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Nursing care of patients with enhanced recovery after surgery
No full textSestrinska skrb kod ubrzanog oporavka nakon kirurškog zahvata, podržana protokolom ERAS
(Enhanced Recovery After Surgery), igra ključnu ulogu u osiguravanju bržeg i uspješnog povratka
bolesnika u normalan život. Ovaj holistički pristup integrira precizno planiranje, edukaciju, psihološku
podršku i kontinuiranu interakciju s bolesnicima. Kroz edukaciju, medicinske sestre osnažuju bolesnike da
preuzmu aktivnu ulogu u vlastitom oporavku, dok psihološka podrška pomaže u suočavanju s
emocionalnim izazovima. ERAS protokol dodatno optimizira proces oporavka kroz racionalno upravljanje
bolom, prevenciju komplikacija i poticanje rane mobilizacije. Kroz dosljednu primjenu sestrinske skrbi i
ERAS principa, bolesnicima se omogućuje sveobuhvatna briga koja doprinosi bržem fizičkom ozdravljenju
i povećava kvalitetu života tijekom postoperativnog razdoblja. Sestrinstvo je ključno za uspješnu
implementaciju ERAS-a. Uloga medicinske sestre nastavit će se razvijati unutar programa ERAS baš kao
što se same smjernice ERAS-a budu mijenjale i dok timovi ERAS-a uvode inovacije prema poboljšanju
kliničkih ishoda za bolesnike i zdravstvene sustave na globalnoj raziniNursing care for accelerated recovery after surgery, supported by the ERAS (Enhanced
Recovery After Surgery) protocol, plays a key role in ensuring a faster and successful return of the patient
to normal life. This holistic approach integrates precise planning, education, psychological support and
continuous interaction with patients. Through education, nurses empower patients to take an active role in
their own recovery, while psychological support helps them cope with emotional challenges. The ERAS
protocol additionally optimizes the recovery process through rational pain management, prevention of
complications and encouragement of early mobilization. Through the consistent application of nursing care
and ERAS principles, patients are provided with comprehensive care that contributes to faster physical
healing and increases the quality of life during the postoperative period. Nursing is critical to the successful
implementation of ERAS. The role of the nurse will continue to evolve within the ERAS program just as
the ERAS guidelines themselves change and as ERAS teams innovate to improve clinical outcomes for
patients and health systems globall
Nursing care of the patient with an abdominal aortic aneurysm: A case report
No full textCILJ RADA: Glavni cilj ovog završnog rada je prikazati proces zdravstvene njege, odnosno utvrđivanje potreba bolesnika, planiranje i provođenje intervencija kao i evaluaciju učinjenog, kod bolesnika prije i nakon endovaskularnog liječenja aneurizme abdominalne aorte.
RASPRAVA: Bolesnik N.N. primljen je redovnim prijemom na Odjel vaskularne kirurgije pod dijagnozom aneurizme abdominalne aorte. Indicirano je endovaskularno liječenje aneurizme abdominalne aorte - EVAR. Nakon preoperacijske pripreme i obrade, bolesnik je operiran u angiodvorani. Premješten je u Jedinicu intenzivnog liječenje pa na Odjel kirurške intenzivne njege i na posljetku, 48h nakon vraćen na odjel. Kroz prikaz slučaja identificirani su aktualni problemi bolesnika te obrađene su sestrinsko medicinske dijagnoze s ciljem zadovoljavanja osnovnih ljudskih potreba bolesnika.
ZAKLJUČAK: Aneurizma abdominalne aorte je izbočina u trbušnom dijelu aorte i potencijalno po život opasno stanje zbog rizika od puknuća i teškog unutarnjeg krvarenja. Uz liječnički tim, važna karika u skrbi bolesnika prije i poslije operativnog zahvata je medicinska sestra koja kroz proces zdravstvene njege identificira i rješava individualne fizičke, psihičke i socijalne probleme bolesnika. Svaki korak u procesu zdravstvene njege bolesnika usmjeren je postizanju najveće moguće samostalnosti bolesnika.AIM: The main goal of this final work is to present the process of health care, i.e. determination of patient needs, planning and implementation of interventions as well as evaluation of what has been done, in patients before and after endovascular repair of abdominal aortic aneurysm.
