Title Značajke cijepljenih COVID-19 pozitivnih bolesnika hospitaliziranih u Kliničkoj bolnici Dubrava u tri pandemijska vala
Title (english) Characteristics of vaccinated COVID-19 positive patients hospitalized in University Hospital Dubrava in three pandemic waves
Author Natalia Cesar
Mentor Tomislav Meštrović (mentor)
Committee member Diana Rudan (predsjednik povjerenstva)
Committee member Tomislav Meštrović (član povjerenstva)
Committee member Ivo Dumić-Čule (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Nursing) Koprivnica
Defense date and country 2022-09-28, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Infectology
Abstract Koronavirusi su važni uzročnici bolesti ljudi i životinja. Krajem 2019. godine novi koronavirus identificiran je kao uzrok niza slučajeva upale pluća u Wuhanu, gradu u kineskoj provinciji Hubei. Virus se širio velikom brzinom što je rezultiralo epidemijom diljem Kine, praćeno sve većim brojem slučajeva u drugim zemljama diljem svijeta. Prenamjena Kliničke bolnice Dubrava u Primarni respiracijsko-intenzivistički centar dovela je do organizacijskih, logističkih i infrastrukturnih prilagodbi radi mogućeg prijema većeg broja oboljelih od bolesti COVID-19. Kako je vrijeme odmicalo, pojavilo se cjepivo, a time i potreba praćenja bolesnika koji su oboljeli od bolesti COVID-19, a cijepljeni su s jednom ili više doza. Cilj ovog istraživačkog rada je usporediti značajke cijepljenih COVID-19 pozitivnih bolesnika hospitaliziranih u Kliničkoj bolnici Dubrava u 3 vala pandemije. Za potrebe izrade empirijskog dijela ovog rada korišteni su sekundarni izvori podataka te su prikupljeni podatci o bolesnicima s bolešću COVID-19 koji su cijepljeni protiv SARS-CoV-2 u 3 varijante virusa. U radu se koriste metode grafičkog i tabelarnog prikazivanja kojima se prezentira struktura bolesnika upotrebom apsolutnih i relativnih frekvencija. Numeričke se vrijednosti prezentiraju primjenom metoda deskriptivne statistike, i to medijana kao srednje vrijednosti te interkvartilnog raspona kao pokazatelja odstupanja od srednje vrijednosti. Normalnost razdiobe numeričkih vrijednosti je prethodno ispitana Kolmogorov-Smirnov testom. Hipoteze se ispituju korištenjem Hi kvadrat testa kod ispitivanja razlika u strukturu bolesnika među varijantama sojeva. Razlika se u zastupljenosti bolesnika s obzirom na broj cijepljenja ispituje upotrebom Z testa razlike u proporcijama. Nakon provedenog ispitivanja može se donijeti zaključak da u tijeku pandemije bolesti COVID-19 raste broj cijepljenih COVID-19 pozitivnih hospitaliziranih bolesnika s pojavom novih varijanti virusa. Ovim istraživanjem došli smo do zaključka da su bolesnici 1,24 puta učestaliji u odnosu na bolesnice te da je veća učestalost bolesnika u odnosu na bolesnice kod zaraze svim varijantama virusa. Srednja životna dob je najveća među bolesnicima hospitaliziranih s beta varijantom te je za 4 godine veća u odnosu na bolesnike hospitalizirane s delta varijantom, a 3 godine u odnosu na bolesnike hospitalizirane s omikron varijantom te je ispitivanjem utvrđena prisutnost statistički značajne razlike. Uloga visoko educiranih medicinskih sestara i tehničara tijekom pandemije bolesti COVID-19 od iznimne je važnosti. Zbog velikih nepoznanica na samom početku pandemije, visoko educirane medicinske sestre/tehničari pokazali su svoje kompetencije i spremnost organiziranja sestrinske službe za rad u specifičnim uvjetima. Ključno za zaštitu medicinskih sestara/tehničara te ostalih zdravstvenih i nezdravstvenih djelatnika je pridržavanje svih postupaka u sprječavanju i suzbijanju infekcije te mjere izolacije, kao i nošenje zaštitne odjeće. Visoko educirano medicinsko osoblje (medicinske sestre i tehničari) bili su glavni prenosioci znanja i edukacije djelatnika i pacijenata o važnosti cijepljenja. Cijepljenje se i kroz povijest pokazalo kao najdjelotvornija mjera u suzbijanju raznih bolesti. Kao i kroz povijest, cijepljenje se i kod bolesti COVID-19 pokazalo kao najefikasnija javnozdravstvena mjera za prestanak širenja bolesti.
