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Preventing falls in patients after prostatectomy surgery
No full textUvod: Učestalost padova bolesnika tijekom hospitalizacije varira, ali se procjenjuje da se padovi javljaju u prosjeku kod 3-20% hospitaliziranih pacijenata. U nekim specifičnim bolničkim jedinicama, kao što su gerijatrijski odjeli, intenzivna njega i rehabilitacijske jedinice, učestalost padova može biti i veća Rasprava: Prostatektomija je kirurški zahvat za djelomično ili potpuno uklanjanje prostate. Padovi nakon prostatektomije, nisu rijetkost, a postoje faktori koji mogu povećati rizik od padova kao što su starija dob, postoperativma bol te inkontinencija mokraće. Zaključak: Medicinske sestre/tehničari imaju veliku ulogu u sprječavanju pada, što je nakon operacije prostatektomije od ključne važnosti za sigurnost bolesnika i daljnji oporavak od kirurškog zahvata.Introduction: The frequency of patient falls during hospitalization varies, but it is estimated that falls occur on average in 3-20% of hospitalized patients. In some specific hospital units, such as geriatric wards, intensive care and rehabilitation units, the frequency of falls may be higher Discussion: Prostatectomy is a surgical procedure for partial or complete removal of the prostate. Falls after prostatectomy are not rare, and there are factors that can increase the risk of falls, such as older age, postoperative painful urinary incontinence. Conclusion: Nurses/technicians play a major role in the fall phase, which after prostatectomy surgery is of key importance for patient safety and further recovery from surgery
Nursing care of a patient with lung cancer after a lobectomy procedure - case report
No full textCILJ: Cilj završnog rada je definirati karcinom pluća i postupak lobektomije te prikazati aktivnosti medicinske sestre i važnost sestrinske skrbi u zbrinjavanju oboljele pacijentice od karcinoma pluća nakon postupka lobektomije.
RASPRAVA: U završnom radu praćen je poslijeoperacijski period pacijentice S.Ć. kojoj je dijagnosticiran karcinom pluća te joj je napravljen operacijski zahvat VATS donje lobektomije desno s medijastinalnom limfadenektomijom. Pacijentici je je napravljen individualizirani sestrinski plan zdravstvene njege s utvrđenim i tretiranim sestrinskim dijagnozama prema procesu zdravstvene njege.
ZAKLJUČAK: Karcinom pluća je jedna od najčešćih i najsmrtonosnijih bolesti koja se razvija u plućnom tkivu. Jedan od najčešćih oblika kirurškog liječenja, naročito u početnim stadijima karcinoma, jest lobektomija, odnosno odstranjivanje plućnog režnja. U poslijeoparacijskom periodu, ključnu ulogu ima medicinska sestra koja skrbi za pacijenta prema individualiziranim planovima zdravstvene njege.AIM: The aim of the final thesis is to define lung cancer and the lobectomy procedure and to show the activities of the nurse and the importance of nursing care in the care of a patient with lung cancer after the lobectomy procedure.
DISCUSSION: In the final paper, the postoperative period of patient S.Ć was followed. who was diagnosed with lung cancer and underwent VATS lower lobectomy on the right with mediastinal lymphadenectomy. An individualized nursing health care plan was made for the patient with established and treated nursing diagnoses according to the process of nursing care.
