ugotovili smo, da so za profesionalni razvoj perioperativne zdravstvene nege, potrebna permanentna dodatna strokovna izobraževanja medicinskih sester, da je vloga anestezijskih medicinskih sester pri operacijah premalo poznana med bolniki in da več kot polovica anketiranih meni, da bi morebitna uvedba sestrske vizite dan pred operativnim posegom pri bolniku, omogočila boljše prepoznavanje dela in njihove vloge pri operaciji med bolniki in s tem tudi javnostjo. Ugotovili smo, da anestezijske medicinske sestre pri operaciji na srcu delajo pod večjimi obremenitvami, kot na ostalih deloviščih zaradi večjega obsega dela in same narave bolezni pri tovrstnih operacijah, kar predstavlja obenem tudi večjo možnost napak pri delu. Background: A surgery is an act which largely interferes with a patient’s integrity and something nurse anesthetists encounter in their everyday practice. Therefore it is very important that a patient is approached on the highest professional level prior, during and after the surgery. The paper discussed cardiac diseases and the role of nurse anesthetist in open heart surgery and perioperative nursing care. Purpose: The purpose of this paper is present the role of nurse anesthetist in an open heart surgery and treatment of patient prior, during and after operation as well as to establish an individual perspective of nurse anesthetist on work during a heart surgery and their role in nursing care. Methods: We conducted a clinical study in the empirical part of the paper. Data was collected by means of a survey consisting of 17 closed - ended questions. Results: We established that additional professional training of nurses is required for a professional development of perioperative nursing care. We also concluded that patients are not familiar enough with the role of nurse anesthetists in surgeries and more than a half of respondents believe that introducing a nurse round a day prior to surgery would enable better identification of work and their roles during surgery among patients as well as society. Nurse anesthetists are under additional pressure during an open heart surgery on account of extra work and nature of the disease in these types of surgeries, which presents a greater possibility of making errors at work.