Page 297 - Petelin, Ana, in Helena Skočir. 2020. Ur. Raziskovanje za znanje, znanje za zdravje. Zbornik prispevkov z recenzijo. Koper: Založba Univerze na Primorskem.
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ljuček katarina godeša, sedina kalender smajlović
Primerna izbira in uporaba ocenjevalnih lestvic v EIT prispeva k ustrezni zdra-
vstveni obravnavi kritično bolnih pacientov. Pridobili smo podatke o najbolj
pogostih ocenjevalnih lestvicah v EIT. Ocenjevalna lestvica mora biti lahka
za uporabo, razumljiva za vse uporabnike ter primerna. Pomembno je zave-
danje, da se na podlagi pridobljenih ocen titrirajo zdravila ter izvajajo različni
ukrepi in protokoli, ki delujejo preventivno oziroma preprečujejo poslabšan-
je. Zato je ocenjevanje potrebno izvajati strokovno, profesionalno in po pred-
pisih standardov kakovosti.
Literatura
AZEVEDO-SANTOS, I.F. in DESANTANA, J., 2018. Pain measurment techniques: spotlight
on mechanically ventilated patients. Journal of pain research, vol. 11, str. 2969-2980.
BORGHARDT, A.T., PRADO, A.T, ARAUJO, T.M., ROGENSKI, N.M.B. in BRINGUENTE, M.E.O,
2015. Evaluation of the pressure ulcers risk scales with critically ill patient: a prospec-
tive cohort study. Revista Latino-Americana de Enfermagem, vol. 23 (1), str. 28-35.
CADE, C.H., 2008. Clinical tools for the assessment of pain in sedated critically ill adults.
Nursing in Critical care, vol. 13 (6), str. 288-297.
CHRISTAKOU, A., PAPADOPOULOS, E., PATSAKI, I., SIDIRAS, G. in NANAS, S., 2013. Function-
al assessment scales in a general intensive care unit. Hospital chronicles, vol. 8 (4), str.
164-170.
FAGUNDES, J.A., TOMASI C.D., GIOMBELLI, V.R., ALVES, S.C., de MACEDO, R.C., TOPANOT-
TI, M.F., de LOURDES UGIONI BRISTOT, M., do BRASIL, P.E., SOARES, M., SALLUH, J., et
al., 2012. CAM-ICU and ICDSC agreement in medical and surgical ICU patients is influ-
enced by disease severity. PLOS ONE, vol. 7 (11), str. 1-7.
FISCHER, M., RUEGG, S., CZAPLINSKI, A., STROHMEIER, M., LEHMANN, A., TSCHAN, F., HUN-
ZIKER, P.R. in MARSCH, S.C., 2010. Inter-rater reliability of the full outline of unrespon-
siveness score and the Glasgow Coma Scale in critically ill patients: a prospective ob-
servational study. Critical Care, vol. 14 (2), str. 2-9.
FULBROOK, P. in ANDERSON, A., 2015. Pressure injury risk assessment in intensive care:
comparison ofinter-rater reliability of the COMHON (Conscious level, Mobility, Hae-
modynamics, Oxygenation, Nutrition) Index with three scales. Journal of Advanced
Nursing, vol. 72 (3), str. 680-692.
GELINAS, C., ARBOUR, C., MICHAUD, C., VAILLANT, F. in DESJARDINS, S., 2011. Implemen-
tation of the critical-care pain observation tool on pain assessment/management
nursing practices in an intensive care unit with nonverbal critically ill adults: a be-
fore and after study. International Journal of Nursing Studies, vol. 48 (12), str. 1495-1504.
GORIČAN, B., 2013. Naloge medicinske sestre v intenzivni terapiji: diplomsko delo. Maribor:
Univerza v Mariboru, Fakulteta za zdravstvene vede.
GUSMAO-FLORES, D., SALLUH, J.I., CHALHUB, R.A. in QUARANTINI, L.C., 2012. The confu-
sion assessment method for the intensive care unit (CAM-ICU) and intensive care de-
lirium screening checklist (ICDSC) for the diagnosis of delirium: a systematic review
and meta-analysis of clinical studies. Critical Care, vol. 16 (4), str. 2-10.
