Author/Editor     Nerat, Jasmina; Gönc, Vida
Title     Zdravstvena nega bolnika pri trombolitičnem zdravljenju možganske kapi
Translated title     Thrombolytic therapy of stroke patient and nursing care
Type     članek
Source     74232321
Publication year     2013
Volume     str. 143-148
Language     slv
Abstract     Izhodišča: Trombolitično zdravljenje oz. razgradnja krvnega strdka z rekombinantnim aktivatorjem tkivnega plazminogena (rtPA) je po sodobnih evropskih smernicah najbolj ustrezen način zdravljenja akutne ishemične možganske kapi. Z raziskavo smo želeli spoznati najpogostejše negovalne probleme, ki se lahko pojavijo pri bolniku po možganski kapi, zdravljenim s trombolizo in vlogo medicinske sestre v okviru zdravstvene obravnave teh bolnikov. Metode: Raziskava je temeljila na kvalitativni metodi deskriptivnegaraziskovanja. Kot raziskovalna tehnika je bil uporabljen intervju z vodenimi vprašanji odprtega tipa. Izvedli smo študijo primera bolnika po ishemični možganski kapi, ki je bil zdravljen s trombolizo. Rezultati: Rezultati študije primera kažejo, da moramo biti ob in po trombolizi pozorni na naslednje možne negovalne probleme: odstopanja v vrednostih krvnega tlaka in srčnega utripa, spremembe zavesti in različne krvavitve. Omenjeni negovalni problemi lahko predstavljajo veliko grožnjo bolnikovemu življenju. Diskusija in zaključki: Trombolitično zdravljenje pripomore k izboljšanju zdravstvenega stanja bolnika, zmanjšanju stopnje prizadetosti ter preprečitvi sekundarnih zapletov po ishemični možganski kapi.Za dosego teh ciljev je potrebno intenzivno spremljanje bolnikovega zdravstvenega stanja po protokolu NIHSS in takojšnje ukrepanje v primeru spremembe zdravstvenega stanja.Introduction: Thrombolytic treatment or blood clot decomposition with the use of recombinant tissue plasminogen activator (rtPA) is by contemporary europeanstandards the most effective way of treatment in the case of an acute ischemic stroke. With research we tried to explore the most common nursing problems when dealing with a stroke patients treated with thrombolytic therapyand the role of nursing staff in the mainframe of medical treatment of the patients. Methods: The research was based on qualitative methods of descriptive research. As a research technique we used an interview with guidedquestions of an open type. We conducted a study case of an acute ischemic stroke patient treated with thrombolytic therapy. Results: Results ofthe study case show that we have to pay special attention when dealing with thrombolysis, during and after the threatment, to: deviations in blood pressure and heart rate, changes in consciousness and various bleeding. The mentioned nursing problems can present a grave threat to the patients life. Discussion and conclusions: Thrombolytic therapy helps to improve the health status of the patient, reducing the degree of disability and prevention against secondary complications after ischemic stroke. To achieve these goals intensive monitoring of the patients health status according to the NIHSS protocol is required and immediate actions in the event of changes in the health status.
Keywords     akutna možganska kap
trombolitično zdravljenje
zdravstvena nega
acute stroke
thrombolytic therapy
nursing care