43 KB115 KB37 KB192920262006Skela-Savič, BrigitaStrojan, Primožštevilka:6/7letnik:75str. 371-378ISSN:1318-0347COBISSID:342651URN:URN:NBN:SI:doc-OVA5GL27slSlovensko zdravniško društvoZdravniški vestnikhealth careOddelek za radioterapijooddelkionkologijaorganizacijaorganizationradioterapijazdravstvoReorganizacija bolniških enot Oddelka za radioterapijo na Onkološkem inštitutu Ljubljana| Re-organization of hospital units of Department of radiation oncology at the Institute of oncology Ljubljana|Background In 2004, activities related to the reorganization of the hospital units of the Department of Radiation Oncology at the Institute of Oncology Ljubljana were initiated. The need for reorganization arose from the dissipation of different types of management currently followed in all four hospital units of the Department The aim o f our article is to present an approach which we used when planning above mentioned reorganization. Methods In December 2004 and January 2005, two separate applicative studies were performed. i, e. the cross-sectional studies "Hostel" and "Palliative Care". The studies were being carried out in three (altogether 124 beds) of the four hospital units of the Department of Radiation Oncology with a total bed capacity of 138. Considering the type and complexity of the nursing care, the patients were categorized by the preliminarily determined criteria into three groupsČ Group 1 - patients hospitalized in a standard hospital unit, Group 2 patients hospitalized in the "Hostel", and Group 3 - patients hospitalized in the unit for palliative care. The control of the criteria and of their fulfillment was made daily by a therapist and registered nurse during the morning rounds. Results Average number of patients eligible for hostel care was 16,5 which represented 16,7% of the patients hospitalized daily at that time. Average number of patients in the "palliative care" category was 36,8, or 39,6% of the hospitalized patients. During the performance of Palliative Care cross-sectional study, it was realized that 61,7% of hospitalized patients were partly or completely dependent upon the nursing staff in performing routine personal activities. (Abstract truncated at 2000 characters)Izhodišča V letu 2004 smo na Oddelku za radioterapijo pričeli dejavnost za izvedbo reorganizacije bolniških enot. Narekovala jo je razpršenost različnih vrst obravnav, ki se trenutno odvijajo na vseh štirih bolniških enotah oddelka. Namen nasega prispevka je predstaviti pristop, ki smo ga uporabili pri načrtovanju omenjene reorganizacije. Metode V decembru 2004 in januarju 2005 smo izvedli dve ločeni aplikativni raziskavi: presečna raziskava "Hostel" in presečna raziskava "Paliativna oskrba". Raziskavi sta potekali na treh (124 bolniških postelj) od skupno štirih bolniških enot Oddelka za radioterapijo s skupno 138 posteljami. Glede na vrsto in zahtevnost obravnave smo bolnike razdelili po prej opredeljenih merilih v tri skupine; Skupina 1 - bolniki, bivajoči v klasični bolnišnični enoti; Skupina 2 - bolniki, bivajoči v enoti "hostel"; Skupina 3 - bolniki, bivajoči v enoti za paliativno oskrbo. Izpolnjevanje meril sta dnevno, med dopoldansko vizito ocenila zdravnik in diplomirana medicinska sestra. Rezultati Povprečno dnevno število bolnikov, ki bi bili primerni za hostelsko obravnavo, je znašalo 16,5 oziroma 16,7% v tem času hospitaliziranih bolnikov. Povprečno dnevno število bolnikov v kategoriji "paliativna oskrba" je znašalo 36,8 ali 39,6% hospitaliziranih bolnikov. Med izvajanjem presečne raziskave "Paliativna oskrba" smo ugotovili,da je kar 61,7% hospitaliziranih bolnikov pri opravljanju življenjskih dejavnosti delno ali popolnoma odvisnih od pomoči negovalnega kadra. Večjo odvisnost od negovalnega osebja potrjuje statistično pomembno večji dele bolnikov v kategorijah ll-IV (bolj zahtevna obravnava), kot to velja za ostale bolnike na Onkoloskem institutu (87,8% vs. 63,7%; test hi-kvadrat, P < 0, 0001). (Izvleček skrajsan na 2000 znakov)TEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo