20.500.12556/DKUM-91404 Učinkovitost metod za preprečevanje poškodb tkiva zaradi tlaka v enoti intenzivne terapije Effectiveness of pressure tissue injury prevention methods in the intensive care unit Uvod: Poškodbe tkiva zaradi tlaka (PTT) predstavljajo pogost neželen dogodek, zlasti na enotah intenzivne terapije. Sedanje smernice za preprečevanje in zdravljenje PTT med drugim vključujejo repozicioniranje bolnikov, uporabo podpornih površin, ki enakomerno porazdelijo težo bolnika, ter uporabo zaščitnih oblog, ki zmanjšajo pritisk na ranljive dele telesa. Metode: V zaključnem delu smo uporabili opisno metodo pregleda literature. Literaturo smo iskali v petih podatkovnih bazah: PubMed, CINAHL Ultimate (EBSCOhost), MEDLINE (EBSCOhost), Cochrane Library in ScienceDirect. Potek iskanja literature smo prikazali s PRISMA diagramom. Ustrezne rezultate smo nato razporedili glede na hierarhijo dokazov in jih prikazali s pomočjo opisne sintezne in evalvacijske tebele. Rezultati: V končno analizo smo vključili 14 člankov. Rezultati so pokazali, da sta najzanesljivejši in najučinkovitejši metodi preprečevanja PTT uporaba profilaktičnih oblog in podpornih površin. Pozitivne rezultate so dosegli tudi z uporabo topikalnih pripravkov in uravnavanjem enteralne prehrane. Razprava in zaključek: Največjo učinkovitost pri preprečevanju PTT odraslih, sprejetih na EIT, imajo profilaktične obloge in uporaba podpornih površin. Za vse vključene metode so potrebne kakovostne nadaljnje raziskave, specifične za to populacijo. Introduction: Pressure tissue injury (PTI) is a common adverse event, especially in intensive care units. Current guidelines for prevention and treatment of PTIs include repositioning patients, using support surfaces that evenly distribute the patient's weight, and using protective dressings that reduce pressure on vulnerable body parts. Methods: In this thesis, we used a descriptive method, more speciffically a literature review. Literature was searched in five databases: PubMed, CINAHL Ultimate (EBSCOhost), MEDLINE (EBSCOhost), Cochrane Library and ScienceDirect. The process of the literature search was shown with the use of a PRISMA diagram. We then arranged the relevant results according to the hierarchy of evidence and presented them with the help of the descriptive synthesis table and the evaluation table. Results: We included 14 articles in the final analysis. The results showed that the most reliable and effective methods of preventing PTT are the use of prophylactic dressings and support surfaces. Positive results were also achieved with the use of topical preparations and the regulation of enteral nutrition. Discussion and conclusion: Prophylactic dressings and the use of support surfaces are most effective in preventing PTIs in adults admitted to intensive care units. All of the reviewed methods require further high-quality research specific to this population. poškodba tkiva zaradi tlaka enota intenzivne terapije učinkovitost preprečevanje pressure tissue injury intensive care unit effectiveness prevention true true false [A. A. Pravdič] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2024-12-19 08:39:25 2025-01-21 16:47:28 2025-01-29 14:34:04 0000-00-00 00:00:00 2024 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-001.1:614.21(043.2) 223269635 VS_Pravdic_Albert_Aleksander_2024.pdf VS_Pravdic_Albert_Aleksander_2024.pdf 1 0AB23A4ECDF179D305ECCE17F52D3FE9 5d8db7e9b5bb6d78b7d1cf9dc8cf4f2700e9e6605d0e59da94b6f1510f4a9d19 b6e7d2d0-bddd-11ef-b8a6-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=187455 Fakulteta za zdravstvene vede 0 0 0