Oštećenje integriteta kože nepokretnih neuroloških bolesnika

master's thesis

• Title (english): Damage to skin integrity in immobile neurological patients
• Author: Dina Veseli Milinković
• Mentor: Marina Roje Bedeković (mentor)
• Committee member: Ervina Bilić (predsjednik povjerenstva)
• Committee member: Zdravka Poljaković-Skurić (član povjerenstva)
• Committee member: Marina Roje Bedeković (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Neurology); Zagreb
• Defense date and country: 2022-02-18, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Neurology

Abstract

Dekubitus je žarišna ozljeda kože i potkožnog tkiva uzrokovana pritiskom ili
trenjem ili oboma uzrocima. Obično nastaje na koštanim izbočenjima. Najčešće
pogađa osobe smanjene pokretljivosti nakon dugotrajnih neuroloških stanja. Jedan je
od najčešćih uzroka neplanirane hospitalizacije kod pacijenata s ozljedom kralježnične
moždine. Mogu se klinički prezentirati kao trajno hiperemična, puna mjehura, oštećena
ili nekrotična koža koja se može proširiti na temeljne strukture, uključujući mišiće i kosti,
a ponekad čak i zglobove. Dekubitusi suogroman ekonomski i zdravstveni teret
pružateljima skrbi i zdravstvenom sustavu u cjelini. Stogaje prevencija dekubitusa
visoko prioritetna. U vrijeme kada su resursi ograničeni, neophodno je izračunati
troškove prevencije i liječenja dekubitusa kako bi se procijenio učinak koji ima na
zdravstveni sustav i društvo.
U diplomskom radu prikazan je dekubitus, čimbenici rizika i načini liječenja. Najveći je
naglasak na prevenciji. Medicinska sestra primarno zbrinjava pacijenta s dekubitusom
te je u tom pogledu od velike važnosti poznavanje svih čimbenika rizika i
načinanjegova zbrinjavanja uz provođenje posebnih mjera prevencije nastanka
oštećenja integriteta kože nepokretnog neurološkog pacijenta.

Abstract (english)

Decubitus is a focal injury to the skin and subcutaneous tissue caused by
pressure or friction or both. It is localized on bony protrusions. They most often affect
people with reduced mobility after long-term neurological conditions. They are one of
the most common causes of unplanned hospitalizations in patients with spinal cord
injury. They can present clinically as permanently hyperemic, blistered, damaged or
necrotic skin that can extend to underlying structures, including muscles and bones,
and sometimes even joints. Decubitus poses a huge economic and health burden to
caregivers and the health care system as a whole. Prevention of pressure ulcers is
therefore a high priority. At a time when resources are limited, it is necessary to
calculate the costs of prevention and treatment of pressure ulcers in order to assess
the impact it has on the healthcare system and society.
The diploma thesis presents pressure ulcers, risk factors, and methods of treatment.
The emphasis is on prevention. The nurse primarily cares for a patient with pressure
ulcers, and in this regard it is important to know all the risk factors and methods of its
care, with the implementation of special measures to prevent damage to the integrity
of the skin of an immobile neurological patient.

• Keywords: dekubitus; neurološke bolesti; pacijent; medicinska sestra
• Keywords (english): pressure ulcer; neurological diseases; patient; nurse
• Language: croatian
• URN:NBN: urn:nbn:hr:105:113378
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-07-11 12:52:08