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Radiation doses of staff and patients in interventional cardiology and radiology
No full textIntervencijska radiologija izvodi preglede i liječenja krvnih žila arteriografije, venografije, angioplastike i emoblizacije. Svi postupci u radiologiji koji se izvode uz pomoć ionizacijskog zračenja, određenu dozu tog zračenja predaju okolini, pacijentu i osoblju koje sudjeluje u izvođenju pregleda. U intervencijskoj radiologiji i kardiologiji postoje posebne doze zračenja koje se mjere. Prvenstveno to su KAP [engl. Kerma Area Product] i PSD [engl. Peak Skin Dose]. KAP je integral zračne kerme iznad snimanog područja koje je točno okomito ispod snopa zračenja i izražava se u Gycm2, često određivan i kao DAP [engl. Dose Area Product]. Nošenje dozimetara i njihova redovita kontrola, ustaljeni je način provjeravanja izloženosti osoblja ionizacijskom zračenju tijekom intervencijskih postupaka. Intervencijsko osoblje različito je izloženo zračenju. Najviše doze primaju intervencijski liječnici koji mogu tijekom iste intervencije primiti različite doze zračenja. Na dozu za pacijente utječe umijeće intervencijskog liječnika, ali i habitus samog pacijenta, pa tako pacijenti s većim BMI primaju i veće doze zračenja. Tako za koronarne intervencije, pacijent može primiti doze od onih nižih kod kateterizacije lijevog srca, pa do viših kao kod složene perkutane koronarne intervencije. Sve zabilježene doze nalaze se unutar propisanih ograničenja, ipak prostora za napredak i standardizaciju intervencijskih postupaka ima.Interventional radiology performs examinations and treatments of the blood vessels arteriography, venography, angioplasty and embolization. All procedures in radiology that are performed with the help of ionizing radiation deliver a certain dose of that radiation to the environment, the patient and the staff participating in the examination. In interventional radiology and cardiology, there are special doses of radiation that are measured. Primarily these are KAP [Kerma Area Product] and PSD [Peak Skin Dose]. KAP is the integral of the air kerma over the recorded area which is exactly vertical under the x-ray beam and is expressed in Gycm2, often also determined as DAP [Dose Area Product]. Wearing dosimeters, and their regular control, is an established way of checking the exposure of staff to ionizing radiation during interventional procedures. Interventional staff are exposed to radiation differently. The highest doses are received by interventional physicians who can receive different doses of radiation from the same interventions. The patient dose depends on the skill of the physician, but is also affected by the patient's own habitus, so patients with a higher BMI receive higher doses of radiation. Thus, for coronary interventions, the patient can receive lower doses, as those for left heart catheterization, but also high doses as those from complex percutaneous coronary intervention. All recorded doses are within the prescribed limits, however, there is room for progress and standardization of interventional procedures
Factors influencing family planning in women with epilepsy
No full textCilj: Cilj istraživanja je bio otkriti planiraju li bolesnice oboljele od epilepsije trudnoću, gdje i iz kojih izvora prikupljaju informacije o svojoj bolesti, te utvrditi koji demografski čimbenici predviđaju planiranje obitelji žena oboljelih od epilepsije.
Metode: Proveli smo presječno istraživanje u KBC-Split. U istraživanje su bile uključene žene generativne dobi, oboljele od epilepsije te žene koje ne boluju od epilepsije iste dobi. Istraživanje smo proveli putem upitnika koji se sastojao od dva dijela. Prvi dio upitnika su popunjavale obje skupine ispitanica, dok je drugi dio bio namijenjen samo za ispitanice oboljele od epilepsije. Prvi dio upitnika je imao 14 pitanja koja se odnose na sociodemografske podatke i pitanja „Bolujete li od epilepsije?“. Drugi dio upitnika se sastojao od 12 pitanja koja se odnose na specifične podatke o ispitanicama koje boluju od epilepsije: duljinu trajanja bolesti, lijekovima koje uzimaju, izvori informacija o bolesti, vrijeme proteklo od posljednje liječničke kontrole, konzultacije sa specijalistima neurologije ili ginekologije prije planiranja trudnoće, samoprocjene znanja o bolesti.
