20.500.12556/DKUM-94273 Vpliv pronacije na razvoj poškodb tkiva zaradi tlaka pri bolnikih okuženih s sars-cov-2 Effect of pronation on the development of pressure tissue damage in patients infected with sars-cov-2 Povzetek Uvod: Covid-19 pogosto povzroči akutno respiratorno odpoved, zaradi česar številni bolniki potrebujejo mehansko ventilacijo in pronacijo. Pronacija izboljša oksigenacijo, vendar poveča tveganje za poškodbe tkiva zaradi tlaka, zlasti na sprednji strani telesa. Namen raziskave je bil analizirati vpliv trajanja pronacije, spola, starosti in indeksa telesne mase na pojav poškodb tkiva zaradi tlaka pri mehansko ventiliranih bolnikih s SARS-CoV-2. Metode: Izvedli smo retrospektivno kvantitativno raziskavo na vzorcu 100 bolnikov, ki so bili med hospitalizacijo v enoti covid intenzivne terapije pronirani več kot 24 ur. Zbrani podatki so vključevali demografske značilnosti, trajanje pronacije, lokacijo in stopnjo poškodbe tkiva zaradi tlaka. Uporabljena je bila EPUAP klasifikacija. Analizo smo izvedli s statističnim programom SPSS. Rezultati: Pri 79 % bolnikov smo zabeležili skupaj 184 poškodb tkiva zaradi tlaka, največ na obrazu in prsnem košu. Statistično značilno pogostejše so se poškodbe tkiva zaradi tlaka pojavile pri moških, bolnikih starejših od 60 let, z indeksom telesne mase več kot 28,4 kg/m² in pri dolgotrajni pronaciji (p < 0,05). Razprava in zaključek: Vpliv pronacije na pojav poškodb tkiva zaradi tlaka je multifaktorski. Na rezultate vplivajo tako fiziološki kot organizacijski dejavniki. Izsledki potrjujejo potrebo po ustrezni zaščiti stičnih točk in individualnem pristopu. Abstract Introduction: Covid-19 often leads to acute respiratory failure, requiring many patients to undergo mechanical ventilation and prone positioning. Proning improves oxygenation but increases the risk of pressure injuries, particularly on the anterior body surface. The aim of this study was to analyze the impact of pronation duration, gender, age, and body mass index on the occurrence of pressure injuries in mechanically ventilated patients with SARS-CoV-2. Methods: A retrospective quantitative study was conducted on a sample of 100 patients who were proned for more than 24 hours during hospitalization in a covid intensive care unit. Collected data included demographic characteristics, duration of pronation, location, and stage of pressure injuries. The EPUAP classification system was used. Data were analyzed using SPSS statistical software. Results: Pressure injuries were recorded in 79% of patients, with a total of 184 injuries, most frequently located on the face and chest. Pressure injuries occurred significantly more often in male patients, those over 60 years of age, with a body mass index greater than 28.4 kg/m², and in cases of prolonged pronation (p < 0.05). Discussion and conclusion: The impact of pronation on pressure injury development is multifactorial. Both physiological and organizational factors influence the outcomes. The findings highlight the need for appropriate protection of pressure points and an individualized approach to patient care. obračanje na trebuh covid-19 poškodba zaradi pritiska prone positioning covid-19 pressure injury true true false [M. Krajnc] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2025-08-12 11:51:18 2025-10-27 14:12:28 2025-12-19 22:33:16 0000-00-00 00:00:00 2025 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 578.834-056.24:616-001.1(043.2) 253820163 MAG_Krajnc_Mateja_2025.pdf MAG_Krajnc_Mateja_2025.pdf 1 70A71B0B23181EFEF63307BD0FD6BE5A 1965dc35cbfbe5dac5757cb353a9a4f0ea5d3bf7ffba1ab47462daa47c60abb8 9f213c31-7763-11f0-a28d-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=195139 Fakulteta za zdravstvene vede 0 0 0