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Teoretična izhodišča: Patronažne medicinske sestre izvajajo preventivno in kurativno dejavnost. V diplomskem delu je predstavljena vloga patronažne medicinske sestre pri pacientu s kirurško rano. Pacienti se s kirurškimi ranami relativno zgodaj vračajo v domače okolje, prav tako se vračajo pacienti, pri katerih prihaja do zapletov pri celjenju rane. Zapletov pri celjenju rane je več, vendar je eden izmen ključnih in težjih zapletov, ki zahtevajo daljše zdravljenje in vključevanje strokovne pomoči na domu predvsem dehiscenca rane. Metodologija raziskovanja: V diplomskem delu je bila uporabljena deskriptivna metoda s študijem domače in tuje literature. V raziskavi smo uporabili kvalitativno metodo in izvedli študijo primera. Uporabili smo vodeni intervju, ki je vseboval vprašanja odprtega tipa. Rezultati: S študijo primera smo ugotovili, da zapleti pri celjenju rane v domačem okolju zelo negativno vplivajo na psihično stanje pacientke in, da je za premagovanje le teh potrebna pomoč patronažne medicinske sestre in celotne družine. Sklep: Patronažna medicinska sestre je vselej dobrodošel gost na domu pacienta, kjer lahko v vsakodnevnih ali občasnih obiskih veliko pripomore pri okrevanju pacientov. Theoretical background: Community nurses carry out preventive and curative activity. This thesis presents the role of the community nurse in a patient with a surgical wound. Patients with surgical wounds relatively early return to the home environment, and we can see a lot of complications in the healing of wounds in general. But the most common complications, that require longer treatment and integration of technical assistance at home, is wound dehiscence. Methodology: In this thesis we used descriptive methods by studying domestic and foreign literature. In the research part of the thesis we used a qualitative method and a case study. We used a guided interview, which included open-ended questions. Results: In the case study, we found that complications in the healing of the wound at home had very negative impact on the mental state of the patient and for that reason she needed help of community nurses and the entire family. Conclusion: The community nurse is always a welcome guest at the home of the patient, (daily or occasionally) and she has an important role in the recovery of patients. |