Rezultati: U istraživanju je sudjelovalo 167 ispitanica (82 ispitanice oboljele od epilepsije i 85 ispitanica koje ne boluju od epilepsije). Više od polovice ispitanica s dijagnosticiranom epilepsijom koje nemaju djece planira imati djecu (n=29; 60,4%). Tri četvrtine (75%) ispitanica oboljelih od epilepsije koje imaju djecu su planirale trudnoću i nisu se statistički značajno razlikovale od ispitanica koje nemaju epilepsiju i imaju djecu (P=0,419). Međutim, statistički značajno veći broj pacijentica s dijagnosticiranom epilepsijom nema djecu u usporedbi s pacijenticama bez epilepsije (χ2=14,97; P<0,01). Razina stava o dostatnosti znanja o svojoj bolesti među ispitanicama s dijagnosticiranom epilepsijom je bila 1 bod u rasponu od 1 do 5 bodova te je utvrđena statistički značajno niska vrijednost stava (T=7,40; P<0,001).
Zaključak: Žene oboljele od epilepsije uglavnom planiraju trudnoću, ali imaju manji broj djece u usporedbi sa ženama koje ne boluju od epilepsije. Osim toga, žene oboljele od epilepsije ukazuju na nisku razinu stava znanja o svojoj bolesti. Rezultati dobiveni ovim istraživanjem sugeriraju o važnosti edukacije žena u reproduktivnoj dobi oboljelih od epilepsije od strane liječnika i medicinske sestre kako bi se buduće majke što adekvatnije pripremile za trudnoću i porod i kako bi trudnoća i porod prošli uz što manje komplikacija za majku i dijete.Aim: The aim of this study was to find out whether patients with epilepsy are planning pregnancy, from where and from which sources they collect information about their illness. As well as to determine which demographic factors predict the family planning of women with epilepsy.
Methods:We conducted a cross-sectional study in University hospital of Split. The study included women of reproductive age, suffering from epilepsy, and women of the same age who do not suffer from epilepsy. We conducted the research through a questionnaire that consisted of two parts. The first part of the questionnaire was completed by both groups of respondents, while the second part was intended only for respondents with epilepsy. The first part of the questionnaire had 14 questions related to sociodemographic data and the question "Do you suffer from epilepsy?". The second part of the questionnaire consisted of 12 questions related to specific information about subjects suffering from epilepsy: duration of the disease, medications they take, sources of information about the disease, time elapsed since the last medical check-up, consultation with specialists in neurology or gynecology before planning pregnancy, self-assessments of knowledge about the disease.
Results: 167 subjects participated in the research (82 subjects suffering from epilepsy and 85 subjects not suffering from epilepsy). More than half of the respondents with diagnosed epilepsy who do not have children plan to have children (n=29; 60.4%). Three quarters (75%) of the respondents with epilepsy who have children planned to become pregnant and they did not differ significantly from the respondents who do not have epilepsy and have children (P=0.419). However, a statistically significantly higher number of patients with diagnosed epilepsy do not have children compared to patients without epilepsy (χ2=14.97; P<0.01). The level of attitude about the sufficiency of knowledge about one's disease among respondents with diagnosed epilepsy was 1 point in the range of 1 to 5 points, and a statistically significantly low value of the attitude was determined (T=7.40; P<0.001).
Conclusion Women suffering from epilepsy are mostly planning pregnancy, but they have fewer children compared to women without epilepsy. In addition, women with epilepsy indicate a low level of knowledge about their disease. The results obtained from this research suggest the importance of educating women of reproductive age suffering from epilepsy by doctors and nurses in order to prepare future mothers as adequately as possible for pregnancy and childbirth and to ensure that pregnancy and childbirth pass with as few complications as possible for mother and child
APPLICATION OF ACTIVE MOVEMENT SCALE IN CHILDREN WITH DAMAGE TO THE BRACHIALIS PLEXUS
No full textPareza pleksusa brahijalisa kod novorođenčadi, poznata i kao porođajna pareza pleksusa brahijalisa,
stanje je u kojem dolazi do oštećenja brahijalnog pleksusa tijekom porođaja. Brahijalni pleksus je mreža
živaca koja inervira gornji ekstremitet, uključujući rame, nadlakticu, podlakticu i ruku. Oštećenje pleksusa
brahijalisa može rezultirati privremenim ili trajnim problemima u pokretljivosti i osjetu gornjeg ekstremiteta.
