20.500.12556/DiRROS-26595 Vloga izvajalcev zdravstvene nege pri pronaciji in supinaciji intubiranega pacienta s hudim akutnim respiratornim sindromom koronavirus-2 pregled literature Nurses' role in the care of intubated patients with severe acute respiratory syndrome coronavirus-2 in prone and supine position a literature review Uvod: Hud akutni respiratorni sindrom koronavirus-2 je s svojo intenzivnostjo močno vplival na razmere in delo v enotah intenzivne terapije. Pri vse več intubiranih pacientih z akutnim respiratornim distresnim sindromom se je pokazala potreba po pronaciji (obrat na trebuh). Namen raziskave je bil preučiti vlogo izvajalcev zdravstvene nege pri pronaciji in supinaciji (obrat na hrbet) pacienta ter ugotoviti najpogostejše zaplete, ki se ob tem lahko pojavijo.Metode: Uporabljen je bil pregled znanstvene in strokovne literature. Iskanje literature je potekalo v podatkovnih bazah PubMed, Sage in ScienceDirect ter Google Scholar. Vključene so bile raziskave od januarja 2020 do decembra 2021. Izvedena je bila vsebinska analiza raziskav.Rezultati: Skupno je bilo identificiranih 993 člankov. Dodanih je bilo še deset člankov, najdenih s prostoročnim iskanjem v Google Scholar. Izmed 1.003 identificiranih zadetkov je bilo v končno analizo vključenih osem člankov. Izpostavljena so bila tri glavna vsebinska področja: (1) vloga izvajalcev zdravstvene nege pred pronacijo intubiranega pacienta; (2) vloga izvajalcev zdravstvene nege med pronacijo intubiranega pacienta in (3) vloga izvajalcev zdravstvene nege pri supinaciji intubiranega pacienta. Diskusija in zaključek: Pronacija in supinacija intubiranega pacienta predstavljata velik izziv za celoten zdravstveni tim, ki je v času epidemije okrnjen tako številčno kot tudi glede na stopnjo usposobljenosti. Izvajalec zdravstvene nege mora ob teh intervencijah zagotoviti hemodinamsko stabilnost, pravilno pozicioniranje pacienta, preprečiti ekstubacijo in izpade različnih katetrov, zaščititi kožo in vseskozi izvajati potrebne aktivnosti zdravstvene nege. Introduction: With being highly intense, severe acute respiratory syndrome coronavirus 2, strongly influenced the conditions and work in intensive care units. The need for pronation (laying on stomach) was advised in inreasingly more intubated patients with acute respiratory distress syndrome. The purpose of the study was to present the role of health care workers during pronation and supination (laying on back) and to highlight the most common complications that can occur.Methods: A review of the scientific and professional literature was used. The search was conducted in the databases PubMed, Sage and ScienceDirect. We also searched for literature using the Google Scholar web browser. Surveys from January 2020 to December 2021 were included. A substantive analysis of the surveys was performed. Results: 993 articles were identified in the PubMed, Sage and ScienceDirect, and Google Scholar databases. From 1003 identified publications, eight articles were included in the final analysis. The research data were divided into three main categories: (1) The role of health care workers before the pronation of an intubated patient; (2) The role of health care workers during the pronation of an intubated patient; (3) The role of health care workers in supination of an intubated patient.Discussion and conclusion: Pronation and suspination of an intubated patient is a significant challenge for the entire medical team that faces fewer numbers of working staff who are also less qualified. During such an intervention, the health care worker must ensure hemodynamic stability, correct positioning, prevent extubation and loss of various catheters, protect the skin and perform the necessary nursing activities throughout. oskrba medicinska sestra zapleti obračanje na trebuh obračanje na hrbet intubacija nursing nurses complications laying on stomach laying on back intubation true false false Slovenski jezik Angleški jezik Neznano 2026-01-28 00:38:25 2026-01-28 00:38:25 2026-01-29 04:13:34 0000-00-00 00:00:00 2023 0 0 str. 32-42 št. 1 Letn. 57 2023 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 2023-01-01 616-083 1318-2951 10.14528/snr.2023.57.1.3155 146018819 https://obzornik.zbornica-zveza.si/index.php/ObzorZdravNeg/article/view/3155 1 46c2c483-fbd9-11f0-a15d-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=39193 https://doi.org/10.14528/snr.2023.57.1.3155 1 46c733e4-fbd9-11f0-a15d-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=39194 Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije 0 0 0