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Title:Vloga izvajalcev zdravstvene nege pri pronaciji in supinaciji intubiranega pacienta s hudim akutnim respiratornim sindromom koronavirus-2 : pregled literature
Authors:ID Halec, Bine (Author)
ID Tisaj, Eva (Author)
Files:URL URL - Source URL, visit https://doi.org/10.14528/snr.2023.57.1.3155
 
URL URL - Source URL, visit https://obzornik.zbornica-zveza.si/index.php/ObzorZdravNeg/article/view/3155
 
Language:Slovenian
Typology:1.02 - Review Article
Organization:Logo ZZBNS - ZSDMSBZTS - Nurses and Midwives Association of Slovenia
Abstract: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.
Keywords:oskrba, medicinska sestra, zapleti, obračanje na trebuh, obračanje na hrbet, intubacija
Publication date:01.01.2023
Year of publishing:2023
Number of pages:str. 32-42
Numbering:Letn. 57, št. 1
PID:20.500.12556/DiRROS-26595 New window
UDC:616-083
ISSN on article:1318-2951
DOI:10.14528/snr.2023.57.1.3155 New window
COBISS.SI-ID:146018819 New window
Publication date in DiRROS:28.01.2026
Views:233
Downloads:138
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Record is a part of a journal

Title:Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije
Shortened title:Obzor. zdrav. neg.
Publisher:Zbornica zdravstvene nege
ISSN:1318-2951
COBISS.SI-ID:39433728 New window

Secondary language

Language:English
Title:Nurses' role in the care of intubated patients with severe acute respiratory syndrome coronavirus-2 in prone and supine position : a literature review
Abstract: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.
Keywords:nursing, nurses, complications, laying on stomach, laying on back, intubation


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