DISCUSSION: Patient N.N. was admitted as a regular admission to the Department of Vascular Surgery under the diagnosis of abdominal aortic aneurysm. Endovascular repair of abdominal aortic aneurysm – EVAR is indicated. After pre-operative preparation and treatment, the patient was operated on in the Angio room. He was transferred to the Intensive Care Unit and then to the Surgical Intensive Care Department and finally, 48 hours later, returned to the ward. Through the presentation of the case, the current problems of the patient were identified, and nursing medical diagnoses were processed with the aim of meeting the basic human needs of the patient.
CONCLUSION: An abdominal aortic aneurysm is a bulge in the abdominal part of the aorta and a potentially life-threatening condition due to the risk of rupture and severe internal bleeding. Along with the medical team, an important link in the care of patients before and after surgery is the nurse who, through the process of health care, identifies and solves individual physical, psychological and social problems of the patient. Every step in the patient's health care process is aimed at achieving the greatest possible independence of the patient
The education of patients and family members of patients with pneumothorax
No full textPneumotoraks predstavlja nakupljanje zraka ili plinova u pleuralnom prostoru te, posljedično, kolabiranja
dijela pluća ili pluća u potpunosti. Možemo ga podijeliti na spontani i traumatski, a liječenje može biti kirurško ili
ne kirurško. Skrb medicinske sestre/ tehničara za pacijenta s nastalim pneumotoraksom obuhvaća procjenu
zdravstvenog stanja, pružanje psihološke i emocionalne podrške, kao i ublažavanje tjelesnih simptoma, te
edukaciju bolesnika i njegove obitelji. Uz pneumotoraks pacijenti često doživljavaju druge probleme, a posebice
se ističu anksioznost i strah, gdje je neophodno pružiti psihološku podršku i uključiti obitelj. Važna uloga je i u
razgovoru s pacijentom i obitelji kako bi saznali uzroke straha i zabrinutosti, educirali pacijenta i obitelj o važnosti
izražavanja straha, pomogli im suočiti se s njim te pružili im podršku. Neophodna je i edukacija o samom stanju,
te tehnikama i vještinama potrebnim za normalno funkcioniranje tijekom hospitalizacije, te adekvatne upute o
funkcioniranju nakon što se pacijent otpusti na kućnu njeguPneumothorax represents the accumulation of air or gases in the pleural space, resulting in the collapse of a part
or the entire lung. It can be divided into spontaneous and traumatic, and the treatment can be surgical or nonsurgical. The care of a nurse/technician for a patient with pneumothorax involves health status assessment,
provision of psychological and emotional support, alleviation of physical symptoms, and education of the patient
and their family. Alongside pneumothorax, patients often experience other problems, particularly anxiety and fear,
where it is necessary to provide psychological support and involve the family. An important role is also in
conversation with the patient and family to understand the causes of fear and worry, educate the patient and family
about the importance of expressing fear, help them face it, and provide them support. It is also essential to educate
them about the condition itself, and techniques and skills needed for normal functioning during hospitalization, as
well as providing appropriate instructions for functioning after the patient is discharged for home care
Etiology of viral gastroenteritis
No full textGastrointestinalni virusi najčešći su uzročnici gastroenteritisa sa simptomima kao što su vodenasti proljev, povraćanje, povišena temperatura, mučnina, opća slabost, abdominalna bol. Uzorak izbora za testiranje je uzorak stolice koji se testira na četiri najčešća uzročnika, a to su rotavirusi, norovirusi, adenovirusi i astrovirusi. Najjednostavniji način testiranja je imunokromatografskim testovima zbog dobivanja brzih rezultata i ekonomske isplativosti. Provjera rezultata može se napraviti osjetljivijim metodama kao što su ELISA, PCR i multipleks molekularni testovi koji će detektirati manje koncentracije uzročnika. Gastrointestinalni virusi uzrokuju gastroenteritise tijekom cijele godine, dok rotavirusi, norovirusi i astrovirusi pretežno u hladnijim periodima godine izazivaju epidemije. Infekcije su prisutne u svim dobnim skupinama, ali posebno u osoba sa oslabljenim imunološkim sustavom gdje izazivaju teže kliničke slike. Liječenje gastroenteritisa je simptomatsko i posebna pažnja se pridaje nadoknadi tekućine i elektrolita. Kao najbolji način prevencije preporuča se redovita dezinfekcija ruku i radnih površina te korištenje sigurne vode i hrane.Gastrointestinal viruses are the