Izkušnje medicinskih sester v patronažnem varstvu z obiski na domu v okviru projekta Nadgrajena celovita obravnava pacienta: rezultati pilotne raziskave

  • Jožica Ramšak Pajk Zdravstveni dom Ljubljana Patronažno varstvo Primožičeva 2 1000 Ljubljana in Fakulteta za zdravstvo Jesenice
  • Robertina Benkovič Zdravstveni dom Ljubljana Metelkova ulica 9 1000 Ljubljana
  • Tonka Poplas Susič Zdravstveni dom Ljubljana Metelkova ulica 9 1000 Ljubljana
Ključne besede: patronažna zdravstvena nega, preventiva, kronična bolezen, presejanje

Povzetek

Uvod: Patronažno zdravstveno varstvo je pomemben člen pri odkrivanju, spremljanju in obravnavi kroničnih bolezni na primarni ravni. Namen raziskave je bil predstaviti izkušnje in stališča do nadgrajene preventivne obravnave ter obiskov na domu. Metode: Uporabljen je bil mešani raziskovalni dizajn. Podatki so bili zbrani z delno strukturiranim vprašalnikom (Cronbach α = 0,92). Sodelovalo je 50 diplomiranih medicinskih sester, odzivnost je bila 81-% (n = 41). Opravljena je bila tematska analiza odprtih vprašanj. Za kvantitativne podatke je bila uporabljena opisna statistika, t-test, analiza variance in korelacijska analiza. Rezultati: Prispevek preventivnih obiskov na domu anketiranci vidijo v zdravstvenovzgojnem delovanju (x = 4,34, s = 0,85), odkrivanju rizičnih dejavnikov (x = 4,12, s = 0,81) in ohranjanju kakovosti življenja pacientov ( x= 4,10, s = 0,92). Zadovoljstvo anketirancev je povezano s sprejemanjem obiskov s strani pacientov in družin (r = 0,754, p < 0,001), s prispevkom k stroki patronažnega varstva (r = 0,766, p < 0,001) ter z obravnavo posameznika z družino (r = 0,693, p < 0,001). V tematski analizi sta bili identificirani dve temi, in sicer (1) pozitivne izkušnje z obiski in (2) negativne izkušnje z obiski. Diskusija in zaključek: Novo obliko preventivnih patronažnih obiskov v domačem okolju anketirani podpirajo, še posebej možnost celovite obravnave posameznika in njegove družine. Glede na ugotovitve se predlaga, da medicinska sestra v patronažnem varstvu postane enakovreden partner v timu referenčne ambulante na nacionalnem nivoju.

Prenosi

Podatki o prenosih še niso na voljo.

Biografije avtorja

Jožica Ramšak Pajk, Zdravstveni dom Ljubljana Patronažno varstvo Primožičeva 2 1000 Ljubljana in Fakulteta za zdravstvo Jesenice
viš. pred. mag. Jožica Ramšak Pajk, viš. med. ses, prof. zdr. vzg.
Robertina Benkovič, Zdravstveni dom Ljubljana Metelkova ulica 9 1000 Ljubljana
Robertina Benkovič, dipl. m. s., univ. dipl. org.
Tonka Poplas Susič, Zdravstveni dom Ljubljana Metelkova ulica 9 1000 Ljubljana
Izr.prof. dr. Tonka Poplas Susič dr.med. spec.druž.med.

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2017-03-15
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Ramšak Pajk, J., Benkovič, R. in Poplas Susič, T. (2017) Izkušnje medicinskih sester v patronažnem varstvu z obiski na domu v okviru projekta Nadgrajena celovita obravnava pacienta: rezultati pilotne raziskave, Obzornik zdravstvene nege, 51(1), str. 24-33. doi: 10.14528/snr.2017.51.1.145.
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