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Title:Obvladovanje dejavnikov tveganja za nastanek srčno-žilnih bolezni v referenčni ambulanti družinske medicine
Authors:ID Terbovc, Alenka (Author)
ID Gomišček, Boštjan (Author)
Files:URL URL - Source URL, visit http://obzornikzdravstvenenege.si/2017.51.1.34
 
URL URL - Source URL, visit http://dx.doi.org/10.14528/snr.2017.51.1.100
 
Language:Slovenian
Typology:1.01 - Original Scientific Article
Organization:Logo ZZBNS - ZSDMSBZTS - Nurses and Midwives Association of Slovenia
Abstract:Uvod: Model referenčnih ambulant družinske medicine prinaša spremembe v obravnavi pacientov. Namen raziskave je bil preučiti dejavnike tveganja, ki prispevajo k zmanjšanju nastanka srčno-žilnih bolezni z nefarmakološkimi ukrepi pri pacientih v referenčni ambulanti družinske medicine. Metode: Narejena je bila retrogradna raziskava podatkov pacientov, ki so bili obravnavani v referenčnih ambulantah za srčno-žilno ogroženost. Naključni raziskovalni vzorec je obsegal 128 pacientov, ki so v obdobju od 1. maja do 25. avgusta 2014 v referenčni ambulanti družinske medicine opravili presejalni in kontrolni pregled. Podatki so bili analizirani z opisno statistiko in hi-kvadrat testom. Rezultati: Pri obravnavanih pacientih so bili pri kontrolnem pregledu v primerjavi s presejalnim ugotovljeni višji deleži urejenih preiskovanih parametrov, in sicer pri krvnem tlaku (41,6 %), holesterolu (45,5 %) in krvnem sladkorju (53,3 %), zmanjšal se je tudi delež kadilcev, in sicer za 4 %. Visoka srčno-žilna ogroženost (20-40 %) se je pri kontrolni meritvi znižala na 28 %, zelo visoka na 6,6 %. Po obravnavi v ambulanti se je telesna aktivnost, izvajana od 2- do 4-krat na teden, povečala na 54,3 % oz. telesna aktivnost, izvajana 5-krat na teden, na 19,4 %. Statistično značilne razlike so se pokazale pri krvnem tlaku (x2 = 8,780, p = 0,003) in holesterolu (x2 = 4,781, p = 0,029). Diskusija in zaključek: Po ambulantni obravnavi se je pri pacientih pomembno izboljšala vrednost nekaterih dejavnikov tveganja, kar je moč pripisati kakovostni obravnavi, ki jo omogoča model referenčnih ambulant, in vlogi diplomirane medicinske sestre v tem modelu.
Keywords:diplomirane medicinske sestre, kakovost, kazalniki
Publication date:01.01.2017
Year of publishing:2017
Number of pages:str. 34-41
Numbering:Letn. 51, št. 1
PID:20.500.12556/DiRROS-26883 New window
UDC:616-083
ISSN on article:1318-2951
DOI:10.14528/snr.2017.51.1.100 New window
COBISS.SI-ID:526236441 New window
Note:Besedilo v slov.;
Publication date in DiRROS:28.01.2026
Views:66
Downloads:54
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Record is a part of a journal

Title:Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije
Shortened title:Obzor. zdrav. neg.
Publisher:Zbornica zdravstvene nege
ISSN:1318-2951
COBISS.SI-ID:39433728 New window

Secondary language

Language:English
Title:Managing risk factors for cardiovascular diseases in a reference family medicine clinic
Abstract:Introduction: The model of reference family medicine clinics is introducing changes to the treatment of patients at the primary health level. The purpose of the study was to explore the risk factors that contribute to reducing the occurrence of cardiovascular disease using non-pharmacological approaches in patients who are treated in a reference medicine family clinic. Methods: A retrograde survey was carried out on the data of the patients, who were treated in reference clinics for cardiovascular risk. The random study sample covered 128 patients, who passed the screening tests and control measurements in a reference medicine family clinic in the period from 1 May to 25 August 2014. Data were analysed using descriptive statistics and chi-square test. Results: Screening tests revealed a higher share of patients with acceptable measured parameters for blood pressure (41.6 %), cholesterol (45.5 %) and blood sugar (53.3 %) while the percentage of smokers decreased by 4 %. High cardiovascular risk (20-40 %) has reduced to 28.0 %, whereas extremely high cardiovascular risk decreased to 6.6 %. After the treatment in the clinic, the percentage of people performing physical activity 2-4 times per week increased to 54.3 % while 19.4 % of respondents reported physical activity 5 times per week. Statistically significant differences were demonstrated for blood pressure (x2 = 8.780, p = 0.003) and cholesterol (x2 =4.781, p = 0.029). Discussion and conclusions: Patients have significantly improved risk factors due to quality treatment that is enabled by the model of reference medicine clinics and the essential role of registered nurses in this model.
Keywords:registered nurse, quality, quality indicators


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