20.500.12556/DKUM-95447 Intervencije paliativne oskrbe pri pacientih z napredujočimi nenalezljivimi boleznimi v lokalni skupnosti Palliative care interventions for patients with progressive non-communicable diseases in the local community Uvod: Napredujoče nenalezljive bolezni predstavljajo enega največjih izzivov sodobnega zdravstvenega sistema, saj zaradi dolgotrajnega poteka zahtevajo celostno in neprekinjeno paliativno oskrbo. Namen zaključnega dela je raziskati intervencije paliativne oskrbe, ki se izvajajo pri pacientih z napredujočimi nenalezljivimi boleznimi v lokalni skupnosti. Metode: Izveden je bil sistematičen pregled literature. Za iskalno strategijo smo uporabili določene ključne besede in kriterije za izbor člankov. Pregledane so bile podatkovne baze PubMed, CINAHL Ultimate, SAGE in ScienceDirect. Rezultati: V končno analizo in sintezo je bilo vključenih devet raziskav. Najpogostejše intervencije paliativne oskrbe v lokalni skupnosti so obvladovanje simptomov, vnaprejšnje načrtovanje oskrbe ter psihosocialna in duhovna podpora. Rezultati so pokazale izboljšanje kakovosti življenja, zmanjšanje bremena simptomov, manj hospitalizacij ter večje ujemanje oskrbe s pacientovimi željami. Ključna vloga medicinskih sester se kaže v zagotavljanju kontinuitete, dostopnosti in podpore pacientom ter njihovim neformalnim oskrbovalcem. Razprava in zaključek: Paliativna oskrba v lokalni skupnosti bistveno prispeva k izboljšanju kakovosti življenja pacientov z napredujočimi nenalezljivimi boleznimi in njihovih neformalnih oskrbovalcev. Introduction: Progressive non-communicable diseases represent one of the greatest challenges of the modern healthcare system, as their long-term nature requires comprehensive and continuous palliative care. This thesis aims to investigate palliative care interventions implemented in patients with progressive non-communicable diseases in the local community. Methods: A systematic review of the literature was conducted. We used specific keywords and criteria for article selection as our search strategy. The PubMed, CINAHL Ultimate, SAGE, and ScienceDirect databases were reviewed. Results: Nine studies were included in the final analysis and synthesis. The most common palliative care interventions in the local community are symptom management, advance care planning, and psychosocial and spiritual support. The results showed improved quality of life, reduced symptom burden, fewer hospitalisations, and greater alignment of care with patient wishes. The key role of nurses is evident in ensuring continuity, accessibility, and support for patients and their informal caregivers. Discussion and conclusion: Palliative care in the local community significantly improves patients' quality of life with progressive non-communicable diseases and their informal caregivers. paliativna oskrba intervencije kronične nenalezljive bolezni lokalna skupnost palliative care interventions chronic non-communicable diseases local community true true false [M. Kos] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-09-18 17:26:00 2025-11-18 13:57:59 2026-02-04 14:48:07 0000-00-00 00:00:00 2025 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-036.8-083+616-039.33(043.2) 256337411 VS_Kos_Maja_2025.pdf VS_Kos_Maja_2025.pdf 1 8D287BBE436E5BC4E34AEB3E4DAD71B0 c7691f34100e988ca57dd2d8c7781b7dc91f474507ca43c25c0d451d5fc01685 4b427dbb-94a6-11f0-9f40-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=198797 Fakulteta za zdravstvene vede 0 0 0