Specifičnosti zdravstvene njege u jedinici intenzivnog liječenja kod pacijenata nakon transplatacije srca

master's thesis

• Title (english): Specifics of health care of heart transplant patients in the intensive care unit
• Author: Ivana Herceg
• Mentor: Bojan Biočina (mentor)
• Committee member: Višnja Ivančan (predsjednik povjerenstva)
• Committee member: Hrvoje Gašparović (član povjerenstva)
• Committee member: Bojan Biočina (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Anaesthesiology, Resuscitation and Intensive Care in Surgical Specialities); Zagreb
• Defense date and country: 2020-11-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Anesthesiology and Reanimatology

Abstract

Zatajivanje srca moţe se lijeĉiti medikamentno, pomoću mehaniĉke potpore cirkulaciji te
transplantacijom srca. Transplantacija srca je prihvaćena i uspješna kirurška metoda lijeĉenja
odnosno kirurški postupak kojim se srce u posljednjoj fazi zatajivanja zamjenjuje srcem
prikladnog donora. Transplantacijom srca se lijeĉe bolesnici s terminalnim stadijem srĉane
bolesti kojima je oĉekivano trajanje ţivota kraće od godine dana te je cilj transplantacije
produţiti ţivot bolesniku. Da bi bolesnik zadovoljio uvjete za transplantaciju srca mora se
uĉiniti opseţna internistiĉka i kardiološka obrada te fiziĉka i psihiĉka priprema za
transplantaciju. Osim uspješnog operacijskog zahvata, iznimno je vaţna suradnja svih
medicinskih grana ukljuĉenih u program transplantacije. Postoperativna skrb za
transplantirane bolesnike izazov je za sestrinski tim, koji treba na vrijeme uoĉiti i provesti
intervenciju u sluĉaju nastanka bilo kakvih komplikacija. Vaţno je da zdravstvena skrb bude
na visokoj razini, a obuhvaća prevenciju, rano otkrivanje komplikacija, lijeĉenje i
rehabilitaciju bolesnika. Zbog sloţenosti i specifiĉnosti ovog kirurškog zahvata, zdravstvena
njega mora biti usmjerena na cijeli predtransplantacijski, transplantacijski i
posttransplantacijski period.

Abstract (english)

Heart failure has multiple ways of treatment such as using of medications, mechanical
circulatory support and at last heart transplant. Heart transplantation is a widely accepted
and successful surgical method of treating end stage heart failure by replacing the patients
heart with a heart from a suitable donor. Most patients with end stage heart failure have a
short life expectancy therefore heart transplant is not only a method of treatment but also
ensures longer survival rate in patients. Detailed preoperative cardiac assessment and a
psychological preparation is conducted to ensure the patient is meeting the criteria for the
surgery and in that part it is very important to have a high level of cooperation between
various medical teams involved in the process. Postoperative care represents a challenge for
the nursing care team which is responsible for early detection and prevention of
complications that may occur after the surgery and thus it is imperative to have a high
standard of care throughout the entire process.

• Keywords: transplantacija srca; pacijent; medicinska sestra; zdravstvena skrb
• Keywords (english): heart transplatation; patient; nurse; medical care
• Language: croatian
• URN:NBN: urn:nbn:hr:105:335261
• 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: 2021-05-17 08:10:08