diplomsko delo
Povzetek
Uvod: V svetu je vse več ljudi obolelih za demenco, kar predstavlja velik problem sodobne družbe, saj se življenjska doba veča. Ljudje z demenco pogosto izkusijo bolečino, ki je v večini primerov zanemarjena, saj oboleli za demenco v naprednem stadiju ne znajo izraziti ali opisati bolečine in to predstavlja problem pri ocenjevanju stanja in zdravljenju. Namen zaključnega dela je bil ugotoviti učinkovitost nefarmakoloških intervencij pri obvladovanju bolečine pri pacientih z demenco.
Metode: Uporabili smo deskriptivno metodo dela. Pregledali smo znanstveno literaturo v mednarodnih podatkovnih bazah: PubMed, CINAHL (EBSCO), Cochrane Library, ScienceDirect ter dodatno v iskalniku Google Učenjak na podlagi vključitvenih in izključitvenih kriterijev. Potek iskanja smo prikazali s pomočjo PRISMA diagrama. Izvedli smo analizo in sintezo literature in oceno moči dokazov z uporabo hierarhije dokazov.
Rezultati: Identificirali smo 144 zadetkov, od tega smo v končno analizo vključili 7 raziskav. Ugotovili smo, da so intervencije s petjem oziroma glasbeno terapijo (n = 6), aromaterapija (n = 1), slikanjem (n = 3), masažo (n = 6), akupresuro ušes (n = 2), refleksoterapijo (n = 2), telesno vadbo (n = 3), programom igralnih dejavnosti (n = 4) in z robotom (n = 3) učinkovite pri zmanjševanju bolečino pri obolelih za demenco.
Razprava in zaključek: Najučinkovitejše nefarmakološke intervencije za lajšanje bolečine pri obolelih za demenco so intervencije z glasbeno terapijo, refleksoterapijo in programom igralnih dejavnosti. Nefarmakološki intervenciji, ki sta vključevali vadbo in družbeno aktivnost, sta bili neučinkoviti. Potrebne so nadaljnje raziskave, saj intervencij niso izvajali dovolj pogosto, da bi dobili realne rezultate.
Ključne besede
demenca;bolečina;lajšanje bolečine;nefarmakološki pristopi;
Podatki
Jezik: |
Slovenski jezik |
Leto izida: |
2024 |
Tipologija: |
2.11 - Diplomsko delo |
Organizacija: |
UM FZV - Fakulteta za zdravstvene vede |
Založnik: |
[Ž. Špilak] |
UDK: |
616.892.3-052+616.8-009.7:615.8(043.2) |
COBISS: |
202339075
|
Št. ogledov: |
41 |
Št. prenosov: |
25 |
Ocena: |
0 (0 glasov) |
Metapodatki: |
|
Ostali podatki
Sekundarni jezik: |
Angleški jezik |
Sekundarni naslov: |
Non-Pharmacological approaches to pain management in patients with dementia |
Sekundarni povzetek: |
Introduction: Dementia is a major problem in modern society, as life expectancy is increasing. People with dementia often experience pain, which in most cases is neglected, as people with advanced dementia are unable to express or describe pain, which poses a problem for assessment and treatment. The aim of this thesis was to determine the effectiveness of non-pharmacological interventions in pain management in patients with dementia.
Methods: We used a descriptive method. We reviewed the scientific literature. PubMed, CINAHL (EBSCO), Cochrane Library, ScienceDirect, and additionally Google Scholar based on inclusion and exclusion criteria. The search flow was illustrated using a PRISMA diagram. We performed a literature analysis and synthesis and an assessment of the strength of the evidence using the hierarchy of evidence.
Results: We identified 144 searches, of which we included 7 studies in the final analysis. We found that interventions with singing or music therapy (n = 6), aromatherapy (n = 1), imaging (n = 3), massage (n = 6), ear acupressure (n = 2), reflexology (n = 2), exercise (n = 3), a play activity programmed (n = 4), and a robot (n = 3) were effective in reducing pain in patients with dementia.
Discussion and Conclusion: The most effective non-pharmacological interventions for pain relief in people with dementia are music therapy, reflexology and play therapy. Non-pharmacological interventions involving exercise and social activity were ineffective. Further research is needed as the interventions were not implemented frequently enough to obtain realistic results. |
Sekundarne ključne besede: |
dementia;pain;pain relief;non-pharmacological approaches; |
Vrsta dela (COBISS): |
Diplomsko delo/naloga |
Komentar na gradivo: |
Univ. v Mariboru, Fak. za zdravstvene vede |
Strani: |
1 spletni vir (1 datoteka PDF (IX, 31 str.)) |
ID: |
23632536 |