U ovom istraživanju prikazan je slučaj prirođene pareze pleksusa brahijalisa.
Na novorođenče je primjenjena Vojta terapija, a to je terapijska metoda koja se primjenjuje u rehabilitaciji
osoba s neurološkim poremećajima, posebno kod djece. Kao metoda mjerenja rezultata korištena je Skala
aktivnog pokreta. Skala aktivnog pokreta može biti korisna za objektivnu procjenu motoričke funkcije kod
pacijenata s oštećenjem pleksusa brahijalisa.Brachial plexus paresis in newborns, also known as brachial plexus birth paresis, is a condition in
which the brachial plexus is damaged during childbirth. The brachial plexus is a network of nerves that innervates
the upper extremity, including the shoulder, upper arm, forearm, and hand. Damage to the brachial plexus can
result in temporary or permanent problems with mobility and sensation in the upper limb. This study presents a
case of congenital brachial plexus paresis. Vojta therapy was applied to the newborn, which is a therapeutic
method used in the rehabilitation of people with neurological disorders, especially in children. The Active
Movement Scale was used as a method of measuring results. The active movement scale can be useful for the
objective assessment of motor function in patients with brachial plexus damage
CRITICAL APPRAISAL OF HEALTH CLAIMS AMONG NURSING STUDENTS
No full textSAŽETAK
Cilj rada: Utvrditi sposobnost studenata sestrinstva da kritički procjene zdravstvene tvrdnje.
Ispitanici i metode: Uzorak ispitanika u ovom istraživanju sačinjavali su studenti Sveučilišnog odjela zdravstvenih studija, smjer sestrinstvo. Ukupan broj studenta sestrinstva koji su sudjelovali u ovom istraživanju je 180, od čega 106 redovnih studenta preddiplomskog studija sestrinstva, 51 izvanredni student preddiplomskog studija sestrinstva te 23 studenta diplomskog studija sestrinstva. Ispitanici su dobrovoljno i anonimno popunili validirani test na hrvatskom jeziku koji, kao mjerni instrument, ima dobre metrijske karakteristike. Test se sastoji iz dva dijela od kojih prvi dio sačinjavaju demografska obilježja, dok se drugi dio odnosi na 18 scenarija (pričica) o zdravstvenim tvrdnjama te višestrukim ponuđenim odgovorima koji traže kritičku procjenu zdravstvenih tvrdnji.
Rezultati: Ukupna riješenost testa svih ispitanika iznosi nešto više od 70%. Muškarci su bolje riješili test za oko 8% u odnosu na žene, a najmlađi studenti, oni s manje od 25 godina, bolje su riješili test od ostale dvije skupine za oko 4%. Studenti preddiplomskog i diplomskog studija sestrinstva bili su uspješniji od svojih kolega na izvanrednom studiju. Utvrđena je statistički značajna razlika između studenata koji su završili srednju zdravstvenu školu u odnosu na kolege koji su završili gimnaziju i to na razini p=0,031, gdje su studenti iz zdravstvene škole bili manje uspješni u riješenosti testa. Nadalje, utvrđena je statistički značajna razlika između studenata koji imaju i onih koji nemaju licencu zdravstvenog radnika, i to na razini značajnosti p=0,044. Studenti u skupini s najmanje radnog staža, bolje su riješili test od svojih kolega koji imaju više radnog staža za oko 3%.
Zaključak: Studenti sestrinstva Sveučilišnog odjela zdravstvenih studija pokazali su dobru sposobnost kritičke procjene zdravstvenih tvrdnji. U sposobnosti kritičke procjene zdravstvenih tvrdnji nije utvrđena statistički značajna razlika po spolu i dobi studenata. Isto tako, nije utvrđena statistički značajna razlika prema duljini radnog staža. Postoji značajna razlika između studenata sestrinstva s licencom zdravstvenog radnika i onih koji nemaju licencu u sposobnosti kritičke procjene zdravstvenih tvrdnji. Isto tako, studenti koji su završili gimnazijski program imaju bolju sposobnost kritičke procjene zdravstvenih tvrdnji od studenata koji su završili srednju zdravstvenu školu.SUMMARY
Aim of the paper: To determine the ability of nursing students to critically assess health claims.
