Uporaba ocenjevalnih lestvic pri ocenjevanju samostojnosti pacienta v rehabilitacijski zdravstveni negi: pregled literature
DOI:
https://doi.org/10.14528/snr.2017.51.3.127Ključne besede:
ocena funkcionalnega stanja, pacient, izid rehabilitacije, rehabilitacijaPovzetek
Uvod: Funkcionalna ocena pacientove samostojnosti je sistematičen poskus ocene posameznikovih sposobnosti. Cilj pregleda literature je bil ugotoviti, katere ocenjevalne lestvice se najpogosteje uporabljajo v rehabilitacijski zdravstveni negi in oceniti njihovo uporabnost. Metoda: Opravljen je bil sistematični pregled literature. Iskanje literature je potekalo decembra 2015 po podatkovnih bazah CINAHL, PubMed, COBIB.SI in po bazi člankov Obzornika zdravstvene nege. Uporabljene so bile naslednje ključne besede: ocenjevalne lestvice, pacient, rehabilitacijska zdravstvena nega; oz. v angleškem jeziku: rehabilitation scales, rehabilitation, dependency, assessment outcome. Uporabljen je bil Boolov operator IN oz. AND. Iz iskalnega nabora 416 zadetkov je bilo v končno analizo vključenih 19 člankov. Rezultati: Oblikovanih je bilo 5 vsebinskih kategorij: (1) v zdravstveni negi najpogosteje uporabljene lestvice za ocenjevanje pacientove samostojnosti in napredka, (2) veljavnost in zanesljivost ocenjevalnih lestvic, (3) medsebojna primerjava ocenjevalnih lestvic, (4) uporaba ocenjevalnih lestvic in (5) vpliv dela medicinskih sester na napredek pri samostojnosti pacientov. Diskusija in zaključek: V svetu obstajajo številne ocenjevalne lestvice, ki opisujejo pacientovo funkcionalno samostojnost. Glede na pogostost uporabe najbolj izstopa indeks po Dorothei Barthel. Tej lestvici sledita združena lestvica Functional Independent Measure + Functional Assessment Measure in lestvica Northwich Park Dependency Scale, ki sodita tudi med najbolj zanesljive lestvice za uporabo v rehabilitacijski zdravstveni negi. Slednji omogočata celostno oceno potreb zdravstvene nege pacienta in spremljanje ter vrednotenje dela.Prenosi
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Literatura
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