diplomsko delo
Povzetek
Uvod: Sladkorna bolezen je bolezen sodobnega časa. Vse več je kroničnih pacientov, pri
katerih pride do zapletov sladkorne bolezni. Pogosto so to kompleksne rane, ki potrebujejo
posebno oskrbo. Namen: Namen diplomskega dela je bil predstaviti zdravljenje ran na
diabetičnem stopalu z uporabo terapije z negativnim tlakom. Izpostaviti smo želeli, kako
pomembna je vloga medicinske sestre pri zdravljenju z negativnim tlakom, ter ugotoviti,
kako različni načini izvajanja zdravljenja vplivajo na učinkovitost celjenja ran. Metoda
dela: V diplomskem delu je bila uporabljena deskriptivna metoda s pregledom domače in
tuje strokovne in znanstvene literature iz obdobja od leta 2005 do leta 2018. Pregled
literature je potekal v času od januarja do junija 2018. Slovenska literature je bila iskana s
pomočjo vzajemne kataloške baze podatkov COBISS.SI s ključnimi besedami: sladkorna
bolezen, diabetično stopalo, zdravljenje z negativnim tlakom, medicinska sestra. Pregled
literature v angleškem jeziku je bil opravljen preko bibliografskih podatkovnih baz Science
Direct, CINAHL in Medline z uporabo ključnih besed in besednih zvez: diabetic foot ulcer,
diabetic foot wounds, negative pressure wound therapy, pressure, tipe of therapy, nurse. V
kvalitativno analizo za odgovore na raziskovalna vprašanja je bilo vključenih 11 člankov.
Rezultati: Rezultati raziskav nakazujejo, da bi bila lahko uporaba terapije z negativnim
tlakom učinkovit način zdravljenja ran na diabetičnem stopalu. Uporablja se različne
vrednosti negativnega tlaka, od 70 do 125 mm Hg, vendar na podlagi literature ni možno
izpostaviti najbolj učinkovite vrednosti. Tudi člankov za ugotavljanje najustreznejšega
načina delovanja črpalke je malo, zato ni možno zanesljivo izpostaviti najbolj učinkovitega
načina in časa delovanja črpalke. Razprava in sklep: Uporaba negativnega tlaka je ena od
učinkovitih metod zdravljenja kompleksnih ran na diabetičnem stopalu. Medicinska sestra
je del zdravstvenega tima, ki ima ključno vlogo pri pripravi pacienta in rane za namestitev
pripomočkov za terapijo z negativnim tlakom, in je hkrati tudi prva, ki lahko opazi zaplete.
Način delovanja črpalke in vrednost negativnega tlaka določi zdravnik, vendar jih mora
medicinska sestra kljub temu poznati, da lahko razume spremembe in na njih pravočasno
odreagira.
Ključne besede
diplomska dela;zdravstvena nega;rane;celjenje;zdravljenje;vlek;lastnosti delovanja;
Podatki
Jezik: |
Slovenski jezik |
Leto izida: |
2018 |
Tipologija: |
2.11 - Diplomsko delo |
Organizacija: |
UL ZF - Zdravstvena fakulteta |
Založnik: |
[F. Omeragić] |
UDK: |
616-083 |
COBISS: |
5521771
|
Št. ogledov: |
1405 |
Št. prenosov: |
505 |
Ocena: |
0 (0 glasov) |
Metapodatki: |
|
Ostali podatki
Sekundarni jezik: |
Angleški jezik |
Sekundarni naslov: |
Application of negative pressure wound therapy in treatment of diabetic foot ulcer |
Sekundarni povzetek: |
Introduction: Diabetes is a modern time disease. There are all the more chronic patients in
which we find diabetic complications. Those usually involve complicated wounds that
require particular treatments. Purpose: The purpose of this thesis was to present the
treatment of diabetic foot ulcer with the application of negative pressure therapy. We wanted
to demonstrate the important role the nurses have with the negative pressure treatments, as
well as to establish how different methods of performing a treatment impact on the efficiency
of the wound healing. Methods: We have used the descriptive methods with the overview
of the Slovenian and foreign professional and scientific literature, with the publishing period
between 2005-2018. The overview of the literature took place in the period between January
and June of 2018. The Slovenian literature was reviewed using the COBISS.SI database,
with the keywords: diabetes, diabetic foot, V.A.C. therapy, treatment with the negative
pressure, nurse. The English literature was reviewed using the databases Science Direct,
CINAHL, Medline, with the keywords: diabetic foot ulcer, diabetic foot wound, negative
pressure wound therapy, pressure, type of therapy, wound filler, nurse. We included 11
articles in the qualitative analysis for the answers on the research question. Results: The
research results have shown that the therapy with the negative pressure could be used as an
effective treatment for diabetic foot ulcers. Different values of negative pressure are used,
between 70-125 mm Hg, however, based on the obtained literature, it is not possible to
determine the most effective values. Based on the small number of the obtained articles, it
is not possible to determine the most effective methods or period of time for the pump usage.
Discussion and conclusion: The usage of the negative pressure is one of the effective
methods used for healing complex diabetic foot ulcers. The nurse, as a part of the medical
team, has a key role in the process of preparing the patient and the wound for the treatment
with negative pressure and, at the same time, is the first to potentially notice the
complications. A physician is the one to determine the methods of the pump usage and the
values of the negative pressure, however the nurse must be familiar with the usage of the
pump, so that the potential changes can be understood and responded to at the timely manner. |
Sekundarne ključne besede: |
diploma theses;nursing care;wounds;healing;therapy;vacuum pull;modus operandi; |
Vrsta dela (COBISS): |
Diplomsko delo/naloga |
Študijski program: |
0 |
Komentar na gradivo: |
Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego |
Strani: |
24 str. |
ID: |
10980342 |