Izzivi pri opravljanju dolgotrajne oskrbe starejših oseb: vidik izvajalcev formalne in neformalne oskrbe: sistematični pregled literature

Mateja Lorber; Sergej Kmetec; Stella Sekulić-Kelhar; Jožica Černe Kolarič

doi:10.14528/snr.2026.60.2.3344

Avtorji

Mateja Lorber Univerza v Mariboru, Fakulteta za zdravstvene vede, Žitna ulica 15, 2000 Maribor, Slovenija https://orcid.org/0000-0001-7200-5204
Sergej Kmetec Univerza v Mariboru, Fakulteta za zdravstvene vede, Žitna ulica 15, 2000 Maribor, Slovenija https://orcid.org/0000-0002-5601-0940
Stella Sekulić-Kelhar Nacionalni Inštitut za javno zdravje RS, Trubarjeva cesta 2, 1000 Ljubljana, Slovenija
Jožica Černe Kolarič Univerza v Mariboru, Fakulteta za zdravstvene vede, Žitna ulica 15, 2000 Maribor, Slovenija https://orcid.org/0000-0002-5132-6161

DOI:

https://doi.org/10.14528/snr.2026.60.2.3344

Ključne besede:

Staranje, oskrbovalci, dolgotrajna oskrba, zagotavljanje zdravstvene oskrbe, krhkost

Povzetek

Uvod: Staranje prebivalstva in krhkost povečujeta potrebo po dolgotrajni oskrbi ter obremenjujeta zdravstvene in socialne sisteme. Namen pregleda je opredeliti izzive dolgotrajne oskrbe starejših oseb z vidika izvajalcev formalne (zdravstveno osebje) in neformalne oskrbe.
Metode: Izveden je bil sistematični pregled po priporočilih PRISMA. Iskanje je potekalo v bazah CINAHL Ultimate, MEDLINE, SAGE in Web of Science od začetka indeksiranja do marca 2025, brez omejitve leta objave; vključeni so bili izvirni članki v angleščini. Kakovost je bila ocenjena z orodjem JBI, raven dokazov pa razvrščena po Politu in Becku. Podatki so bili analizirani z narativno sintezo po Popayu et al. (kodiranje ugotovitev, tematsko združevanje, primerjava med raziskavami).
Rezultati: Identificirana sta bila 1802 zadetka; po odstranitvi 133 duplikatov je bilo pregledanih 1669 naslovov oziroma povzetkov in 43 celotnih besedil. Vključenih je bilo šest raziskav (pet kvalitativnih – raven 7; ena kvantitativna – raven 4). Ključne teme: nejasne oziroma nasprotujoče si smernice, vrzeli v koordinaciji in prehodih oskrbe, komunikacijske pomanjkljivosti ter visoka čustvena obremenitev neformalnih oskrbovalcev.
Diskusija in zaključek: Potrebni so integrirani modeli oskrbe, izvedljive smernice ter strukturirana podpora neformalnim oskrbovalcem, posebej v prehodu iz bolnišnice na dom.

Prenosi

Podatki o prenosih še niso na voljo.

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