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master's thesis
Intenzitet boli i analgezija prilikom ugradnje srčanih uređaja
2015. urn:nbn:hr:171:779774
Biočić, Marina
University of Split
School of Medicine

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Biočić, M. (2015). Intenzitet boli i analgezija prilikom ugradnje srčanih uređaja (Master's thesis). Split: University of Split, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:171:779774

Biočić, Marina. "Intenzitet boli i analgezija prilikom ugradnje srčanih uređaja." Master's thesis, University of Split, School of Medicine, 2015. https://urn.nsk.hr/urn:nbn:hr:171:779774

Biočić, Marina. "Intenzitet boli i analgezija prilikom ugradnje srčanih uređaja." Master's thesis, University of Split, School of Medicine, 2015. https://urn.nsk.hr/urn:nbn:hr:171:779774

Biočić, M. (2015). 'Intenzitet boli i analgezija prilikom ugradnje srčanih uređaja', Master's thesis, University of Split, School of Medicine, accessed 21 October 2024, https://urn.nsk.hr/urn:nbn:hr:171:779774

Biočić M. Intenzitet boli i analgezija prilikom ugradnje srčanih uređaja [Master's thesis]. Split: University of Split, School of Medicine; 2015 [cited 2024 October 21] Available at: https://urn.nsk.hr/urn:nbn:hr:171:779774

M. Biočić, "Intenzitet boli i analgezija prilikom ugradnje srčanih uređaja", Master's thesis, University of Split, School of Medicine, Split, 2015. Available at: https://urn.nsk.hr/urn:nbn:hr:171:779774

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Metadata
TitleIntenzitet boli i analgezija prilikom ugradnje srčanih uređaja
Title (english)Pain intensity and analgesia for patients who underwent cardiac device therapy
AuthorMarina Biočić
MentorLivia Puljak (mentor)
MBZ: 287953
GranterUniversity of Split
School of Medicine
Split
Defense date and country2015, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract
CILJ ISTRAŽIVANJA: Cilj istraživanja je analiza intenziteta i lokacije boli te vrsta anestezije i analgezije prilikom ugradnje srčanih uređaja. Istraživanje se provodi u svrhu oblikovanja preporuka za unaprjeđenje perioperativne skrbi za bolesnike podvrgnute ugradnji srčanih uređaja. METODE: Provedeno je retrospektivno i prospektivno istraživanje. U retrospektivnoj studiji analizirali su se podatci iz povijesti bolesti o anesteziji i analgeziji 321 bolesnika podvrgnutih zahvatima ugradnje srčanih uređaja u Kliničkom bolničkom centru (KBC) Split u jednogodišnjem razdoblju od siječnja 2014. do prosinca 2014. U prospektivnoj studiji putem upitnika prikupili su se podatci 17 bolesnika koji su ispunjavali upitnike o intenzitetu i mjestu boli od studenog 2014. do svibnja 2015. godine. REZULTATI: U retrospektivnoj studiji je tek 25% bolesnika primilo lijekove za bol ili sedaciju prije zahvata. Najčešća farmakološka sredstva koja su primili bili su: Zaldiar (kombinacija tramadol/paracetamol), Tramal (tramadol) i Diazepam (diazepam) u njihovim standardnim dozama. Svi zahvati obavljeni su u lokalnoj anesteziji Lidokainom. Nakon zahvata 31% bolesnika primilo je lijekove, a najčešći lijekovi koje su primili bili su: Zaldiar, Tramal i Diazepam. Bolesnici su lijekove nakon zahvata primali prosječno 3 dana, a za više od polovice bolesnika je u bolničkoj dokumentaciji navedeno da su primali lijekove „po potrebi“ ne navodeći dozu, količinu i vrijeme uzimanja analgetika. U prospektivnom istraživanju je utvrđeno da su bolesnici najjaču bol osjećali za vrijeme zahvata, kad je najveći zabilježeni intenzitet boli bio 7, a najviše bolesnika imalo je intenzitet boli 6. Zabilježeno je da su bolesnici 1 h, 3 h, 6 h, 8 h i 24 h nakon zahvata osjećali bol intenziteta 2 ili nisu osjećali nikakvu bol. Za veliki broj bolesnika nije zabilježen podatak o intenzitetu boli. Najčešća mjesta najjače boli bila su: mjesto zahvata, rame i ruka. ZAKLJUČAK: U ispitivanoj ustanovi anesteziolozi ne provode edukaciju zdravstvenog osoblja o liječenju postoperativne boli. Medicinska dokumentacija o boli i njenom liječenju je djelomična. Bolesnici u vrlo malom broju primaju lijekove za bol i smirenje prije ugradnje srčanih uređaja. Iako gotovo svi bolesnici osjećaju bol poslije zahvata, ipak vrlo mali broj prima lijekove za bol. Ispitivana ustanova nema usvojene smjernice za liječenje postoperativne boli kod bolesnika koji su imali ugradnju srčanih uređaja.
Abstract (english)
OBJECTIVES: The aim of this study is to analyze pain intensity and location of pain for patients who underwent cardiac device therapy, anesthesia and analgesia provided to these patients perioperatively and to examine adherence to guidelines for perioperative care of those patients. METHODS: A retrospective and prospective study was conducted. In total, 321 patients' histories of anaesthesia and analgesia were analyzed during a one year period from January 2014 to December 2014 in the University hospital Split. Patients in the prospective study (N=17) filled out questionnaires about pain intensity and location of pain during a seven month period from November 2014 to May 2015. RESULTS: Only 25% of patients received pain medication before surgery. Most commonly they received: Zaldiar (combination of tramadol/paracetamol), Tramal (tramadol) and Diazepam (diazepam) in standard dosage. All patients were operated under local Lidocaine anesthesia. After surgery 31% of patients received pain medication, of which most common were: Zaldiar, Tramal and Diazepam. Data analysis showed that patients received pain medication on average 3 days after surgery, but for more than half of the patients medical documentation stated that they received medications „as needed“ without stating dosage or time (frequency). According to the questionnaires patients felt the most intensive pain during surgery with the highest pain score being 7 and the most common 6. Patients felt no pain or mild pain (pain score of 2) 1 h, 3 h, 6 h, 8 h and 24 h after surgery. There was no data about pain intensity for the majority of patients. Most common locations of pain were: site of the surgery, shoulder and arm. Adherence to guidelines for acute perioperative pain management was insufficient. CONCLUSION: This study showed that there is insufficient education of the staff about postoperative pain therapy. Medical documentation of pain and its therapy is partial. Very small number of patients receive medication for pain and relaxation before surgical cardiac device implantation. Even though almost every patient felt pain after implantation, a minority of patients received pain medication. The institution did not implement guidelines for acute pain management in the perioperative setting.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:171:779774
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2016-02-05 14:27:49