Methods: The sample of respondents in this study consisted of students from the University of Split Department of Health Studies, majoring in nursing. The total number of nursing students who participated in this research is 180, of which 106 are full-time undergraduate nursing students, 51 part-time undergraduate nursing students and 23 graduate nursing students. The respondents voluntarily and anonymously filled out a validated test in the Croatian language (Aranza et al.) which, as an instrument, has good metric characteristics. The test consists two parts, the first part consists of demographic characteristics, while the second part refers to 18 scenarios (stories) about health claims and multiple answers that require a critical assessment of health claims.
Results: The percentage of correct responses on the test of all respondents is slightly more than 70%. Men solved the test by about 8% better than women, and the youngest students, those under 25 years of age, solved the test better than the other two groups by about 4%. Undergraduate and graduate nursing students were more successful than their part-time counterparts. A statistically significant difference was found between students who graduated from secondary health school compared to their colleagues who graduated from high school at the level of p=0.031, where students from health school were less successful in solving the test. Furthermore, a statistically significant difference was found between students who are licensed and those who are not licensed health workers, at a significance level of p=0.044. Students in the group with the least work experience solved the test better than their colleagues with more work experience by about 3%.
Conclusion: Nursing students of the University of Split Department of Health Studies demonstrated a good ability to critically assess health claims. There was no statistically significant difference in the ability to critically assess health claims by gender and age of students. Likewise, no statistically significant difference was found according to length of service. There is a significant difference between licensed and non-licensed nursing students in the ability to critically assess health claims. Likewise, students who have completed a high school program have a better ability to critically assess health claims than students who have completed secondary health school
Physiotherapy interventions in the conservative treatment of Scheuermann's kyphosis
No full textKifoza je fiziološka blaga zakrivljenost kralježnice koja iznosi od 25° do 40°. Kada kifoza prelazi 40°, dolazi do deformiteta. Scheuermannova kifoza, također poznata kao i juvenilna kifoza, stanje je hiperkifoze koja zahvaća kralješke i diskove. Ona se dijagnosticira kada je zakrivljenost veća od 40° te kada kralješci poprimaju oblik klina gdje su tri uzastopna kralješka u odstupanju većem od 5°. Prikazan je rad sa sedamanestogodišnjim dječakom sa dijagnosticiranom Scheuermannovom kifozom. Dva puta tjedno kroz dvije godine prisustvovao je kombinaciji manualne terapije i terapijskim vježbama koje su se sastojale od Rigo Concepta te DNS vježbi. Uz fizioterapiju, pacijent je svakodnevno nosio ortozu te se rekreativno bavio plivanjem jednom tjedno. Znanstveni dokazi pokazali su da su tehnike koje smo koristili učinkovite u neoperativnom liječenju Scheuermannove hiperkifoze. Kao smjernicu u ovom radu koristili smo mjere Cobbovog kuta na početku i na kraju terapije te kliničku sliku pacijenta. Nakon dvije godine rada došlo je do napretka. Scheuermannova hiperkifoza smanjila se za ukupno 17° po Cobbu a klinička slika pacijenta se uvelike promijenila.Kyphosis is a physiological slight curvature of the spine from 25° do 40°. When kyphosis exceeds 40°, deformity occurs. Scheuermann's kyphosis, also known as juvenile kyphosis, is a condition of hyperkyphosis that affects the vertebrae and discs. It is diagnosed when the curvature is greater than 40° and when the vertebrae take the shape of a wedge where three consecutive vertebrae are more than 5° apart. The work with a seventeen-year-old diagnosed Scheuermann's kyphosis is presented. Twice in two years, he