Author/Editor		Buček-Hajdarevič, Irena; Kardoš, Zorica
Title		Preprečevanje dejavnikov tveganja pred operativnim posegom in po njem
Translated title		Prevention of risk factors before and after surgical procedure
Type		članek
Source		Obz Zdrav Nege
Vol. and No.		Letnik 34, št. 3-4
Publication year		2000
Volume		str. 115-9
Language		slo
Abstract		The work of an anaesthesia nurse comprises the proceedings of nursing care in preoperative, interoperative and postoperative period. The introduction of nursing care process in anaesthesia enables holistic treatment of patients, quality of care and surveillance. It includes the standardization of nursing measures and medical technical procedures and psychological preparation of a patient for operation. Each anaesthesia and operation are strressful, intensified by fear, and the pathophysiological consequences for the entire organism are negative. An important element of psychological preparation of patient is the preoperative visit of anaesthesia nurse which enables positive communication and the statement patients needs and expectations. Studies have shown that the diminishment of fear, performed in this way is more successful than prescribing of anxiolytics. Preoperative preparation and even more so emotional support diminish patients distress, fastens recovery and diminishes the need for analgetics as well as postoperative complications and shortens hospitalization. Preoperative visit of an anasthesia nurse humanizes the exsisting anaesthesia practice; moreover, anaesthesia nurse in this way emerges from the anonimity of the operating theatre.
Summary		Delo medicinske sestre pri anesteziji vključuje postopke zdravstvene nege v predoperativnem, medoperativnem in pooperativnem obdobju. Uvajanje procesa zdravstvene nege pri anesteziji zagotavlja celovito obravnavo bolnika, kakovostnejšo oskrbo in nadzor. Vključuje standardizacijo negovalnih postopkov ter psihično pripravo bolnika na operativni poseg. Vsaka anestezija in operativni poseg predstavljata stres, ki ga strah še potencira, posledica pa so negativni patofiziološki učinki na ves organizem. Pomemben element v psihični pripravi bolnika je predoperativna vizita medicinske sestre pri anesteziji. Ta omogoča vzpostavitev pozitivne komunikacije in ugotavljanje potreb ter pričakovanj bolnika. Študije so pokazale, da je ta način zmanjševanja strahu uspešnejši kot predpisovanje pomirjeval. Predoperativna priprava, predvsem emocionalna podpora zmanjša bolnikovo stisko, pospešuje okrevanje, zmanjša potrebo po analgetikih, zmanjša pooperativne zaplete in skrajša hospitalizacijo. Predoperativna vizita medicinske sestre humanizira dosedanjo anesteziološko prakso, medicinska sestra pri anesteziji pa tako stopi iz anonimnosti operacijske dvorane.
Descriptors		PREOPERATIVE CARE INTRAOPERATIVE COMPLICATIONS POSTOPERATIVE COMPLICATIONS RISK FACTORS NURSING CARE ANESTHESIA QUALITY OF HEALTH CARE STRESS, PSYCHOLOGICAL ANXIETY COST-BENEFIT ANALYSIS NURSE-PATIENT RELATIONS