most common causes of gastroenteritis with symptoms such as watery diarrhea, vomiting, fever, nausea, weakness in general, abdominal pain. The chosen sample for testing is a stool sample that is tested for the four most common pathogens: rotaviruses, noroviruses, adenoviruses and astroviruses. The most simple way of testing is with immunochromatographic tests due to the quick results and economic profitability. Result check can be done with more sensitive methods such as ELISA, PCR and multiplex molecular tests, that will detect lower concentrations of the causative agent. Gastrointestinal viruses cause gastroenteritis throughout the whole year, while rotaviruses, noroviruses and astroviruses mainly cause epidemics in colder periods of the year. Infections are present in all age groups, but especially in people with a weakened immune system where they cause more severe clinical symptoms. Treatment of gastroenteritis is symptomatic and special attention is paid to fluid and electrolyte replacement. It is recomended that the best way of prevention is regular desinfection of hands and work surfaces and using safe water and food
Nursing activities in the prevention of dental caries in school-age children
No full textNavike oralne higijene i prehrambene sklonosti razvijaju se tijekom djetinjstva i adolescencije, a nakon tog razdoblja teško je promijeniti neprimjerena ponašanja. Podizanje razine svijesti o prevenciji zubnog karijesa jedan je od ključnih elemenata promicanja zdravog načina života. To je moguće kroz zdravstveni odgoj djece i adolescenata. Škole su, osim doma, mjesta gdje se treba uvoditi i razvijati zdravo ponašanje. Školski programi oralne higijene djece mogu doprinijeti poboljšanju oralnog zdravlja. Utjecaj škole na dentalno zdravlje djece veći je u obiteljima s niskim primanjima. Aktivnosti za promicanje oralnog zdravlja u školama utječu, preko djece i adolescenata, i na njihove obitelji i lokalne zajednice. Karijes se smatra složenim, više faktorskim načinom života. Nepravilna ponašanja povezana sa zdravljem kao što su česta konzumacija fermentabilnih ugljikohidrata, zanemarivanje svakodnevne oralne higijene i izbjegavanje pregleda kod zubara imaju ključnu ulogu u razvoju karijesa. Dokazano je da čak i malo smanjenje unosa šećera može poboljšati epidemiološku situaciju s karijesom. Svaka medicinska sestra trebala bi imati osnovnu kompetenciju u promicanju oralnog zdravlja i prepoznavanju oralne bolesti kako bi mogli smanjiti uobičajene čimbenike rizika za oralne bolesti i poboljšati cjelokupno zdravlje djece školske dobi.Oral hygiene habits and dietary preferences develop during childhood and adolescence, and after this period it is difficult to change inappropriate behaviors. Raising awareness of dental caries prevention is one of the key elements of promoting a healthy lifestyle. This is possible through health education of children and adolescents. Schools, apart from the home, are places where healthy behavior should be introduced and developed. School oral hygiene programs for children can contribute to improving oral health. The influence of school on children's dental health is greater in low-income families. Activities to promote oral health in schools affect, through children and adolescents, their families, and local communities. Caries is considered a complex, multi-factor lifestyle. Irregular health-related behaviors such as frequent consumption of fermentable carbohydrates, neglecting daily oral hygiene and avoiding dental examinations play a key role in the development of caries. It has been proven that even a small reduction in sugar intake can improve the epidemiological situation with caries. Every nurse should have basic competence in oral health promotion and recognition of oral disease so that they can reduce common risk factors for oral disease and improve the overall health of school-age children
Attitudes of students of health studies on the appeal of conscience in clinical practice
No full textUVOD: Priziv savjesti je sloboda mišljenja, savjesti i vjeroispovijedi te spada u ljudska prava i temeljne slobode zajamčene međunarodnim dokumentima, u prvom redu Općom deklaracijom o ljudskim pravima. Primaljstvo je područje zdravstvenih zanimanja koje se bavi pružanjem usluga trudnicama, novopečenim majkama i njihovoj dojenčadi. Zakon o primaljstvu ne propisuje pravo primalja kao što to propisuje Zakon o liječništvu i Zakon o sestrinstvu, no Etičkim kodeksom primalja je propisano da primalja ima pravo na priziv savjesti, ako time ne uzrokuje trajne posljedice za zdravlje ili ne ugrozi život pacijentice te o svojoj odluci mora pravodobno obavijestiti pacijenticu i uputiti je drugoj primalji. CILJ: Cilj ovog istraživanje