20.500.12556/DKUM-98261 Vloga medicinske sestre pri pacientih z napredujočimi kroničnimi boleznimi v paliativni oskrbi The role of nurses in palliative care for patients with progressive chronic diseases Uvod: Napredujoče kronične bolezni predstavljajo velik zdravstveni izziv sodobnega časa. V zdravstvu ima zgodnja paliativna oskrba ključno vlogo pri izboljšanju kakovosti življenja pacientov. Medicinske sestre imajo pri tem ključno vlogo, saj zagotavljajo kontinuirano in celostno oskrbo. Metode: Izveden je bil sistematičen pregled znanstvene literature v podatkovnih bazah PubMed, CINAHL Ultimate, Web of Science in Scopus. V analizo je bilo vključenih 10 člankov, ki so bili razvrščeni po hierarhiji dokazov in predstavljeni z diagramom PRISMA. Rezultati: Rezultati pregleda literature poudarjajo, da zgodnje vključevanje paliativnih pristopov pri pacientih z napredujočimi kroničnimi boleznimi izboljšuje kakovost življenja in zadovoljstvo pacientov, zmanjšuje hospitalizacije ter olajša obvladovanje simptomov. Medicinske sestre kot koordinatorke in navigatorke celostne oskrbe se soočajo s komunikacijskimi izzivi ter pomanjkanjem kompetenc za kakovostno izvajanje paliativne oskrbe. Ključni pogoj za kakovostno oskrbo sta sistematično izobraževanje medicinskih sester ter odprava strukturnih ovir, kot so preobremenjenost in pomanjkanje kadra. Razprava in zaključek: Zgodnje vključevanje paliativne oskrbe je ključno za izboljšanje kakovosti življenja pacientov z napredujočimi kroničnimi boleznimi. Za kakovostno paliativno oskrbo potrebujejo medicinske sestre ustrezno izobraževanje in institucionalno podporo za učinkovito obvladovanje simptomov ter individualiziran pristop k pacientu in njegovi družini. Introduction: Advanced chronic diseases pose a major health challenge in modern times. In healthcare, early palliative care plays a key role in improving patients' quality of life. Nurses play a crucial role in this process, providing continuous and comprehensive care. Methods: A systematic review of the scientific literature was conducted using the PubMed, CINAHL Ultimate, Web of Science and Scopus databases. A total of 10 articles were included in the analysis, classified according to the hierarchy of evidence and presented using a PRISMA diagram. Results: The results of the literature review highlight that early integration of palliative approaches for patients with advanced chronic diseases improves quality of life and patient satisfaction, reduces hospitalisations, and facilitates symptom management. Nurses, acting as coordinators and navigators of comprehensive care, face communication challenges and a lack of competencies for delivering high-quality palliative care. Systematic education for nurses and the elimination of structural barriers, such as work overload and staff shortages, are essential conditions for quality care. Discussion and conclusion: Early integration of palliative care is essential to improving the quality of life for patients with advanced chronic diseases. To deliver high-quality palliative care, nurses require adequate education and institutional support to manage symptoms effectively and provide an individualised approach for the patient and their family. paliativna oskrba kronične napredujoče bolezni medicinska sestra obvladovanje simptomov komunikacija palliative care advanced chronic diseases nurse symptom management communication true false false [E. Jakopina] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-05-30 12:15:18 2026-08-31 14:34:37 2026-09-01 03:08:22 0000-00-00 00:00:00 2026 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-036.8-083+616-039.33:614.253.5(043.2) 288242947 VS_Jakopina_Eva_2026.pdf VS_Jakopina_Eva_2026.pdf 1 666062EF98E82C296CA947D1F38A28C0 4770e3daf12de94b57e1fe7d3a808f9e3a2187c5b9bce6aee39aee59cb9dc12b 1c1d4a57-69d0-11f1-82c7-00155d580e34 https://dk.um.si/Dokument.php?lang=slv&id=207205 Fakulteta za zdravstvene vede 0 0 0