CONCLUSION: Lung cancer is one of the most common and deadly diseases that develops in lung tissue. One of the most common forms of surgical treatment, especially in the initial stages of cancer, is lobectomy, that is, the removal of a lung lobe. In the postoperative period, the key role is played by the nurse who cares for the patient according to individualized health care plans
Results of physiological parameters of cardioplumonal testing in the general population of Split-Dalmatia County
No full textSmanjeno podnošenje napora glavni je simptom bolesti srca i pluća. Kardiopulmonalni test opterećenjem (eng. Cardiopulmonary exercise testing) je zlatni standard u procjeni stupnja nepodnošenja napora, njegovom uzroku i simptomima kod pacijenata u različitim kliničkim stanjima. Vrijednost ove vrste testiranja leži u neivazivnom i dinamičkom fiziološkom pregledu koji omogućuje ocjenu odgovora srca, pluća i cirkulacije na jednako submaksimalan, ali i maksimalan napor, što liječniku pruža relevantne informacije za donošenje odluka u kliničkoj praksi. Cilj ovog rada je dobiti uvid u kardiorespiratornu, metaboličku i tjelesnu funkciju ispitanika opće populacije Splitsko-dalmatinske županije radi procjene statusa ispitanika. U istraživanju je sudjelovalo ukupno 100 ispitanika različite životne dobi i spola, tjelesne težine i visine. Postavljene su tri hipoteze, prva hipoteza potvrđuje da je analiziranim podacima funkcionalna sposobnost ispitanika unutar preporučenih vrijednosti u odnosu na predviđene vrijednosti za dob, spol, tjelesnu visinu i težinu. Druga hipoteza je da je funkcionalna sposobnost ispitanika u odnosu na spol jednaka u svim analiziranim dobnim skupinama. Međutim, dobiveni rezultati istraživanja pokazuju da u procijenjenim dobnim skupinama bolju funkcionalnu-kardiorespiratornu sposobnost u većem broju parametara imaju ženski ispitanici u odnosu na muške ispitanike, te se ta hipoteza odbacuje. Treća postavljena hipoteza je da su izmjerene vrijednosti O2 pulsa (indikatora efikasnosti rada srca) jednake za ispitanike oba spola. Ispitivanjem je potvrđeno da su izmjerene vrijednosti O2 pulsa u svim dobnim skupinama više u ženskih ispitanika nego u muških ispitanika, te se treća hipoteza također odbacuje. Iako su rezultati istraživanja pokazali zadovoljavajuće parametre kardiorespiratrne sposobnosti za oba spola, svih dobnih skupina, preporuka je da se svi bez obzira na spol i dob potiču na održavanje zdravih životnih navika, osobito redovite aerobne fizičke aktivnosti, kao ključna stavka svih preporuka u održavanju zdravlja srca i krvnih žila.Reduced exertion is the main symptom of heart and lung disease. Cardiopulmonary exercise testing (eng. Cardiopulmonary exercise testing) is the gold standard in assessing the degree of exercise intolerance, its cause and symptoms in patients in various clinical conditions. The value of this type of testing lies in the non-invasive and dynamic physiological examination that enables the evaluation of the response of the heart, lungs and circulation to both submaximal and maximal effort, which provides the doctor with relevant information for making decisions in clinical practice. The aim of this work is to gain an insight into the cardiorespiratory, metabolic and physical function of the subjects of the general population of the Split-Dalmatia County in order to assess the status of the subjects. A total of 100 respondents of different ages and genders, body weights and heights participated in the research. Three hypotheses were put forward, the first hypothesis confirms that, based on the analyzed data, the functional ability of the examinee is within the recommended values in relation to the predicted values for age, sex, body height and weight. The second hypothesis is that the functional ability of the respondents in relation to gender is the same in all analyzed age groups. However, the research results show that in the estimated age groups, female subjects have better functional-cardiorespiratory capacity in a greater number of parameters compared to male subjects, and this hypothesis is rejected. The third hypothesis is that the measured values of the O2 pulse (indicator of heart efficiency) are the same for subjects of both sexes. The examination confirmed that the measured values of the O2 pulse in all age groups are higher in female subjects than in male subjects, and the third hypothesis is also rejected. Although the research results showed satisfactory cardiorespiratory fitness parameters for both sexes, of all age groups, it is recommended that everyone, regardless of gender and age, be encouraged to maintain healthy lifestyle habits, especially regular aerobic physical activity, as a key item of all recommendations in maintaining heart health and blood vessel
Validation of gray scale on the C-arm in correlation with HU on the CT modality
No full textUvod: Kod CT snimanja, Hounsfieldova jedinica (HU) proporcionalna je stupnju slabljenja rendgenskih zraka u tkivu. Kod radiografskog uređaja (3D C-luk), stupanj atenuacije rendgenskih zraka prikazan je nijansama sive skale (GSV). Dokazivanje korelacije između HU i GSV omogućilo bi širu i lakšu primjenu radiografskog prikaza u područjima izvan područja biomedicine i zdravstva te primjenu kvantitativnih metoda istraživanja.
Cilj: Svrha ovog istraživanja bila je istražiti odnos između GSV-a na C-luku i HU na CT uređaju.