je utvrditi stavove studenata zdravstvenih studija o prizivu savjesti u kliničkoj praki te utvrditi razlike u stavovima među studentima različitih strukovnih opredjeljenja unutar zdravstvenih studija. METODE: U ovome istraživanju sudjelovalo je 176 ispitanika svih dobnih skupina. Kriterij uključenja bili su sadašnji ili bivši studenti zdravstvenog usmjerenja. U ovom presječnom istraživanju korišteni mjerni instrument je Upitnik o stavovima bivših i sadašnjih studenata zdravstvenih studija o prizivu savjesti u kliničkoj praksi. Istraživanje je provedeno u svibnju 2023. REZULTATI: Istraživanje je pokazalo rezultate, većina ispitanika (80.7%) nije bila u prilici pozvati se na priziv savjesti, ali na pitanje kada bi ste radili na Klinici za ženske bolesti i porode biste li koristili pravni okvir mogućnosti priziva savjesti, 75 ispitanika odgovorilo je potvrdno. Prema istraživanju od 176 ispitanika, 74 ispitanika smatra da se legalan pobačaj bez medicinske indikacije ne bi trebao zabraniti dok 61 ispitanik izričito smatra da bi se legalan pobačaj bez medicinske indikacije trebo zabraniti. Većina ispitanika (60.2%) smatra da su upućeni što sve podrazumijeva priziv savjesti. ZAKLJUČCI: Rezultati ankete ne pokazuju različite stavove o prizivu savjesti među studentima različitih strukovnih opredjeljenja unutar zdravstvenih studija. Primaljama bi se trebao omogućiti bolji zakonski pristup prizivu savjesti, ne bi se trebale oslanjati samo na Etički kodeks primalja, već zahtjevati ravnopravni Zakon o primaljstvu koji propisuje pravo primalja na priziv savjesti kao što to propisuje Zakon o liječništvu i Zakon o sestrinsvu, zdravstveni djelatnici bi trebali biti ravnopravno zaštićeni pred zakonom.INTRODUCTION: The call of conscience is the freedom of thought, conscience and religion and belongs to human rights and fundamental freedoms guaranteed by international documents, primarily by the Universal Declaration of Human Rights. Midwifery is a field of health professions that deals with the provision of services to pregnant women, new mothers and their infants. The Midwifery Act does not prescribe the right of midwives, as prescribed by the Act on Medicine and the Act on Nursing, but the Code of Ethics of Midwives stipulates that a midwife has the right to appeal to her conscience, if this does not cause permanent health consequences or endanger the patient's life, and about her decision must inform the patient in a timely manner and refer her to another midwife. OBJECTIVE: The aim of this research is to determine the attitudes of students of health studies about the appeal of conscience in clinical practice and to determine the differences in attitudes among students of different professional orientations within health studies. METHODS: 176 respondents of all age groups participated in this research. The inclusion criteria were current or former health students. The measuring instrument used in this cross-sectional study is the Questionnaire on the attitudes of former and current students of health studies on the appeal of conscience in clinical practice. The research was conducted in May 2023. RESULTS: The research showed results, the majority of respondents (80.7%) did not have the opportunity to invite the appeal of conscience, but when asked if you would work at the Clinic for Women's Diseases and Childbirth, would you use the legal framework for the possibility of an appeal of conscience, 75 respondents answered is affirmative. According to a survey of 176 respondents, 74 respondents believe that legal abortion without medical indication should not be prohibited, while 61 respondents expressly believe that legal abortion without medical indication should be prohibited. The majority of respondents (60.2%) believe that they are knowledgeable, which all implies an appeal to conscience. CONCLUSIONS: The results of the survey do not show different attitudes about the appeal of conscience among students of different professions within health studies. Midwives should be given better legal access to appeal of conscience, they should not rely only on the Code of Ethics of Midwives, but demand an equal Midwifery Act that prescribes the right of midwives to appeal of conscience as prescribed by the Law on Medicine and the Law on Nursing, health professionals should should be equally protected before the law
Carrying out physiotherapy procedures for the purpose of preventing diabetic foot
No full textCilj ovog rada je objasniti i prikazati važnost provođenja terapijskih metoda u svrhu prevencije nastanka dijabetičkog stopala u osoba koje su pod rizikom te na temelju tih saznanja izraditi upute za provođenje preventivnih vježbi kod pacijenata sa šećernom bolešću.
