Zdravstveni nadzor na daljavo pacienta s trajnim srčnim spodbujevalnikom

• Main Author: Čeh, Iva
• Other Authors: Pajnkihar, Majda
• Format: Master Thesis
• Language: Slovenian
• Published: I. Čeh 2012
• Subjects: srčni spodbujevalnik; zdravstveni nadzor na daljavo; zdravstvena vzgoja; telemedicina; medicinska sestra.; pacemaker; medical home monitoring; health education; telemedicine; nurse.; info:eu-repo/classification/udc/616.12; Kvadrat; sami
• Online Access: https://dk.um.si/IzpisGradiva.php?id=36665; https://dk.um.si/Dokument.php?id=47913&dn=; https://plus.si.cobiss.net/opac7/bib/1816228?lang=sl

Namen magistrskega dela je bil raziskati in predstaviti potrebe pacientov, ki imajo vstavljen trajni srčni spodbujevalnik, ter ponuditi rešitev - nadzor pacientov na daljavo kot lažjo in hitrejšo obliko dela. Metodologija raziskovanja. V raziskavi je bila uporabljena kvantitativna metodologija raziskovanja in metoda anketiranja z uporabo strukturiranega vprašalnika. Raziskava je potekala v ambulanti za paciente z vstavljenim trajnim srčnim spodbujevalnikom. Vključenih je bilo 100 pacientov, ki imajo vstavljen srčni spodbujevalnik. Za analizo podatkov smo uporabili programa Microsoft Word Excel 2007, SPSS 19 in statistični metodi hi-kvadrat test, t-test. Rezultati. Ugotovili smo, da vsi pacienti želijo zdravstveni nadzor na daljavo. S tem bi se najbolj zmanjšala njihov strah in skrb glede delovanja srčnega spodbujevalnika. Statistično pomembnih razlik med pacienti glede na starost (71-80 let in nad 81 let) v potrebi po dodatnih navodilih (po hospitalizaciji zaradi vstavitve srčnega spodbujevalnika), nismo dokazali. Ugotovili smo tudi, da na samokontrolo srčnega utripa ne vpliva bivalno okolje pacienta (mesto, vas). Za paciente je ne glede na spol pomembno, da medicinske sestre upoštevajo njihove potrebe. Pacienti, ki imajo vstavljen trajni srčni spodbujevalnik, od medicinskih sester veliko zahtevajo, sami pa za njihovo zdravje in dobro počutje premalo naredijo. Anketirani ne izvajajo samokontrole srčnega utripa. Medicinske sestre so dolžne pacienta s pomočjo zdravstvene vzgoje pripraviti na čim bolj samostojno življenje. Sklep. Glede na rezultate raziskave lahko zaključimo, da si medicinske sestre morajo prizadevati za boljšo zdravstveno vzgojo pacientov (učenje samokontrole srčnega utripa) in iskati rešitve za kakovostnejšo obravnavo pacientov. Anketirani si želijo zdravstvenega nadzora na daljavo, saj bi tako zmanjšali strah in skrb glede nepravilnega delovanja srčnega spodbujevalnika. Z zdravstvenim nadzorom na daljavo bi paciente nenehno spremljali, kar bi posledično vplivalo na višjo kakovost zdravstvene obravnave. The purpose of the thesis is to explore and present the patients needs and offer solutions to control the home monitoring system, as easier and faster as possible for the patients. Research methodology. In the study we used the quantitative method and the method of interviewing. The research was conducted in a clinic for patients with implanted permanent pacemakers, which included 100 patients. For data analysis we used Microsoft Word Excel 2007, SPSS 19 and statistical methods of chi-square, t-test. With an anonymous questionnaire, we asked the patients with implanted permanent pacemaker, if they want or need a home monitoring system and the reasons why. The results. The research showed that they all want home monitoring system and that this would minimize the fear and concern about the functioning of their pacemaker. Statistically significant differences between patients according to age (71-80 years old and over 81 years) in need of additional instructions (for hospitalization due to insertion of pacemaker), we have not established. We also discovered that the living environment does not affect the patients heartbeat self control (city, village). The research showed that for both, men and women, it is important that the nurses admire their needs. We also discovered that patients which have an implanted pacemaker have high expectations to the medical staff, but are not willing to do anything more for their health. The results also showed that the patients do not control their heartbeat. However the nurses have an obligation to the patient through health education preparing them to be as independent as possible. Conclusion. Given the research results we can conclude that nurses should aim for a better patient health education (teaching them to self control their heartbeat) and to seek for solutions for higher-quality patient treatment. The respondents want home monitoring which would also reduce the fear and concern about the improper functioning of the pacemaker. With the home monitoring the patients would have a constant observation, which would consequently affect on a higher quality of the medical treatment.