Abstract (english) Coronaviruses are important causative agents of human and animal diseases. In late 2019, a new coronavirus was identified as the cause of a series of pneumonia cases in Wuhan, a city in China's Hubei province. The virus spread rapidly resulting in an epidemic across China, followed by an increasing number of cases in other countries around the world. The conversion of the Dubrava University Hospital into a Primary Respiratory Intensive Care Center led to organizational, logistical and infrastructural adjustments for the possible admission of a larger number of patients with the disease COVID-19. As time progressed, a vaccine appeared, and thus the need to monitor patients who were sick with COVID-19 and were vaccinated with one or more doses. The aim of this research paper is to compare the characteristics of vaccinated COVID-19 positive patients hospitalized in Dubrava University Hospital in 3 waves of the pandemic. For the purposes of creating the empirical part of this paper, secondary data sources were used and data were collected on patients with COVID-19 who were vaccinated against SARS-CoV-2 in 3 variants of the virus. The paper uses graphic and tabular presentation methods to present the structure of the patient using absolute and relative frequencies. Numerical values are presented using the methods of descriptive statistics, namely the median as the mean value and the interquartile range as an indicator of deviation from the average value. The normality of the distribution of numerical values was previously tested with the Kolmogorov-Smirnov test. Hypotheses were tested using the Chi-square test when examining differences in patient structure among strain variants. The difference in the representation of patients with regard to the number of vaccinations is examined using the Z test of the difference in proportions. After the investigation, it can be concluded that during the COVID-19 pandemic, the number of vaccinated COVID-19 positive hospitalized patients is increasing with the appearance of new variants of the virus. Through this research, we came to the conclusion that male patients are 1.24 times more frequent compared to female patients and that the frequency of male patients compared to female patients is higher when infected with all variants of the virus. The average life expectancy is the highest among patients hospitalized with the Beta variant and is 4 years higher compared to patients hospitalized with the Delta variant, and 3 years higher than patients hospitalized with the Omikron variant, and the presence of a statistically significant difference was determined by the examination. The role of highly educated nurses and technicians during the COVID-19 pandemic is extremely important. Due to the great unknowns at the very beginning of the pandemic, highly educated nurses/technicians demonstrated their competence and willingness to organize a nursing service to work in specific conditions. The key to the protection of nurses/technicians and other health workers is adherence to all procedures for preventing and controlling infection and isolation measures, as well as correct uusage of personal protective equipment. Highly educated medical staff (nurses and technicians) were the main transmitters of knowledge and education of employees and patients about the importance of vaccination. Throughout history, vaccination has proven to be the most effective measure in combating various diseases. As throughout history, vaccination against the disease COVID-19 has proven to be the most effective public health measure to stop the spread of the disease.
Keywords
COVID-19
SARS-CoV-2
Klinička bolnica Dubrava
cjepivo
cijepljenje
varijante virusa
bolesnici
Keywords (english)
COVID-19
SARS-CoV-2
Dubrava University Hospital
vaccine
vaccination
virus variants
patients
Language croatian
URN:NBN urn:nbn:hr:122:737258
Study programme Title: Nursing Study programme type: university Study level: graduate Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2022-11-15 14:33:57