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PL
Wstęp.Specyfika Oddziałów Intensywnej Terapii (OIT) opiera się na wieloprofilowości oraz łączeniu interdyscyplinarnej wiedzy z zakresu medycyny. Organizacja, sposoby dobieranych terapii oraz stosowane aparatury i procedury umożliwiają ratowanie życia pacjentom. Na uwagę zasługuje również szczególna mikroflora Oddziałów Intensywnej Terapii charakteryzująca się występowaniem szczepów opornych na działanie wielu antybiotyków. Jest ona poza stanem pacjentów i stosowanymi sposobami leczenia oraz monitorowania kolejnym czynnikiem predysponującym do wystąpienia zakażenia u hospitalizowanego.
EN
Background. The specificity of intensive care unit (ICU) is based on multi-profile and combining multi-disciplinary knowledge of medicine. The organization, methods of treatment and matched used equipment and procedures to save the lives of patients. Also noteworthy is the specific microflora of Intensive Care, characterized by the presence of strains resistant to multiple antibiotics. It is beyond the state of the patients and used methods of treatment, and monitoring another predisposing factor for infection in hospitalized.
EN
Introduction and aim. In the COVID-19 pandemic, which is a global threat, the awareness levels of intensive care nurses who meet all the care needs of patients can affect the quality of care. In this study, pandemic awareness and care behaviors of nurses who undertook the patient’s care needs in intensive care units were examined. Material and methods. The research was carried out with 317 nurses working critical care units of 12 hospitals in different provinces. “Nurse Characteristics Form”, “Pandemic Awareness Scale” and “Caring Behaviors Inventory-24” were used as data collection tools. Data were collected between March and August 2022 in the middle of the COVID-19 pandemic process using an online survey. Results. It was determined that 75.4% of the participants were female and the mean age was 25.56±4.49. Pandemic awareness scale score was 3.04±0.62 (0.11-3.67) and caring behaviors inventory score was 5.48±0.84 (1.00-6.00). A significant, positive, weak relationship was found between nurses’ pandemic awareness and all sub-dimensions of caring behaviors (p≤ 0.05). Conclusion. It was seen that the caring behaviors of nurses with high pandemic awareness were also positively affected. Although it was the first time they had experienced the pandemic, nurses were found to have good caring behaviors.
PL
Wstęp. Na oddziały intensywnej terapii przyjmowani są chorzy w bardzo ciężkim stanie klinicznym. Życie ich jest najczęściej zagrożone i poddaje się wielokierunkowemu leczeniu, bez którego nie mają szansy na przeżycie. Założenie centralnego cewnika naczyniowego jest najczęściej wykonywaną procedurą na tych oddziałach. Cewniki naczyniowe stanowią jednak dodatkowe i poważne ryzyko powikłań w trakcie ich założenia, jak i użytkowania. Powikłania infekcyjne zwiększają śmiertelność, wydłużają czas pobytu chorego w szpitalu i zdecydowanie zwiększają koszty leczenia. Najbardziej niepokojące jest to, że ponad połowa z tych zakażeń spowodowana jest błędami personelu, których można byłoby uniknąć, gdyby wszyscy opiekujący się tymi pacjentami byli odpowiednio przeszkoleni. Cel pracy. Poznanie poziomu wiedzy pielęgniarek oddziałów intensywnej terapii na temat zakażeń odcewnikowych, ich profilaktyki i przerywania dróg transmisji drobnoustrojów. Istotnym elementem tej pracy jest także zbadanie, czy posiadana wiedza ma wpływ na postępowanie zgodnie z procedurami pielęgniarskimi. Materiał i metoda. Za pomocą przygotowanej ankiety przebadanych zostało 75 pielęgniarek pracujących w dwóch oddziałach intensywnej terapii dorosłych i w oddziale intensywnej terapii kardiologicznej. Wyniki i wnioski. Wiedza pielęgniarek intensywnej terapii na temat zakażeń odcewnikowych jest niewystarczająca. Szczególnie ważne jest wprowadzenie szkoleń personelu na temat mycia i dezynfekcji rąk oraz stosowania rękawiczek sterylnych w trakcie wymiany opatrunku na wkłuciu centralnym. Badania wykazały także konieczność edukacji personelu na temat zmiany oprzyrządowania cewnika centralnego (korki, dreny, płyny do rozpuszczania leków oraz układ do pomiaru ośrodkowego ciśnienia żylnego) oraz częstości zmiany opatrunków na wkłuciu. Znajomość i przestrzeganie wszystkich tych procedur na pewno przyczyniłoby się do zmniejszenia częstości występowania zakażeń odcewnikowych.
