Povezave med razjedo zaradi pritiska in ohranjanjem integritete kože pacienta v intenzivni zdravstveni obravnavi: pregled literature

  • Dragica Emeđi
  • Brigita Skela-Savič Fakulteta za zdravstvo Jesenice Spodnji Plavž 3 SI-4270 Jesenice Slovenija
Ključne besede: okoljski dejavniki, kakovost, kazalniki, razjeda zaradi pritiska, kožna integriteta, pomen, zdravstvene oskrba

Povzetek

Uvod: Namen raziskave je prikazati večdimenzionalne potrebe in možne dejavnike tveganja za razjedo zaradi pritiska pri odraslih pacientih v intenzivni zdravstveni obravnavi. Metode: Uporabili smo analizo in sintezo pregleda dokazov iz zbirke podatkov EMERALD, CINAHL, PubMed in ProQuest. Ključne iskalne besedne zveze so bile: »quality of care«, »pressure ulcer«, »prevention and treatment of pressure ulcers«, »skin integrity critical care patients«. Omejitveni kriteriji iskanja so bili: obdobje 2010 do 2013, celotno besedilo člankov v angleščini. Začetna merila je izpolnjevalo 280 zadetkov in 40 izbranih ustreznih prispevkov. Potek raziskave je prikazan v skladu z načeli Cochranove zbirke, ocena kakovosti dokazov pa v hierarhiji dokazov. Rezultati: Identificiranih je 191 kod, ki so združene v 11 vsebinskih kategorij: okolje intenzivne terapije – značilnosti nekaterih dejavnikov tveganja, čas bivanja v enoti, vazoaktivne učinkovine, spol, starost, administrativno diagnostična kategorija, postelja, ležišče, lestvica Waterlow, razjeda zaradi pritiska in pomen prve stopnje razjede. Diskusija in zaključek: Raziskava pokaže pomen uvedbe proaktivnih ukrepov za ohranjanje integritete kože pacienta. Osredotoča se na vitalnost tkiva in promocijo kakovostne zdravstvene oskrbe z vidika teorije. Potrebne so raziskave, ki bi za boljše razumevanje pojasnjevale številna druga tveganja in učinkovite programe za vitalnost kože.

Prenosi

Podatki o prenosih še niso na voljo.

Biografije avtorja

Dragica Emeđi
Dragica Emeđi, dipl.m.s.
Brigita Skela-Savič, Fakulteta za zdravstvo Jesenice Spodnji Plavž 3 SI-4270 Jesenice Slovenija
izr. prof. dr. Brigita Skela Savič, viš. med. ses., univ. dipl. org.

Literatura

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Objavljeno
2015-12-21
Kako citirati
Emeđi, D. in Skela-Savič, B. (2015) Povezave med razjedo zaradi pritiska in ohranjanjem integritete kože pacienta v intenzivni zdravstveni obravnavi: pregled literature, Obzornik zdravstvene nege, 49(4). doi: 10.14528/snr.2015.49.4.65.
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