Metode: U ovom istraživanju je CT fantom snimljen s C-lukom i CT-om. Na dobivenim DICOM slikama izračunati su meta podatci GSV na C-luku i HU na CT-u. Dobiveni podatci analizirani su u statističkom programu kako bi se istražio odnos između GSV i HU.
Rezultati: Rezultati dobiveni obradom podataka pomoću statističkog programa MedCalc Statistical Software pokazuju da izmjerena i prikazana vrijednost koeficijenta korelacije (r) r=0,185 između C luka 115 kV i CT-a 110 kV opisuje se kao r = neznatna i pozitivna. Slaba i pozitivna korelacija ( r = 0,450) izmjerena je i prikazana između CT-a i C-luka sa snagom cijevi na oba uređaja od 80 kV. Slaba i pozitivna korelacija (r = 0,434) dobivena je mjerenjem između CT-a 110 kV i C luka 80 kV.
Zaključak: Nakon dobivenih rezultata iz ovog istraživanja i pregledom dostupne literature može se reći da postoji veza između GSV na C-luku i HU na CT-u. Rezultati ovog istraživanja nedovoljni su da bi se upotrijebili u validaciji sive skale na C-luku i HU na CT-u.Introduction: In CT imaging, the Hounsfield unit (HU) is proportional to the degree of X-ray attenuation in tissue. In a radiographic device (3D C-arm), the degree of X-ray attenuation is represented by shades of gray (Gray Scale Value - GSV). Demonstrating a correlation between HU and GSV would enable broader and easier use of radiographic imaging in fields beyond biomedicine and healthcare, as well as the application of quantitative research methods.
Objective: The purpose of this study was to investigate the relationship between GSV on a C-arm and HU on a CT scanner.
Methods: In this study, a CT phantom was scanned with both a C-arm and a CT scanner. The meta-data from the resulting DICOM images were used to calculate the GSV values on the C-arm and HU values on the CT scanner. The data obtained were analyzed using statistical software to explore the relationship between GSV and HU.
Results: The results obtained using the MedCalc Statistical Software show that the measured and displayed correlation coefficient (r) of r = 0.185 between the C-arm at 115 kV and the CT scanner at 110 kV is described as insignificant and positive. A weak positive correlation (r = 0.450) was measured and displayed between the CT scanner and the C-arm with the tube power of both devices set to 80 kV. A weak positive correlation (r = 0.434) was obtained from the measurements between the CT scanner at 110 kV and the C-arm at 80 kV.
Conclusion: Based on the results of this study and the review of available literature, it can be concluded that there is a relationship between GSV on the C-arm and HU on the CT scanner. However, the results of this study are insufficient to validate the gray scale on the C-arm in relation to HU on the CT scanner
Coronarography - Nursing care
No full textKardiovaskularne bolesti ubrajaju se među vodećim uzrocima smrtnosti u svijetu te time predstavljaju veliki javnozdravstveni problem. U tu skupinu spada koronarna bolest, koja nastaje suženjem koronarnih arterija, a njezina najopasnija komplikacija je akutni infarkt miokarda. Prema podacima Svjetske zdravstvene organizacije godišnje od njih umre 17,9 milijuna ljudi. S razvojem gospodarstva, promjenama u životnom stilu i s ubrzanim tempom rada i života, broj oboljelih nastavlja rasti svake godine. Zlatni standard u dijagnosticiranju i liječenju koronarnih bolesti je invazivna metoda koronarografije. U svrhu što boljeg ishoda liječenja, potrebna je adekvatna priprema pacijenta za postupak te postoperativna skrb zasnovana na pacijentovim individualnim potrebama. Mnogi pacijenti osjećaju nelagodu i strah za vrijeme hospitalizacije, naročito kada su u pitanju rizici poput krvarenja koji mogu biti posljedica invazivnih metoda. Uloga medicinske sestre je pomaganje u pripremi i oporavku pacijenta te svojim stručnim i empatičnim pristupom osigurati dobrobit i povjerenje pružanjem emocionalne podrške.SUMMARY
