Vloga diplomirane medicinske sestre pri umetni ventilaciji kritično bolnih pacientov
pregled literature
DOI:
https://doi.org/10.14528/snr.2024.58.3.3172Ključne besede:
dihanje, ustna nega, aspiracija, bolečina, gibljivostPovzetek
Uvod: Umetno ventilirani kritično bolni pacienti predstavljajo najvišjo stopnjo ranljivosti zaradi nezmožnosti opravljanja osnovnih življenjskih aktivnosti in zahtevajo najvišje standarde zdravstvene nege. Namen pregleda literature je predstaviti vlogo diplomirane medicinske sestre pri umetni ventilaciji kritično bolnih pacientov.
Metode: Uporabljen je bil pregled znanstvene literature marca 2022 v podatkovnih bazah PubMed, Cobbis in Sage Journals. Iskanje je potekalo po vnaprej oblikovanih ključnih besedah v angleškem in slovenskem jeziku: dihanje; ustna nega; aspiracija; bolečina; gibljivost. Iskalna strategija je temeljila na vključitvenih kriterijih: polno dostopna besedila, znanstvena revija, recenzirana publikacija, slovenski ali angleški jezik, obdobje 2012–2022. Rezultati so bili analizirani s tematsko analizo.
Rezultati: V končno analizo je bilo vključenih 15 od skupno 638 zadetkov. V končno analizo je bilo vključenih pet opazovalnih raziskav, tri presečne raziskave, dve fenomenološki raziskavi, ena vzročno-primerjalna raziskava in štirje sistematični pregledi literature. Izsledki pregleda literature so bili razporejeni v šest kategorij: (1) kakovostna zdravstvena nega, (2) ustna nega, (3) aspiracija, (4) bolečina, (5) komunikacija in (6) gibljivost.
Diskusija in zaključek: Rezultati kažejo, da je vloga diplomirane medicinske sestre pri umetni ventilaciji kritično bolnih pacientov kompleksna in zahtevna. Od diplomirane medicinske sestre se pričakuje nenehno izobraževanje in prilagajanje trenutnim razmeram, delo v zahtevnih pogojih ter izvajanje postopkov in posegov, ki so pomemben del kakovostne zdravstvene nege.
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