Measures taken by the nursing staff in case of arrhythmia

Motnje srčnega ritma so eden večjih problemov sodobne kardiologije, zato ker se pogosto pojavljajo pri najrazličnejših boleznih srca in pa zato, ker njihovo zdravljenje še zdaleč ni povsem zadovoljivo in rešeno. V teoretičnem delu diplomske naloge smo predstavili anatomijo in fiziologijo srca, opisali najpogostejše prekatne in nadprekatne motnje srčnega ritma, kjer smo pri vsaki motnji prikazali tudi EKG posnetek. Opisali smo diagnostične postopke pri ugotavljanju motenj ritma in metode zdravljenja le teh. Predstavili smo tudi algoritme temeljnih in dodatnih postopkov oživljanja odraslih. V empiričnem delu smo predstavili raziskavo, ki smo jo opravili v UKC Maribor s pomočjo anketnega vprašalnika. Vprašalnik je bil sestavljen iz 25 vprašanj. V raziskavi je sodelovalo 50 članov negovalnega kadra. Raziskava je bila izvedena meseca marca 2012. Ugotovili smo, da zdravstveno osebje kar dobro pozna nevarne motnje srčnega ritma in tudi pravilne ukrepe. Na podlagi raziskave smo ugotovili, da člani negovalnega tima ob oživljanju izvajajo tudi določene ukrepe, za katere niso usposobljeni, vendar si dodatnih kompetenc na tem področju ne želijo. Medicinske sestre na različnih področjih dela potrebujejo še dodatna znanja o vzrokih nastanka motenj ritma ter o pravilnih, nujnih ukrepih. Naše mnenje je, da se takšno znanje zagotovi le z nenehnim izobraževanjem in izpopolnjevanjem na tem področju, ki zajema pravočasno prepoznavo in obravnavo pacientov v srčnem zastoju.Arrhythmia is one of the major problems in modern cardiology, because it is commonly repeated in various cardiovascular diseases, because their treatment is not yet satisfactorily and completely resolved. In the theoretical part of the diploma thesis we presented the anatomy and physiology of the heart describing the most common supraventricular and ventricular arrhythmias, which are in each disorder also shown by ECG recordings. We described the diagnostic procedures in order to identify arrhythmias and its treatment methods. We have also presented the algorithms of basic and additional life support for adults. In the empirical part of the diploma thesis, we presented a research we made in UKC Maribor using a questionnare. The questionnare consisted of 25 questions. The research also included 50 nursing staff members. The research was made in March 2012. We found out that the medical staff is well-aware how dangerous arrhythmia is, and also knows how to act correct in such cases. Based on the research, we found that the members of the nursing team, in the case of revival (CPR), also perform certain actions, for which they are not qualified for, however they do not want additional competences in this area. Nurses need more knowledge in different areas of work about the cases of arrhythmia, and also about correct and urgent actions. In our opinion, such knowledge is achieved only through continuous education and training in this area, which includes timely identification and treatment of patients in cardiac arrest