Nastanak dijabetičkog stopala uvjetovan je brojnim čimbenicima, među kojima se jedni od najvažnijih odnose na kontrolu razine glukoze u krvi te provođenja bilo kojeg oblika tjelesne aktivnosti u pacijenata sa šećernom bolešću.
Stručna i znanstvena literatura na ovu temu sugerira da je provođenje vježbi i ostalih terapijskih metoda korisno u smanjenju rizika za nastanak dijabetičkog stopala. Od velike važnosti je omogućiti pacijentima prikladan program preventivnih vježbi koje mogu slijediti i na taj način spriječiti nastanak dijabetičkog stopala. Osim toga, važan dio prevencije nastanka dijabetičkog stopala čini i edukacija pacijenata koji provođenjem pravilne njege stopala i samopregledima utječu na smanjenje razvitka ozbiljnih komplikacija.The aim of this study is to explain and demonstrate the importance of implementing therapeutic methods for the prevention of diabetic foot complications in at-risk individuals and based on these findings, create guidelines for conducting preventive exercises in diabetic patients.
The development of diabetic foot is influenced by various factors, among which the control of blood glucose levels and engagement in any form of physical activity in diabetic patients are crucial.
The scientific literature on this subject suggests that the implementation of exercises and other therapeutic methods is beneficial in reducing the risk of diabetic foot complications. It is of great importance to provide patients with a suitable program of preventive exercises that they can follow to prevent the occurrence of diabetic foot.. Furthermore, an essential part of preventing diabetic foot complications is educating patients about proper foot care and self-examinations, which contribute to reducing the development of severe complications
The role of the midwife and incidence of epidural analgesia during 2022 year
No full textEpiduralna analgezija koristi se već stoljećima kao jedan od najboljih načina ublažavanja porođajne boli. Postupak se izvodi tako da se iglom ulazi u epiduralni prostor te se aplicira lokalni anestetik. Uz epiduralnu analgeziju postoje još mnogi načini ublažavanja porodne boli jer je ona neizostavni dio u procesu rađanja i utječe na ženin doživljaj poroda. Cilj ovog rada je retrospektivno analizirati sve žene koje su primile epiduralnu analgeziju tijekom 2022. godine u Klinici za ženske bolesti i porode KBC-a Split. Podatci koji su bili obrađeni odnosili su se na dob žene, način dovršenja poroda, težinu djeteta, kao i Apgar score. Zaključeno je da je u KBC-u Split kroz 2022. godinu epiduralnu analgeziju primilo 259 žena. Najviše u dobi od prosječno 28 godina, većina žena bile su prvorotke. Kod žena koje su primile epiduralnu analgeziju 22% poroda je bilo dovršeno carskim rezom. Nakon poroda nisu uočene značajne posljedice vezane za stanje rodilje i novorođenčeta.Epidural analgesia has been used for centuries as one of the best ways to relieve labour pain. The procedure is performed by inserting a needle into the epidural space and applying a local anaesthetic. In addition to epidural analgesia, there are many other ways to relieve labour pain because it is an indispensable part of the birth process and affects the woman's experience of childbirth. Retrospective analysis included all women who received epidural analgesia during the year 2022 in the Clinic for Women's Diseases and Childbirth at KBC Split. The data that was processed related to the woman's age, way of completing childbirth, weight of the child, as well as the Apgar score. It was concluded that 259 women received epidural analgesia in KBC Split through 2022. At the age of 28 on average, most women were primiparous. Among women who received epidural analgesia, 22% of deliveries were completed by caesarean section. After delivery, no significant consequences related to the condition of the mother and the newborn were observed
THE IMPORTANCE OF THE NURSE IN THE FORMATION OF ATTITUDES ABOUT VACCINATION AGAINST COVID 19 DISEASE IN RELATION TO THE SELF-ASSESSMENT OF HEALTH AND QUALITY OF LIFE OF THE STUDENTS OF THE UNIVERSITY OF SPLIT
No full textCilj: Cilj istraživanja je istaknuti značaj medicinske sestre u formiranju stavova o cijepljenju protiv COVID-19 u
odnosu na samoprocjenu zdravlja i kvalitete života studenata Sveučilišta u Splitu. Također cilj rada je utvrditi
jesu li stavovi studenata zdravstvenih studija pozitivniji prema cjepivu u odnosu na studente nezdravstvenih
studija kao i odnos na demografska obilježja.