Cardiovascular diseases are among the leading causes of mortality in the world and thus represent a major public health problem. This group includes coronary artery disease, which is caused by the narrowing of the coronary arteries, and its most dangerous complication is an acute myocardial infarction. According to data from the World Health Organization, 17.9 million people die from them every year. With the development of the economy, changes in lifestyle, and the accelerated pace of work and life, the number of patients continues to grow every year. The gold standard in diagnosing and treating coronary artery diseases is the invasive method of coronary angiography. In order to achieve the best possible treatment outcome, adequate preparation of the patient for the procedure and postoperative care based on the patient's individual needs is necessary. Many patients feel discomfort and fear during hospitalization, especially when it comes to risks such as bleeding that can be a consequence of invasive methods. The nurse's role is to assist in the preparation and recovery of the patient, and with their professional and empathetic approach, ensure well-being and trust by providing emotional support
Mental health of children and young people during the Covid-19 pandemic: a review paper
No full textCilj ovog rada je prema pregledanoj i proučenoj literaturi utvrditi je li došlo do promjena u mentalnom zdravlju djece i mladih tijekom COVID – 19 pandemije, te ukoliko jest utvrditi koji čimbenici su utjecali na navedeno. Za izradu ovog završnog rada korištena je baza podataka MEDLINE putem PubMed-a, što je rezultiralo s 20, odnosno 11 članaka filtriranjem rezultata. Među ponuđenim radovima odabrano je 6 meta-analiza, odnosno sustavnih pregleda. Iznenadne i neočekivane promjene u svakodnevnom životu uzrokovane pandemijom, imale su velik utjecaj na mentalno zdravlje djece i mladih. Utvrđeni su nepovoljni ishodi mentalnog zdravlja kod djece i mladih koji su zahtijevali brzu i efikasnu stručnu pomoć. Oko 25% ispitanika bolovalo je od anksioznosti i/ili depresije, oko 13% ispitanika bilo je izloženo stresu, a oko 27 % ispitanika imalo je poremećaje spavanja. Dokazano alarmantni rezultati trebali bi potaknuti odgojno-obrazovne ustanove te njihove djelatnike da se posvete učenju i prepoznavanju mentalnih poremećaja kako bi bili u mogućnosti pružiti djeci i mladima adekvatnu pomoć, te ukoliko je potrebno u suradnji sa zdravstvenim ustanovama pružiti im i potrebnu medicinsku pomoć. Osim edukacije odgojno-obrazovnih djelatnika potrebno je educirati i djecu i mlade. Važno je pokazati im načine kako pomoći svojim vršnjacima i sebi, objasniti da je stigmatizacija mentalnih problema neutemeljena, te pružiti uvid u to koliko nebriga o mentalnom zdravlju može utjecati na razvoj i promijeniti putanju njihova života.The goal of this paper is to determine, according to the reviewed and studied literature, whether there where any changes in the mental health of children and young people during COVID – 19 pandemic, and if so, to determine which factors influenced the stated. A database used to create this final paper is MEDLINE via PubMed which resulted with 20 and 11 articles respectively. 6 meta-analyses or systematic reviews where selected from among the works that were offered. Sudden and unexpected changes in everyday life caused by the pandemic had a great impact on the mental health of children and young people. Unfavorable menetal health outcomes were determined for children and young people who required quick and efficient professional help. About 25% of respondents suffered from depression, about 13% of respondents were exposed to stress and about 27% of respondents had a sleep disorder. Proven alarming results should encourage educational institutions and their employees to dedicate themselves to learning and recognizing mental disorders in order to be able to provide children and young people with adequate help, and if necessary, in cooperation with health institutions, provide them with the necessary medical assistance. In addition to the education of educational workers, it is necessary to educate children and young people. It is important to show them ways to help their peers and themselves, explain that the stigmatization of mental problems is unfounded, and provide an insight into how neglecting mental health can affect development and change the trajectory of their lives
Assessment of patients with multiple sclerosis