attended a combination of manual therapy and therapeutic exercises consisting of Rigo Concept and DNS exercises. Along with physiotherapy, the patient wore an orthosis every day and did recreational swimming once a week. Scientific evidence has shown that the techniques we used are effective in the non-operative treatment of Scheuermann's hyperkyphosis. As a guideline in this paper, we used Cobb's angle measurements at the beginning and end of therapy and the patient's clinical picture. After a year, progress was made. Scheuermann's hyperkyphosis decreased by 17 Cobb degrees, and the patient's clinical picture changed greatly
Comparison of computed tomography versus magnetic resonance imaging in the evaluation of patological lesions of paranasal sinuses
No full textTumori i tumorima slične lezije paranazalnih šupljina mogu se klasificirati kao benigne ili maligne. Najčešće benigne lezije prema histološkom tipu su osteom, fibrozna displazija, osificirajući fibrom, invertni papilom, hemangiom te juvenilni angiofibrom. Najčešće maligne lezije prema histološkom tipu su planocelularni karcinom, adenokarcinom, adenoid cistični karcinom, olfaktorni neuroblastom, melanom, osteosarkom i limfom. Obzirom da su u osnovi mnogim tumorima paranazalnih šupljina pridružene upalne promjene ili se na tumorsku tvorbu superponira kronična upalna ili alergijska reakcija, važno je odabrati odgovarajuću radiološku dijagnostičku metodu u dijagnostici patoloških promjena. Iako kompjutorizirana tomografija može razlikovati tumor od pridružene upalne bolesti, diferencijacija patološke promjene ponekad može biti teška. Korištenjem specifičnih sekvenci magnetske rezonancije moguće je u većini sinonazalnih tumora razlikovati upalnu reakciju i retencijske sadržaje od solidnog dijela tumora. Magnetska rezonancija kao metoda s boljom kontrastnom rezolucijom u analizi mekih tkiva i mogućnošću multiplanarnog prikaza je superiornija od kompjutorizirane tomografije u evaluaciji tumorskih promjena paranazalnih šupljina.Tumors and tumor-like lesions of the paranasal sinuses can be classified as benign or malignant. The most common benign lesions according to histological type are osteoma, fibrous dysplasia, ossifying fibroma, inverted papilloma, hemangioma and juvenile angiofibroma. The most common malignant lesions according to histological type are squamous cell carcinoma, adenocarcinoma, adenoid cystic carcinoma, olfactory neuroblastoma, melanoma, osteosarcoma and lymphoma. Considering that many tumors of the paranasal sinuses are associated with inflammatory changes, or a chronic inflammatory or allergic reaction is superimposed on the tumor formation, it is important to choose an appropriate radiological diagnostic method in the diagnosis of pathological changes. Although computed tomography can distinguish a tumor from an associated inflammatory disease, the differentiation of a pathological change can sometimes be difficult. Using specific magnetic resonance imaging sequences, it is possible to distinguish the inflammatory reaction and retention contents from the solid part of the tumor in most sinonasal tumors. Magnetic resonance imaging as a method with better contrast resolution in the analysis of soft tissues and the possibility of multiplanar imaging is superior to computed tomography in the evaluation of tumor changes of the paranasal sinuses
CERAB technique in the treatment of aortoiliac occlusive disease
No full textCilj istraživanja: Prikazati rezultate pokrivene endovaskularne rekonstrukcije aortne bifurkacije u Kliničkom Bolničkom Centru Split na odjelu Radiologije. Rezultatima će se prikazati koje su varijable utjecale na pacijentovo zdravlje da oboli od aortoilijakalne okluzivne bolesti. Pokazat će se uspješnost CERAB tehnike i njene komplikacije
Materijali i metode: Ovo je retrospektivno istraživanje. Ispitanici su svi pacijenti koji su CERAB tehnikom liječili aortoilijakalnu okluzivnu bolest od rujna 2020. godine do lipnja 2024. godine u Kliničkom zavodu za dijagnostičku i intervencijsku radiologiju KBC-a Split. Vođena je analiza spola, starosne dobi, komorbiditeta, TASC II klasifikacije, veličini lezije i korištenih materijala.