Metode i ispitanici: Za potrebe izrade empirijskog dijela ovog rada proveden je anketni upitnik među 315
studenata Sveučilišta u Splitu. Prilikom prikupljanja podataka za ovo istraživanje koristili smo upitnik od dva
dijela. Prvi dio upitnika odnosi se na demografske podatke te pitanja vezan za procijepljenost protiv COVID-19,
tip cjepiva koji su primili, odnosno jesu li preboljeli COVID-19, a u drugom dijelu je korišten SF- 36 upitnik
kojim je ispitano općenito zdravstveno stanje ispitanika.
Rezultati: Rezultati istraživanja u kojem se ispitivao značaj medicinske sestre u formiranju stavova o cijepljenju
protiv COVID–19 u odnosu na samoprocjenu zdravlja i kvalitete života studenata Sveučilišta u Splitu pokazuje
da je pola studenata koji su sudjelovali u istraživanju primilo cjepivo protiv COVID infekcije. Najčešće
primljeno cjepivo je Pfizer, zatim slijedi Moderna i Astra Zeneca. Cijepljeni ispitanici su ostvarili barem jednu
nuspojavu. Najčešći razlog donošenja odluke o cijepljenju je zaštita svojih bližnjih. Najveći broj ispitanika koji
nisu cijepljeni i nemaju se namjeru cijepiti smatra da cjepivo nije dovoljno istraženo, dok najmanji broj
ispitanika se ne cijepi jer dijeli stav da je COVID-19 bezazlena bolest. Infekciju COVID-19 je prebolilo 73,57%
ispitanika kao i njihovi ukućani. Većina ispitanika ne smatra sebe kao pripadnika rizične skupine. Najveća
kvaliteta života ispitanih studenata je utvrđena kod fizičkog funkcioniranja, dok je najniža razina kvalitete života
utvrđena kod konstrukta energije i vitalnosti.
Zaključak: Zaključno se može istaknuti kako su stavovi studenata zdravstvenih studija pozitivniji prema cjepivu
u odnosu na studente nezdravstvenih studija. Postoji razlika u stavovima studenata prema cjepivu protiv COVID19 ovisno jesu li preboljeli COVID-19.Objective: The objective of the research is to highlight the importance of nurses in the formation of attitudes
about vaccination against COVID-19 in relation to the self-assessment of health and quality of life at the
University of Split. Also, the aim of the paper is to determine whether the attitudes of students of health studies
are more positive towards the vaccine compared to students of non-health studies, as well as the relationship to
demographic characteristics.
Methods and respondents: For the purposes of creating the empirical part of this work, a survey questionnaire
was conducted among 315 students of the University of Split. When collecting data for this research, we used a
two-part questionnaire. The first part of the questionnaire refers to demographic data and questions related to
vaccination against COVID-19, the type of vaccine they received, i.e. whether they have recovered from
COVID-19, and in the second part, the SF - 36 questionnaire was used to examine the general state of health of
the respondents.
Results: The results of the research in which the significance of the nurse in the formation of attitudes about
vaccination against COVID-19 in relation to the self-assessment of health and quality of life of students of the
University of Split was examined shows that half of the students who participated in the research received the
vaccine against the COVID infection. The most commonly received vaccine is Pfizer, followed by Moderna and
Astra Zeneca. Vaccinated subjects experienced at least one side effect. The most common reason for deciding to
vaccinate is to protect your loved ones. The largest number of respondents who have not been vaccinated and do
not intend to be vaccinated believe that the vaccine has not been sufficiently researched, while the smallest
number of respondents are not vaccinated because they share the view that COVID-19 is a harmless disease.
73.57% of respondents got over the infection of COVID-19, as did their household members. The majority of
respondents do not consider themselves as a member of the risk group. The highest quality of life of the
examined students was found in physical functioning, while the lowest level of quality of life was found in the
construct of energy and vitality.
