MECHANICALLY VENTILATED NEWBORN INFECTED WITH RESPIRATORY SYNCYTIAL VIRUS

Izhodišča. Okužba novorojenčka z respiratornim sincicijskim virusom (v nadaljevanju RSV) je resna respiratorna okužba, pri kateri lahko novorojenček zaradi poglabljanja dihalne stiske in znakov izčrpanosti potrebuje invazivno umetno ventilacijo, intenzivno zdravljenje ter 24-urno spremljanje zdravstvenega stanja. Raziskovalne metode. Raziskava je temeljila na kvantitativni metodi dela, podatke smo pridobili s pomočjo anketnega vprašalnika. Le-ta je vseboval 18 vprašanj zaprtega in odprtega tipa. V raziskavi je sodelovalo 15 medicinskih sester. Rezultati. Ugotovili smo, da imajo člani negovalnega tima dovolj znanj o osnovnih načinih umetne ventilacije. Ugotovili smo pomanjkljivo znanje o higienskih ukrepih za preprečevanje okužb z RSV, predvsem pri aspiraciji spodnjih dihalnih poti, kjer niti ena medicinska sestra ne uporablja zaščitnih očal kot zaščitno sredstvo pri preprečevanju okužb. Diskusija in zaključek. Medicinska sestra na enoti intenzivne nege in terapije je strokovnjakinja pri spremljanju in izvajanju negovalnih intervencij pri skrbi za novorojenčka, okuženega z RSV, na umetni ventilaciji. Hkrati je pa odgovorna tudi za izvajanje ukrepov za preprečevanje in širjenje okužb, zato potrebuje veliko strokovnega znanja in izkušenj, ki si jih pridobiva skozi kontinuirana strokovna izobraževanja.Introduction: Infection of a newborn with respiratory sincytyal virus (hereinafter referred to as RSV) is a serious respiratory infection. With RSV infected newborn may need invasive mechanical ventilation, intensive treatment and 24-hour medical monitoring, due to worsening of respiratory distress and signs of exhaustion. Research methods. The research based on a quantitative research method. The data was acquired with the help of a questionnaire, which contained 18 questions of open and closed type. The questionnaire was filled by 15 nurses. Results: Based on the results, the team of nurses possesses enough knowledge about basic methods of mechanical ventilation. We discovered a lack of knowledge of hygiene measures on preventing an infection with RSV, especially by the lower respiratory tractaspiration, where none of the nurses uses protective goggles as means for prevention of infection. Discussion and conclusion: A nurse, as a member of the intensive care unit and therapy, is an expert on monitoring and nursing interventions of the newborns, which are infected with RSV and are on mechanical ventilation. A nurse is at the same time also responsible for taking measures on preventing an infection and its spreading. Therefore a great deal of expertise and a lot of experience, gained threw continuous professional education,is required