Nursing activities in performing telemetry and impact on health outcomes

Uvod: Telemetrija je definirana kot električna dejavnost srčne mišice. Gre za eno izmed najpomembnejših neinvazivnih orodij za spremljanje srčnih bolezni in zapletov. Preko prenosne telemetrije zdravstveno osebje spremlja srčni utrip in ritem ter morebitna odstopanja zdravstvenega stanja pacienta. Cilj zaključnega dela je predstaviti telemetrijo in uporabo le-te v kliničnem okolju, aktivnosti zdravstvene nege pri izvajanju telemetrij ter predstaviti zdravstvene izide pri pacientih. Metode: Pri izdelavi zaključnega dela smo pregledali literaturo s področja telemetrije, njenega vpliva na zdravstvene izide pacientov s kardiološkim obolenjem in aktivnosti zdravstvene nege v podatkovnih bazah Science Direct, PubMed, SAGE Journals in CINAHL. Potek iskanja smo prikazali v PRISMA diagramu. Moč dokazov uporabljenih raziskav smo ocenili s pomočjo hierarhije dokazovsintezo zbranih podatkov smo prikazali s pomočjo sintezne tabele. Rezultati: V končno analizo smo vključili 8 od 128 izbranih člankov, ki so ustrezali izbranim kriterijem. Uporabili smo članke na nivoju 5, torej opazovalne raziskave. Ugotovljeno je, da so najpogostejše aktivnosti zdravstvene nege menjavanje elektrod in pravilna higiena kože, spremljanje in poznavanje smernic za snemanje telemetrije in poznavanje motenj v elektrokardiografskem signalu. Razprava in zaključek: Uporaba telemetrije pri pacientih z motnjami srčnega ritma prispeva k varnejši in kvalitetnejši obravnavi pacienta. S stalnim spremljanjem pacientovega srčnega ritma in utripa lahko preprečimo morebitne neugodne dogodke, ki bi lahko ogrožali pacientovo življenje. Introduction: Telemetry is defined as the electrical activity of the heart muscle. It is one of the most important non-invasive tools for monitoring heart diseases and complications. Portable telemetry allows medical staff to monitor heart rate, heart rhythm, and any potential anomalies in the patient’s health. The goal of this final work is to present telemetry and its uses in a clinical setting, activities of the healthcare while performing telemetry, and to present health outcomes from the patients. Methods: During the writing of the final work, we checked the literature from the field of telemetry, its influence on the healthcare of patients with cardiologic diseases, and activities of healthcare in the databases of Science Direct, PubMed, SAGE Journals, and CINAHL. The course of searching is shown in a PRISMA diagram. We rated the power of the used research utilizing the hierarchy of pieces of evidence. The synthesis of the collected data was shown using the synthesis table. Results: We included 8 out of the 128 chosen articles in the final analysis that met the chosen criteria. We used the level 5 articles, also known as observational research. We discovered that the most common activities of healthcare are replacing the electrodes, correct hygiene of the skin, monitoring, and familiarity with the guidelines for filming telemetry, as well as familiarity with anomalies in the electrocardiographic signal. Discussion and conclusion: The use of telemetry on patients with heart rhythm anomalies contributed to safer and more quality patient treatment. By constantly monitoring the patient\u27s heart rhythm and rate, we can prevent any potentially unpleasant experiences that could endanger the patient’s life