Rezultati: Uzorak od 29 pacijenata je činilo 13 (44,83%) muškaraca i 16 (55,17%) žena. Raspon starosne dobi je bio od 54 do 81 godine, a medijan je bio 67 godina. Zabilježenih komorbiditeta je bilo: 17 (51,72%) hiperlipidemija, 25 (86,21%) pušača i 16 (55,17%) hipertenzija. Udio lezija manjih od 5 cm je bilo 68,97%, a većih od 5 cm je 31.03%. 27 (93,1%) intervencija je uspješno izvedeno uz 8 (27,59%) komplikacija
Zaključak: Nema veće spolne razlike u prevalenciji, no životna dob i životne navike uvelike utječu na oboljenje od AIOB-a. Većinom su oboljeli imali lezije manje od 5 cm i pripadaju TASC tipu D. Tehnički je CERAB tehnika uspješno napravljena uz komplikacije koje se lako liječe, a to su: pseudoaneurizme, disekcije, okluzija i arteriovenska fistula.Purpose: Present the results of Covered endovascular reconstruction of aortic bifurcation at KBC Split at the Department of Radiology. The results will show which variables affected to suffer from aortoiliac occlusive disease, the success of CERAB technique and its complications.
Methods: This is a retrospective study. All patients were subjected to the CERAB technique from September 2020 to June 2024 at KBC Split at the Clinical Institute of Diagnostic and Interventional Radiology. Patients were assigned age, gender, comorbidities, TASC II classification, lesion size and materials.
Results: Study consisted of 13 (44,83%) men and 16 (55,17%) women. The age range was 54 to 81 years and median was 67 years. The reported comorbidities were: 17 (51,72%) hyperlipidemia, 25 (86,21%) smokers and 16 (55,17%) hypertension. The proportion of lesions smaller than 5 cm was 68,97% and lesions larger than 5 cm was 31,03%. 27 (93,1%) interventions were successfully performed with 8 (27,59%) complications.
Conclusion: There is no difference between men and women, but age and lifestyle habits affect the development of AIOB. Most of the patients had lesions smaller than 5 cm and belong to TASC type D. CERAB technique was successfully performed with complications that are easy to treat, such as: pseudoaneurysms, dissections, occlusion and arteriovenous fistula
Activities of nurses in the prevention of intrahospital infections in the ICU
No full textIntrahospitalne ili nozokomijalne infekcije su infekcije koje se javljaju za vrijeme boravka bolesnika u zdravstvenoj ustanovi u razdoblju od 48 do 72 sata nakon hospitalizacije, ovisno o inkubaciji određene infekcije. Predstavljaju ozbiljan problem u svijetu, kako zdravstveno tako i financijski. Unatoč napretku medicine, a i silnim naporima u prevenciji, ove infekcije uzrokuju značajan morbiditet, mortalitet i produženje boravka bolesnika, što rezultira opterećenjem zdravstvenog sustava. Pojavljuju se neovisno o primarnoj bolesti, a problematika otpornosti antibiotika dodatno komplicira situaciju. Bolničke infekcije nastaju kao posljedica nekvalitetnog održavanja higijene u zdravstvenim ustanovama, te izazivaju zabrinutost zdravstvenog osoblja i samog stanovništva zbog sve veće učestalosti, osobito u jedinicama intenzivnog liječenja. Stope bolničkih infekcija odražavaju kvalitetu zdravstvene skrbi. U jedinicama intenzivnog liječenja, bolesnici su više podložni infekcijama posebno zbog imunokompromitiranosti, što može dovesti do komplikacija pa tako i zahtjevnijeg oporavka. Najčešća intrahospitalna infekcija u JIL-u jesu infekcije mokraćnog sustava. Između ostalog, izazov u radu za medicinske sestre/tehničare predstavlja i ventilatorom povezana pneumonija (VAP), te infekcije sepsa i infekcije kirurških rana. Važno je imati kvalitetan sustav kontrole infekcija zbog prevencije i suzbijanja intrahospitalnih infekcija te osiguranja sigurnosti bolesnika i pružanja kvalitetne zdravstvene skrbi. Strogo pridržavanje higijenskih protokola, pravilna upotreba antibiotika, redovito čišćenje i dezinfekcija prostora i opreme, te edukacija medicinskog osoblja i bolesnika o mjerama prevencije ključni su za smanjenje incidencije bolničkih infekcija.Intrahospital or nosocomial infections are infections that occur during the patient's stay in a health institution in the period from 48 to 72 hours after hospitalization, depending on the incubation of a certain infection. They represent a serious problem in the world, both health and financial. Despite medical progress, and great efforts in prevention, these infections cause significant