Organizacijski aspekti sestrinske skrbi u zbrinjavanju bolesnika s akutnim ishemijskim moždanim udarom

master's thesis

• Title (english): Organizational aspects of nursing care in treatment of patients with acute ischemic stroke
• Author: Željana Jurčević
• Mentor: Marjeta Majer (mentor)
• Committee member: Danijela Štimac Grbić (predsjednik povjerenstva)
• Committee member: Aleksandar Džakula (član povjerenstva)
• Committee member: Marjeta Majer (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2023-09-21, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care

Abstract

Moždani udar predstavlja hitno neurološko stanje, a važan je zdravstveni problem
današnjice jer je vodeći uzrok tjelesne invalidnosti te je među glavnim uzročnicima mortaliteta
odrasle dobi. S obzirom na kliničku sliku klasificira se na ishemijski, hemoragijski te
subarahnoidalno krvarenje, a pravilnom prevencijom koja može biti primarna, sekundarna i
tercijarna u većini se slučajeva može prevenirati. Sa naglo razvijajućim simptomima zahvaća i
um i tijelo, a najčešće će doći do ishemijskog moždanog udara. Zahtijeva pravovremenu
intervenciju te dobru organizaciju medicinskog tima jer je vrijeme od presudne važnosti te
svaka ušteđena minuta može pozitivno utjecati na ishod liječenja. Sustavi hitne medicinske
pomoći ključni su u otkrivanju, trijaži te u prijevozu bolesnika u zdravstvene ustanove. Dobro
organizirana sestrinska skrb sastoji se od vještina i znanja zdravstvenih djelatnika, mogućnosti
neurološkog monitoringa, učinkovite organizacije rada, poštivanju protokola i provođenju
zadataka. Zahvaljujući i pojavi novih mogućnosti liječenja poput intravenske i intraarterijske
trombolize te mehaničke trombektomije čiji je primarni cilj rana revaskularizacija i reperfuzija
ishemijskog područja mozga u zadnjih se nekoliko godina bilježi trend smanjenja posljedica
uzrokovanih ishemijskim moždanim udarom. Osim toga, uvođenjem i medicinskih postupaka
poput postavljanja klipsi, endovaskularnog koilanja, kirurškog uklanjanja arteriovenskih
malformacija te stereotaktičke radiokirurgije učinkovito se smanjuje i rizik od morbiditeta i
mortaliteta uzrokovanih hemoragijskim moždanim udarom. Stoga bi dobra organizacija
multidisciplinarnog tima zdravstvenih stručnjaka zaposlenih u visokokvalitetnim jedinicama za
liječenje moždanog udara trebala minimizirati vrijeme od dijagnostike do početka liječenja,
prije nego što njegov utjecaj na mozak postane ireverzibilan.

Abstract (english)

Stroke represents an urgent neurological condition, and it is an important health problem
today because it is the leading cause of physical disability and is among the main causes of
mortality in adulthood. Considering the clinical feature, it is classified as ischemic, hemorrhagic
and subarachnoid hemorrhage and with proper prevention, which can be primary and
secondary, in most cases it can be prevented. Most often, an ischemic stroke will occur and
with rapidly developing symptoms, it affects both the mind and the body. It requires timely
intervention and a good organization of the medical team because time is of crucial importance
and every minute saved can have a positive effect on the outcome of the treatment of stroke
patients. Emergency medical assistance systems are crucial in detecting, triaging and
transporting patients to healthcare facilities. Well-organized nursing care consists of the skills
and knowledge of health professionals, the possibility of neurological monitoring, efficient
organization of work, compliance with protocols and implementation of tasks. Thanks to the
emergence of new treatment options such as intravenous and intra-arterial thrombolysis and
mechanical thrombectomy, the primary goal of which is early revascularization and reperfusion
of the ischemic area of the brain, in the last few years there has been a trend of reducing the
consequences caused by ischemic stroke. In addition, the introduction of medical procedures
such as placement of clips, endovascular coiling, surgical removal of arteriovenous
malformations and stereotactic radiosurgery effectively reduces the risk of morbidity and
mortality caused by hemorrhagic stroke. Therefore, a good organization of a multidisciplinary
team of health professionals working in high-quality stroke treatment units should minimize
the time from diagnosis to initiation of treatment, before its impact on the brain becomes
irreversible.

• Keywords: moždani udar; sestrinska skrb; liječenje; tromboliza; organizacija
• Keywords (english): stroke; nursing care; treatment; thrombolysis; organization
• Language: croatian
• URN:NBN: urn:nbn:hr:105:227653
• Study programme: Title: Studies in 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: Open access
• Created on: 2024-04-18 09:15:44