718 KB61 KB199420252015Emeđi, DragicaSkela-Savič, Brigitaštevilka:4letnik:49str. 306-319ISSN:1318-2951COBISSID:525196057URN:URN:NBN:SI:doc-HUMC3ZHCslZbornica zdravstvene negeObzornik zdravstvene negeenvironment factorsimportancekakovostkazalnikikožna integritetameaningokoljski dejavnikipomenpressure ulcerquality indicatorsquality of health carerazjeda zaradi pritiskaskin integrityzdravstvene oskrbaPovezave med razjedo zaradi pritiska in ohranjanjem integritete kože pacienta v intenzivni zdravstveni obravnavi| literature review| pregled literature| Relations between pressure ulcer and patient skin integrity maintenance in intensive care|Introduction: The research aims to demonstrate the multidimensional needs and potential high-risk factors for developing pressure ulcer in adult patients in the intensive care. Methods: The analysis and synthesis of the evidence review from the EMERALD, CINAHL, PubMed, and ProQuest database were employed in the research. The search terms used were: "quality of care", "pressure ulcer", "prevention and treatment of pressure ulcers", "skin integrity critical care patients". The filtering search criteria were: the period from 2010 to 2013, full-text articles and articles in English. 280 search results met the initial criteria; 40 of those were reviewed and presented in accordance with the Cochrane Database of Systematic Reviews. The evidence quality was assessed according to the hierarchy of the research evidence. Results: 191 codes were identified and grouped into 11 content categories: intensive care setting - characteristics of some pressure ulcer development risk factors, duration of stay in the unit, vasoactive agents, gender, age, administrative diagnostic category, bed, mattress, Waterlow scale, pressure ulcer and the importance of stage I pressure ulcer. Discussion and conclusion: The research demonstrates the importance of introducing proactive measures to maintain the integrity of the skin of the patient. It focuses on the theoretical aspect of the tissue vitality and the promotion of the quality care. Further researches are needed for a deeper insight into the numerous other risks and efficient skin vitality programsUvod: Namen raziskave je prikazati večdimenzionalne potrebe in možne dejavnike tveganja za razjedo zaradi pritiska pri odraslih pacientih v intenzivni zdravstveni obravnavi. Metode: Uporabili smo analizo in sintezo pregleda dokazov iz zbirke podatkov EMERALD, CINAHL, PubMed in ProQuest. Ključne iskalne besedne zveze so bile: "quality of care", "pressure ulcer", "prevention and treatment of pressure ulcers", "skin integrity critical care patients". Omejitveni kriteriji iskanja so bili: obdobje 2010 do 2013, celotno besedilo člankov v angleščini. Začetna merila je izpolnjevalo 280 zadetkov in 40 izbranih ustreznih prispevkov. Potek raziskave je prikazan v skladu z načeli Cochranove zbirke, ocena kakovosti dokazov pa v hierarhiji dokazov. Rezultati: Identificiranih je 191 kod, ki so združene v 11 vsebinskih kategorij: okolje intenzivne terapije - značilnosti nekaterih dejavnikov tveganja, čas bivanja v enoti, vazoaktivne učinkovine, spol, starost, administrativno diagnostična kategorija, postelja, ležišče, lestvica Waterlow, razjeda zaradi pritiska in pomen prve stopnje razjede. Diskusija in zaključek: Raziskava pokaže pomen uvedbe proaktivnih ukrepov za ohranjanje integritete kože pacienta. Osredotoča se na vitalnost tkiva in promocijo kakovostne zdravstvene oskrbe z vidika teorije. Potrebne so raziskave, ki bi za boljše razumevanje pojasnjevale številna druga tveganja in učinkovite programe za vitalnost kožeTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaZbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije