Title Specifičnosti skrbi bolesnika kod implantacije elektrostimulatora
Title (english) Specificity of care for patients in the process of pacemaker implantation
Author Daria Pavliček
Mentor Tomislav Meštrović (mentor)
Committee member Diana Rudan (predsjednik povjerenstva)
Committee member Tomislav Meštrović (član povjerenstva)
Committee member Marijana Neuberg (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Nursing) Koprivnica
Defense date and country 2021-10-07, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Public Health and Health Care Public Health
Abstract CILJ: Prikazati važnost implantiranja trajnih ES kao terapijsku metodu u liječenju srčanih
aritmija, te poboljšanje kvalitete bolesnikova života i njegovo produljenje. Cilj je prikupiti
podatke iz BIS-a i medicinske dokumentacije (povijesti bolesti), analizirati ih i prikazati
dobivene rezultate za implantaciju trajnog elektrostimulatora u Općoj bolnici „dr. Tomislav
Bardek“ Koprivnica kroz dvije kalendarske godine: 2019. i 2020.
ISPITANICI I METODE: Retrospektivno istraživanje obuhvatilo je sve bolesnike kojima je
implantiran trajni elektrostimulator na razini cijele bolnice. Prikazani rezultati dobiveni su
prikupljanjem podataka u razdoblju od 01.01.2019. do 31.12.2019.god, također i prikupljanjem
podataka u vremenskoj razdoblju od 01.01.2020. do 31.12.2020.god. Podaci su grupirani po
diferencijaciji spola, starosnoj dobi bolesnika, vrstama elektrostimulatora (VVI ili DDD), da li
se radi o prvome postavljanju ili zamjeni generatora već postojećeg ES, popis dijagnoza koje
zahtjevaju implantaciju ES, prosječno trajanje hospitalizacije te načini/vrste otpusta. Za ovo
istraživanje nije formirani anketni upitnik. U obradi podataka korištena je deskriptivna statistika
pomoću Microsoft Excela.
REZULTATI: Kroz protekle 2019. i 2020. implantirano je 190 trajnih ES. Od sveukupnog broja
zabilježeno je 100 muškaraca i 90 žena. U oba dvije godine najviše je implantirano ES kod
bolesnika starosne dobi većoj od 66 godina. Ukupno je implantirano 125 VVI SESR01 ES, a
DDD SESDR01 ES implantirano je u 65 bolesnika. 87% bolesnika hospitalizirano je na odjelu
za kardiologiju. Od ukupnog broja (N 190) zabilježeno je 16 zamjene generatora impulsa,
ostalih 174 bolesnika imalo je prvo postavljanje trajnog ES. Najčešća indikacija za implantaciju
je AV blok kompletni/totalni (III stupanj). Prosječno trajanje hospitalizacije manje je od 5 dana,
bolesnici se otpuštaju kući. U 2019. nije zabilježen niti jedan slučaj smrtnog ishoda, dok je
2020. zabilježeni je 1 slučaj smrtnog ishoda
ZAKLJUČAK: Koprivnička bolnica bilježi sve veći broj implantiranih trajnih ES. Riječ je o
rutinskoj operaciji gdje je hospitalizacija u velikoj mjeri zabilježena <5 dana. Najviše se
implantira bolesnicima starije životne dobi, te se više implantiraju jednokomorni u odnosu na
dvokomorne ES. Kvalitetnim i savjesnim radom svih zdravstvenih djelatnika, zagarantirana je
kvalitetna skrb bolesnika sa implantiranim elektrostimulatorom.
Abstract (english) AIM: To demonstrate the importance of implanting permanent pacemakers as a therapeutic
method in the treatment of cardiac arrhythmias and improving the quality of the patient’s life
and accordingly its prolongation. The aim is to collect data from the HIS and medical
documentation (medical history), analyse it and present obtained results for the implantation of
permanent pacemaker at the General Hospital "Dr. Tomislav Bardek" Koprivnica within two
calendar years: 2019 and 2020.
METHODS: The retrospective study included all patients on the level of the entire hospital who
had a permanent pacemaker implanted. The presented results were obtained by collecting data
in the period from 01.01.2019 to 31.12.2019, as well as by means of collecting data in the period
from 01.01.2020 to 31.12.2020. Data is grouped according to differentiation in gender, age of
the patients, types of pacemakers (single-chamber pacemaker or dual-chamber pacemaker),
whether it is the first installation or replacement of an existing pacemaker, list of diagnoses
requiring pacemaker implantation, average duration of hospitalization and methods / types of
discharge. No survey questionnaire was designed for this research. Descriptive statistics using
Microsoft Excel was used in data processing.
RESULTS: In the past 2019 and 2020, 190 permanent pacemakers were implanted. Out of the
total number, 100 were men and 90 women. In both years pacemaker was to the largest extend
implanted in patients older than 66 years of age. A total of 125 single-chamber pacemakers
were implanted, whereas dual-chamber pacemakers were implanted in 65 patients. 87% of
patients were hospitalized in the cardiology department. Out of the total number (N 190), 16
pulse generator replacements were recorded, whereas the other 174 patients had the first
installation of permanent pacemaker. The most common indication for implantation is
complete/total atrioventricular block (grade III). The results indicate that the average duration
of hospitalization is less than 5 days and patients are discharged for home care. No deaths were
recorded in 2019, while in 2020 one death was recorded.
CONCLUSION: Koprivnica Hospital records an increasing number of implanted permanent
pacemakers. It is a routine operation where hospitalization takes less than 5 days. It is mostly
implanted in elderly patients whereas single-chamber pacemakers are more frequently
implanted compared to dual-chamber pacemakers. With quality and conscientious work of all
health professionals, quality care of patients with implanted pacemakers is guaranteed.
Keywords
elektrostimulator srca
implantacija
aritmije srca
Opća bolnica Koprivnica
uloga magistre sestrinstva
kvaliteta života bolesnika
Keywords (english)
pacemaker
implantation
cardiac arrhythmias
General hospital Koprivnica
the role of the master of nursing
quality of life of the patients
Language croatian
URN:NBN urn:nbn:hr:122:740107
Study programme Title: Nursing Study programme type: university Study level: graduate Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
Type of resource Text
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Access conditions Open access
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Created on 2021-11-05 14:01:48