Conclusion: It can be concluded that the attitudes of students of health studies are more positive towards the
vaccine compared to students of non-health studies. There is a difference in students' attitudes towards the
vaccine against COVID-19 depending on whether they have recovered from COVID-19
PEDAGOGICAL GUIDELINES IN PREPARATION OF PATIENTS WITH CLAUSTROPHOBIA FOR MAGNETIC RESONANCE EXAMINATION
No full textUvod: Magnetska rezonancija je pregled koji je neinvazivan i ne koristi štetno ionizirajuće zračenje te je
stoga jedna od najčešće preporučivanih pretraga za dijagnostiku različitih organskih sustava. Kod
pacijenata koji imaju strah od skučenih i zatvorenih prostora (klaustrofobija) taj strah može značajno otežati
izvođenje pregleda ili ga čak onemogućiti. Čak i kod pacijenata koji nemaju od prije poznatu klaustrofobiju
može doći do neugode prilikom izvođenja pregleda zbog nedovoljne pripremljenosti ili nepoznavanja tijeka
pretrage.
Cilj i hipoteza rada: Cilj istraživanja je utvrditi iskustva pacijenata i anesteziologa glede pripreme za
pregled magnetskom rezonancijom i na temelju dobivenih rezultata ponuditi pedagoške smjernice za
pripremu pacijenata s klaustrofobijom za pregled magnetskom rezonancijom. Hipoteza je da pacijenti s
klaustrofobijom nisu dovoljno informirani i pripremljeni za pregled magnetskom rezonancijom.
Rasprava: Rezultati provedenog istraživanja potvrdili su da su pacijenti nedovoljno upoznati s pregledom
magnetne rezonancije. Pacijentima bi pregled magnetske rezonancije bio ugodniji kada bi bili bolje
informirani o tijeku pregleda, kada bi se poboljšali prostorni uvjeti izvođenja pregleda te kada bi imali bolju
komunikaciju sa zdravstvenim djelatnicima prije, tijekom i nakon pregleda. Temeljem dobivenih rezultata,
i u skladu su s recentnim i relevantnim spoznajama o temi istraživanja, predloženi su postupci za koje je
opravdano vjerovati da mogu uvelike olakšati rad i pospješiti efikasnost radiološkog osoblja te u konačnici
omogućiti pacijentima suočavanje sa strahom od rezultata pretrage i olakšati njihov boravak u bolnici.
Zaključak: Potvrđena je hipoteza da pacijenti s klaustrofobijom nisu dovoljno informirani i pripremljeni
za pregled magnetskom rezonancijom, stoga su u radu navedeni prijedlozi upoznavanja pacijenata s
dijagnostičkim postupkom i interijerom prostora za pregled putem simulacije, letaka i ostalih postupaka
koje bi mogli rezultirati pozitivnom reakcijom pacijenata, anesteziologa i radiološkog osoblja, ubrzati
postupak dijagnoze i smanjiti mogućnost odgode pregleda, što u konačnici može rezultirati kraćim
vremenom čekanja drugih pacijenata i smanjenjem neočekivanih prekida postupaka.INTRODUCTION: Magnetic resonance examination is a non-invasive procedure not using harmful
ionizing radiation defining it as one of the most often used and recommended examination in diagnosing
different organic systems. Patients suffering from narrow and closed spaces (claustrophobia), undergoing
magnetic resonance examination, could face obstacles or even make it impossible. It is the same for those
patients who are not aware of being claustrophobic, whose condition could make the examination less
comfortable due to insufficient preparation or information for the examination itself.
OBJECTIVE AND HYPOTHESIS: The objective of this research is to establish patients and
anestheziologists experiences regarding preparations for magnetic resonance examination. Based on the
obtained results, pedagogic guidelines in preparing claustrophobic patients for magnetic resonance
examination, should be outlined. Hypothesis states that claustrophobic patients are not informed and
prepared enough for magnetic resonance examination.
DISCUSSION: Considering the given results, it is confirmed that patients are not informed sufficiently
about the examination. They should be definitely more comfortable if better informed, if better premises
conditions provided, what is more, having better communication with healthcare staff before and after the
treatment. Given all the circumstances and all the relevant information taken into consideration, it is
strongly believed that all the proposals would make the diagnostics easier and more efficient. Lastly,
patients would be much more at ease facing the fears while waiting the examination outcome which would
also make their stay in hospital less traumatic.
CONCLUSION: The hypothesis confirms that the patients suffering from claustrophobia are not
sufficiently informed and prepared for magnetic resonance examination. Regarding this, a great number of
propositions and suggestions are given in order to make improvements in the diagnostic treatment including
better interior space conditions, fliers and any other procedure whicih could result positively for the
patients, anestheziologists and radiologists, faster diagnosis and less number of postponed examinations.
All in all, these would lead to reduced waiting time for the other patients and also less unexpected treatment
interruptions