Intervencije za izboljšanje kvalitete spanca pri pacientih v intenzivni enoti

Falež, Doroteja

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Title:	Intervencije za izboljšanje kvalitete spanca pri pacientih v intenzivni enoti
Authors:	ID Falež, Doroteja (Author) ID Donik, Barbara (Mentor) More about this mentor...
Files:	VS_Falez_Doroteja_2023.pdf (889,68 KB) MD5: 3DAF20A1C63F6EE63FCC1062A46AFE7E
Language:	Slovenian
Work type:	Bachelor thesis/paper
Typology:	2.11 - Undergraduate Thesis
Organization:	FZV - Faculty of Health Sciences
Abstract:	Uvod: Spanje je pomemben dejavnik za ohranjanje zdravja. Pacienti hospitalizirani v IT imajo pri zagotavljanju kakovostnega spanja težave, predvsem zaradi zvokov in svetlobe, ki nastajajo zaradi vseh potrebnih aparatur. Slab spanec podaljšuje čas zdravljenja, vpliva na samo slabšanje splošnega stanja pacienta, zato je potrebno, da pacient zadostno in kakovostno spi. Namen zaključnega dela je raziskati intervencije, ki izboljšujejo kakovost spanca pacienta v intenzivni terapiji. Metode: Pri izdelavi zaključnega dela smo izvedli pregled literature in uporabili deskriptivno metodo dela. Zbrano literaturo smo si pridobili iz podatkovnih baz PubMed, Cinahl in Cochrane Library, jih nato pregledali in analizirali ter določili nivoje dokazov izbranim člankom. Potek iskanja smo prikazali v diagramu PRISMA. Rezultati: V končno analizo smo vključili 15 identificiranih raziskav. Intervencije za izboljšanje spanja pri pacientu v IT lahko razdelimo na farmakološke in nefarmakološke. Farmakološke so se izvajale z uporabo različnih zdravil, npr. melatonin, propofol, dexdor. Nefarmakološke pa so vključevale uporabo ušesnih čepkov, pokrival za oči, poslušanje umirjajoče glasbe pred spanjem, uporaba aromatičnih dišav, masažo in aromaterapiji. Intervencije za izboljšanje spanca so se pokazale kot učinkovite ne le z vidika subjektivne ocene pacienta, temveč so pozitivno vplivale tudi na uravnavanje in normaliziranje vitalnih funkcij in zmanjšanje bolečine pri pacientu. Razprava in zaključek: Z različnimi intervencijami lahko vplivamo na izboljšanje kakovosti spanca pacienta in s tem tudi izboljšamo počutje. Za najbolj učinkovito intervencijo se je izkazala farmakološka intervencija z uporabo melatonina. Menimo pa tudi, da bi lahko z nefarmakološkimi intervencijami izboljšali pacientovo kakovost spanca.
Keywords:	pacient, spanje, kakovost spanca, intervencije, intenzivna terapija (IT)
Place of publishing:	Maribor
Publisher:	[J. Kardinar]
Year of publishing:	2023
PID:	20.500.12556/DKUM-84024
UDC:	618.175:615.8(043.2)
COBISS.SI-ID:	152755971
Publication date in DKUM:	22.05.2023
Views:	646
Downloads:	148
Metadata:
Categories:	FZV
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Licences

License:	CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International

Link:	http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:	The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:	30.03.2023

Secondary language

Language:	English
Title:	Interventions to improve the quality of sleep in patients in the intensive care unit
Abstract:	Introduction: Sleep is an important factor in maintaining health. Patients hospitalized in ICU have problems in ensuring quality sleep, mainly because of the sounds and light that are created by all the necessary equipment. Poor sleep prolongs the treatment time, which affects the worsening of the patient's general condition, so it is necessary for the patient to sleep sufficiently and of good quality. The purpose of the final work is to investigate interventions that improve the quality of sleep of patients in intensive care. Methods: When preparing the final work, we conducted a review of the literature and used the descriptive method of work. We obtained the collected literature from the PubMed, Cinahl and Cochrane Library databases, then reviewed them, analyzed and assigned levels of evidence to the collected articles. We have shown the search process in the PRISMA diagram. Results: We included 15 identified studies in the final analysis. Interventions to improve sleep in ICU patients can be divided into pharmacological and non-pharmacological. Pharmacological, were carried out using various drugs, e.g. melatonin, propofol, dexdor. Non-pharmacological ones included the use of earplugs, eye coverings, listening to soothing music before going to sleep, the use of aromatic fragrances, massage and aromatherapy. Interventions to improve sleep were shown to be effective not only from the point of view of the patient's subjective assessment, but also had a positive effect on regulation and normalization vital functions and reduction of pain in the patient. Discussion and conclusion: Various interventions can be used to improve the quality of the patient's sleep and thereby also improve well-being. Pharmacological intervention using melatonin proved to be the most effective intervention. We also believe that non-pharmacological interventions could improve the patient's sleep quality.
Keywords:	patient, sleep, sleep quality, interventions, intensive care unit (ICU)

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