morbidity, mortality and prolongation of the patient's stay, which results in a burden on the health system. They appear independently of the primary disease, and the problem of antibiotic resistance further complicates the situation. Hospital infections arise as a result of poor quality maintenance of hygiene in health-care facilities, and raise concerns among health personnel and the population itself about the increasing incidence, particularly in intensive care units. Hospital infection rates reflect the quality of health care. In intensive care units, patients are more susceptible to infections, especially due to immunocompromise, which can lead to complications and thus a more demanding recovery. The most common intrahospital infection in the ICU is urinary tract infections. Among other things, the challenge in the work for nurses/technicians is represented by ventilator-associated pneumonia (VAP), as well as sepsis infections and surgical wound infections. It is important to have a quality infection control system to prevent and control intrahospital infections and to ensure patient safety and provide quality health care. Strict adherence to hygiene protocols, proper use of antibiotics, regular cleaning and disinfection of spaces and equipment, and education of medical staff and patients on prevention measures are key to reducing the incidence of hospital-acquired infections
Health care for patients with Wegener granulomatosis in the ICU, Case report
No full textWegenerova granulomatoza (granulomatoza s poliangiitisom, GPA) je rijetka autoimuna sistemska bolest koja zahvaća male krvne žile te stvara nekrotizirajuće granulome, što može rezultirati teškim oštećenjem organa poput pluća, bubrega i dišnih puteva. U radu se prikazuje 27-godišnji muškarac koji je hospitaliziran u svibnju 2023. u Jedinici intenzivnog liječenja KBC-a Split. Zdravstvena njega bolesnika s GPA zahtijeva multidisciplinarni pristup radi učinkovitog upravljanja simptomima i komplikacijama. Multidisciplinarni pristup bolesniku s Wegenerovom granulomatozom uključuje različite grane medicine, ali i suradnju medicinskih sestara iz JIL-a s drugim medicinskim sestrama. Ključni aspekti zdravstvene njege kod bolesnika s GPA uključuju primjenu imunosupresivne terapije, upravljanje komplikacijama poput infekcija i krvarenja te unapređenje kvalitete života pacijenata kroz edukaciju o bolesti i podršku u rehabilitaciji. Timski rad medicinskih stručnjaka, uključujući anesteziologe - intenziviste, reumatologe, pulmologe, nefrologe i medicinske sestre, ključan je za osiguravanje cjelovite zdravstvene njege i poboljšanje prognoze bolesnika s Wegenerovom granulomatozom. Medicinske sestre i tehničari su neophodni u skrbi za bolesnika s GPA. Kroz stalnu edukaciju pacijenata, prevenciju infekcija i primjenu terapijskih postupaka, medicinske sestre igraju ključnu ulogu u poboljšanju kvalitete života ovih bolesnika.Wegener's granulomatosis (granulomatosis with polyangiitis, GPA) is a rare autoimmune systemic disease that affects small blood vessels and forms necrotizing granulomas, which can result in severe organ damage such as to the lungs, kidneys, and airways. This thesis presents a case of a 27-year-old male who was hospitalized in May 2023 in the Intensive Care Unit of KBC Split. The nursing care of patients with GPA requires a multidisciplinary approach to effectively manage symptoms and complications. A multidisciplinary approach to a patient with Wegener's granulomatosis involves various branches of medicine as well as collaboration between ICU nurses and other nurses. Key aspects of nursing care for patients with GPA include the administration of immunosuppressive therapy, management of complications such as infections and bleeding, and improving patients' quality of life through education about the disease and support in rehabilitation. Teamwork among medical professionals, including anesthesiologists-intensivists, rheumatologists, pulmonologists, nephrologists, and nurses, is crucial for providing comprehensive care and improving the prognosis of patients with Wegener's granulomatosis. Nurses are essential in the care of patients with GPA. Through continuous patient education, infection prevention, and the application of therapeutic procedures, nurses play a key role in improving the quality of life for these patients