No full textMultipla skleroza (MS) je kompleksna kronična bolest središnjeg živčanog sustava (mozga i kralježnične moždine) koja utječe na mozak, kralježničnu moždinu i optičke živce. Simptomi multiple skleroze variraju ovisno o tome koji je živac pogođen te koliki je stupanj njegova oštećenja. Najčešći simptomi uključuju probleme s vidom, mišićnu slabost i grčeve, umor, osjetilne simptome (trnce, peckanje), probleme s govorom, probleme s mokraćnim mjehurom i crijevima, kognitivni simptomi. MS dijelimo na 4 tipa: relapsno–remitentna, sekundarno progresivna, primarno progresivna, progresivno–relapsna. U procesu zdravstvene njege u fazi utvrđivanja potreba za zdravstvenom njegom, potrebno je prikupiti potrebne podatke te ih dobro analizirati. Prikupljanjem podataka kroz 11 obrazaca zdravstvenog funkcioniranja po M. Gordonu procjenjujemo percepciju i održavanje zdravlja, prehranu i metabolizam, eliminaciju, tjelesnu aktivnost, odmor i spavanje, kognitivno-perceptivne funkcije, samopercepciju, odnose, seksualnu aktivnost i disfunkciju, sučeljavanje i toleranciju na stres, vrijednosti i vjerovanja. Pomoću prikupljenih podataka možemo postaviti sestrinske dijagnoze. Taj sveobuhvatan pristup omogućava medicinskim sestrama da razviju učinkovit plan skrbi koji odgovara specifičnim potrebama svakog pacijenta, uzimajući u obzir njihove individualne okolnosti i stanje.Multiple sclerosis (MS) is a complex chronic disease of the central nervous system (brain and spinal cord) that affects the brain, spinal cord, and optic nerves. The symptoms of multiple sclerosis vary depending on which nerve is affected and the extent of its damage. The most common symptoms include vision problems, muscle weakness and spasms, fatigue, sensory symptoms (tingling, burning), speech problems, issues with the bladder and bowel, and cognitive symptoms. MS is classified into four types: relapsing-remitting, secondary progressive, primary progressive, and progressive-relapsing. In the process of health care in the phase of assessing needs for health care, it is necessary to collect the required data and interpret them accurately. Using the 11 health patterns proposed by M. Gordon, we assess perception and maintenance of health, nutrition and metabolism, elimination, physical activity, rest and sleep, cognitive-perceptual functions, self-perception, relationships, sexual activity and dysfunction, coping and stress tolerance, and values and beliefs. With the collected data, we can establish nursing diagnoses. This comprehensive approach allows nurses to develop an effective care plan that meets each patient's specific needs, considering their individual circumstances and condition
Vaccination against human papillomavirus in Split-Dalmatia County
No full textHumani papiloma virus (HPV) jedna je od najčešćih spolno prenosivih infekcija diljem svijeta. Zahvaća žene i muškarce te uzrokuje različita benigna i zloćudna stanja. Veliki dio svjetske populacije zaražen je HPV-om koji uzrokuje čak i do 5% karcinoma u svijetu uključujući rak vrata maternice, vulve, vagine, orofarinksa, anusa i penisa. Cilj: prikazati procijepljenost protiv HPV-a školske populacije, mladeži i adolescenata od 2018. do 2022. godine prema podacima Hrvatskog zavoda za javno zdravstvo (HZJZ) Splitsko-dalmatinske županije. Metode: u istraživanju je korišten Hrvatski zdravstveno-statistički ljetopis za 2022. godine te su uzeti statistički podaci o brojkama cijepljenih. Rezultati: pokazali su da je 2018. godine broj cijepljene osnovnoškolske djece iznosio 432, srednjoškolske djece 374 a visoke škole 64. U 2019. godini skoro je duplo više djece cijepljeno. U osnovnoj školi zabilježeno je 616 djece, u srednjoj školi 449 a u visokoj čak 154. Treća tablica za 2020. godinu prikazuje sličan broj cijepljenih kao i u 2019. godini. Osnovna škola zabilježava 683, srednja škola 305 djece dok viša škola 113. U posljednjoj istraženoj 2021. godini možemo vidjeti da je najviše cijepljenih. Iz osnovne škole broj je iznosio 528, srednjoškolaca 876, dok viša škola zabilježava čak 398 cijepljene populacije. Zaključak: u svim populacijama 2018/2019 postotak ukupno procijepljenih iznosi 17,42%. U 2019/2020 godini postotak cijepljene školske populacije raste na 24,41%. U vrijeme Covid infekcije 2020/2021 godine postotak pada na 22,05% dok u 2021/2022 postotak raste i iznosi 36,09%. Budući da je infekcija HPV-om uzrok raka vrata maternice, uporaba cjepiva i sustavna i kontinuirana edukacija te ginekološki