EN
Background. Intensive care units admit critically ill patients. Most often they are in a life-threatening condition and so they are subject to multidirectional treatment, which is their only chance to survive. Placing central vascular catheter is the most common procedure in the said units. However, additional serious risk of complications connected with the vascular catheters may occur while inserting and using them. Infectious complications increase mortality, prolong time of being in a hospital and significantly increase costs of treatment. What is most alarming is that over half of the said infections are caused by medical staff mistakes which could have been avoided if all who care for those patients had been appropriately trained. Objectives. The purpose of the study is to obtain information about intensive care nurses’ knowledge of catheter-related infections, preventive treatment and interruption of routes of microbial transmission. Essential element of the study is also to investigate whether nurses’ knowledge influences following nursing procedures. Material and methods. 75 nurses working in two intensive care units for adults and intensive cardiology care unit took part in a survey, prepared for this purpose. Results and Conclusions. Nurses’ knowledge of catheter-related infections is insufficient. It is especially important to introduce training courses for personnel in washing and disinfecting hands and using sterile gloves while changing dressing on central venous catheter. The survey also showed the need to educate personnel on changing central venous catheter’s instrumentation (caps, drains, intravenous fluids and CVP measurement sets) and frequency of changing dressing on the insertion. The knowledge of all these procedures and their following would certainly lead to a decrease in the frequency of catheter-related infections.
EN
Introduction: Corneal transplantation is a sight restoring procedure that enhances the recipient’s quality of life. Most deceased patients in Intensive Care Units (ICU) are potential eye donors, but the number of referrals from this group remains low. Understanding how nurses view eye donation and identifying their educational needs is vital in order to increase donation rates while offering choice to patients and families. Purpose: To assess nurses’ knowledge about the identification and referral of potential eye donors. Materials and methods: An online, 18-item, questionnaire survey assessing the knowledge, training and views towards eye donation was emailed to 100 ICU nurses working in a tertiary NHS Trust. Fifty-eight percent (n=58/100) of nurses completed the questionnaire. Results: The majority of nurses (n=50/58) could not identify the medical contraindications to eye donation, just one was aware of the referral process and only two reported that they received previous training on eye donation. Overall, participants were in agreement that corneal transplants improve the recipients’ quality of life (n= 50/58) and that offering eye donation should be considered as part of end-oflife care (n=43/58). However, only seven felt confident raising the subject with relatives. Conclusion: ICU nurses play a pivotal role identifying and discussing the potential for donation. However, the results of this survey showed that the majority of responding nurses lacked knowledge, training and confidence to effectively undertake this role. Therefore there is a need for educational programmes that focus on eye donation and communication skills to be able to offer the choice to patients and families. There is also a scope for research to evaluate the efficacy of educational programmes and their impact on donation rates
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Intenzivní péče a duše

63%
EN
The article deals with mental processing and experiencing of the intensive care by patients with threatened vital functions. The aim of the article is to inform colleagues from the field of psychology about the necessity of psychological care for patients who fought and feared for their life during traumatizing events. According to our research, these people deserve professional psychological care in order to safely return to everyday life and to be able to self-realize themselves after the trauma.
CS
Článek se zabývá psychickým zpracováním a proţíváním intenzivní péče u pacientů s ohroţením vitálních funkcí. Cílem tohoto článku je informovat psychologickou veřejnost o nutnosti psychologické péče pro jedince, kteří prošli bojem a strachem o vlastní ţivot při traumatických událostech. Dle našeho výzkumu si tito jedinci zasluhují odbornou pomoc, aby jejich návrat do běţného ţivota byl optimální a mohli se po proţitém traumatu seberealizovat.
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