pregledi spolno aktivnih djevojaka vrlo su važni za primarnu prevenciju ukoliko je otkriven rak. Vrlo važnu ulogu pri tome imaju medicinske sestre, timovi školske medicine i nastavnog zavoda za javno zdravstvo.Human papillomavirus (HPV) is one of the most common sexually transmitted infections worldwide. It affects women and men and causes various benign and malignant conditions. A large part of the world's population is infected with HPV, which causes up to 5% of cancers in the world, including cancer of the cervix, vulva, vagina, oropharynx, anus and penis. Objective: to show the vaccination against HPV of the school population, youth and adolescents from 2018 to 2022 according to the data of the Croatian Institute of Public Health (HZJZ) of the Split-Dalmatia County. Methods: the Croatian Health and Statistical Yearbook for 2022 was used in the research and statistical data on the number of vaccinated people was taken. Results: in 2018, the number of vaccinated primary school children was 432, 374 high school children, and 64 high school children. In 2019, almost twice as many children were vaccinated. 616 children were recorded in the primary school, 449 in the secondary school and 154 in the high school. The third table for 2020 shows a similar number of vaccinated as in 2019. The primary school records 683 children, the secondary school 305 children, while the high school records 113. In the last researched year, 2021, we can see that the most were vaccinated. The number of primary school students was 528, high school students 876, while the high school records as many as 398 vaccinated population. Conclusion: in all populations in 2018/2019, the percentage of total vaccinated is 17.42%. In 2019/2020, the percentage of vaccinated school population increases to 24.41%. At the time of the Covid infection in 2020/2021, the percentage drops to 22.05%, while in 2021/2022 the percentage rises to 36.09%. Since HPV infection is the cause of cervical cancer, the use of vaccines and systematic and continuous education and gynecological examinations of sexually active girls are very important for primary prevention if cancer is detected. A very important role is played by nurses, school medicine teams and the teaching institute for public health
The frequency and differences of twin births in 2022 compared to 2012 and 2002 at the Clinic for Women's Diseases and Childbirth, Split
No full textCilj: Cilj ovog rada je analizirati učestalost i različitost blizanačkih poroda u Klinici za ženske bolesti i porode u 2022. godini u usporedbi s 2012. i 2002. godinom, te utvrditi trendove i faktore koji su utjecali na promjene u pojavnosti i varijantama blizanačkih trudnoća.
Materijal i metode: Za ovo istraživanje korišteni su sekundarni podaci iz baza KBC Split za 2002., 2012. i 2022. godinu. Struktura trudnoća analizirana je kroz apsolutne i relativne postotne frekvencije, prikazane tabelarno i grafički. Promjene su ispitivane Z-testom razlike u proporcijama, a analiza je provedena u statističkom softveru STATISTICA 12 (Tibco, Kalifornija).
Rezultati: Između 2002. i 2022. godine, u KBC-u Split zabilježen je značajan porast broja carskih rezova kod blizanačkih trudnoća, s 39,19% na 90,29%. Tijekom istog razdoblja, udio spontanih trudnoća smanjio se za 28,16%, dok je broj trudnoća postignutih medicinski potpomognutom oplodnjom porastao. Nije se mijenjala učestalost prijevremenih poroda, nepovoljan položaj blizanaca u porodu ni njihova tjelesna masa. Prosječan Apgar skor je poboljšan, s 7,5 na 8,9 a potreba za intenzivnom njegom novorođenčadi smanjila se za 20% tijekom istraživanog razdoblja.
Zaključak: Istraživanje sugerira da, unatoč povećanju broja carskih rezova, postoje pozitivni trendovi u perinatalnim ishodima, koji ukazuju na napredak u neonatalnoj skrbi. Viši Apgar score i smanjena potreba za intenzivnom njegom novorođenčadi pokazuju poboljšanja u zdravlju i preživljavanju novorođenčadi, što je važno za buduće pristupe u skrbi o trudnicama i novorođenčadi.Objectives: The aim of this study is to analyze the frequency and variety of twin births at the Clinic for Obstetrics and Gynecology in 2022 compared to 2012 and 2002, and to identify trends and factors that have influenced changes in the incidence and types of twin pregnancies.
Material and methods: For this research, secondary data from the KBC Split databases for the years 2002, 2012, and 2022 were used. The pregnancy structure was analyzed through absolute and relative percentage frequencies, presented in tables and graphs. Changes were examined using the Z-test for differences in proportions, and the analysis was conducted using the statistical software STATISTICA 12 (Tibco, California).
Results: Between 2002 and 2022, KBC Split recorded a significant increase in the number of cesarean sections for twin pregnancies, rising from 39.19% to 90.29%. During the same period, the proportion of spontaneous pregnancies decreased by 28.16%, while the number of pregnancies achieved through medically assisted reproduction increased. The incidence of preterm births, unfavorable fetal position during delivery, and birth weight of the twins remained unchanged. The average Apgar score improved from 7.5 to 8.9, and the need for intensive care for newborns decreased by 20% during the study period.
Conclusion: The study suggests that, despite the increase in the number of cesarean sections, there are positive trends in perinatal outcomes, indicating progress in neonatal care. Higher Apgar scores and a reduced need for intensive care for newborns reflect improvements in the health and survival of newborns, which is important for future approaches to the care of pregnant women and infants
Procedures in a patient undergoing transcatheter aortic valve implantation - case report
No full textCILJ: Cilj rada je prikazati transkatetersku zamjenu aortnog zaliska kod bolensika koji boluju od aortne stenoze,
dijagnosticiranje i načine liječenja AS , vrste umjetnih zalistaka, pripremi bolesnika za zahvat i moguće komplikacije.
U radu će se prikazati zbrinjavanje bolesnika podvrgnutog transkateterskoj implantaciji aortnog zaliska (prije i poslije
zahvata),rad medicinske sestre/tehničara te probleme iz područja zdravstvene njege.
RASPRAVA: Bolesnik J.Š. primljen je redovnim prijemom na Kliniku za bolesti srca i krvih žila, Zavod za bolesti
krvnih žila pod dijagnozom aortne stenoze. Indicirana je transkateterska implantacija aortnog zaliska – TAVI. Bolesnik
je operiran u angiodvorani poslije predoperativne pripeme i obrade. Poslije zahvata premješten je u koronarnu jedinicu
liječenja u kojoj provodi 24 sata pa se poslije vraća na odjel. Kroz prikaz slučaja prikazani su problemi iz zdravstvene
njege u prijeoperacijskom i poslijeoperacijskom razdoblju s ciljem zadovoljavanja bolesnikovih ljudskih potreba.
ZAKLJUČAK: Aortnu stenoza (AS) je suženje ušća aorte koje je nastalo kao rezultat sklerozacije aortnog zaliska.
TAVI je postupak zamjene aortnog zaliska koji je sužen i ne otvara se u potpunosti. Medicisnka sestra/tehničar ima
ključnu ulogu u provođenju skrbi bolesnika u prijeoperacijskom i poslijeoperacijskom razdoblju, kroz proces
zdravstvene njege rješavaju se individulaizirani problemi kod bolesnika.AIM: The main goal of this final work is to present the transcatheter replacement of the aortic valve in patients
suffering from aortic stenosis, the diagnosis and methods of treatment of AS, the types of artificial valves, the
preparation of the patient for the procedure and possible complications. The final work will present the care of a patient
undergoing transcatheter aortic valve implantation (before and after the procedure), nurses job, and problems in the
nursnig care.
DISCUSSION: Patient J.Š. was admitted by regular admission to the Clinic for Diseases of Heart and Blood Vessels,
Institute for Diseases of Blood Vessels under the diagnosis of aortic stenosis. Transcatheter implantation of the aortic
valve - TAVI is indicated. The patient was operated on in the angioroom after preoperative examination and treatment.
After the procedure, he was transferred to the Coronary Treatment Unit, where he spent 24 hours, and then returned to
the ward. Through the presentation of cases, nursnig care problems in the preoperative and postoperative period are
presented with the aim of satisfying the patient's human needs.
CONCLUSION: Aortic stenosis (AS) is a narrowing of the mouth of the aorta that occurred as a result of sclerosing
of the aortic valve. TAVI is a procedure to replace an aortic valve that is narrowed and does not open completely. The
nurse has a key role in the implementation of patient care in the preoperative and postoperative period, through the
process of nursing care, individualized problems of patients are solved