IYER, V.N., MANDREKAR, J.N., DANIELSON, R.D., ZUBKOV, A.Y., ELMER, J.L. in WIJDICKS,
E.F.M., 2009. Validity of the FOUR Score Coma Scale in the medical intensive care unit.
Mayo Clinic Proceedings, vol. 84 (8), str. 694-701.
295
Primerna izbira in uporaba ocenjevalnih lestvic v EIT prispeva k ustrezni zdra-
vstveni obravnavi kritično bolnih pacientov. Pridobili smo podatke o najbolj
pogostih ocenjevalnih lestvicah v EIT. Ocenjevalna lestvica mora biti lahka
za uporabo, razumljiva za vse uporabnike ter primerna. Pomembno je zave-
danje, da se na podlagi pridobljenih ocen titrirajo zdravila ter izvajajo različni
ukrepi in protokoli, ki delujejo preventivno oziroma preprečujejo poslabšan-
je. Zato je ocenjevanje potrebno izvajati strokovno, profesionalno in po pred-
pisih standardov kakovosti.
Literatura
AZEVEDO-SANTOS, I.F. in DESANTANA, J., 2018. Pain measurment techniques: spotlight
on mechanically ventilated patients. Journal of pain research, vol. 11, str. 2969-2980.
BORGHARDT, A.T., PRADO, A.T, ARAUJO, T.M., ROGENSKI, N.M.B. in BRINGUENTE, M.E.O,
2015. Evaluation of the pressure ulcers risk scales with critically ill patient: a prospec-
tive cohort study. Revista Latino-Americana de Enfermagem, vol. 23 (1), str. 28-35.
CADE, C.H., 2008. Clinical tools for the assessment of pain in sedated critically ill adults.
Nursing in Critical care, vol. 13 (6), str. 288-297.
CHRISTAKOU, A., PAPADOPOULOS, E., PATSAKI, I., SIDIRAS, G. in NANAS, S., 2013. Function-
al assessment scales in a general intensive care unit. Hospital chronicles, vol. 8 (4), str.
164-170.
FAGUNDES, J.A., TOMASI C.D., GIOMBELLI, V.R., ALVES, S.C., de MACEDO, R.C., TOPANOT-
TI, M.F., de LOURDES UGIONI BRISTOT, M., do BRASIL, P.E., SOARES, M., SALLUH, J., et
al., 2012. CAM-ICU and ICDSC agreement in medical and surgical ICU patients is influ-
enced by disease severity. PLOS ONE, vol. 7 (11), str. 1-7.
FISCHER, M., RUEGG, S., CZAPLINSKI, A., STROHMEIER, M., LEHMANN, A., TSCHAN, F., HUN-
ZIKER, P.R. in MARSCH, S.C., 2010. Inter-rater reliability of the full outline of unrespon-
siveness score and the Glasgow Coma Scale in critically ill patients: a prospective ob-
servational study. Critical Care, vol. 14 (2), str. 2-9.
FULBROOK, P. in ANDERSON, A., 2015. Pressure injury risk assessment in intensive care:
comparison ofinter-rater reliability of the COMHON (Conscious level, Mobility, Hae-
modynamics, Oxygenation, Nutrition) Index with three scales. Journal of Advanced
Nursing, vol. 72 (3), str. 680-692.
GELINAS, C., ARBOUR, C., MICHAUD, C., VAILLANT, F. in DESJARDINS, S., 2011. Implemen-
tation of the critical-care pain observation tool on pain assessment/management
nursing practices in an intensive care unit with nonverbal critically ill adults: a be-
fore and after study. International Journal of Nursing Studies, vol. 48 (12), str. 1495-1504.
GORIČAN, B., 2013. Naloge medicinske sestre v intenzivni terapiji: diplomsko delo. Maribor:
Univerza v Mariboru, Fakulteta za zdravstvene vede.
GUSMAO-FLORES, D., SALLUH, J.I., CHALHUB, R.A. in QUARANTINI, L.C., 2012. The confu-
sion assessment method for the intensive care unit (CAM-ICU) and intensive care de-
lirium screening checklist (ICDSC) for the diagnosis of delirium: a systematic review
and meta-analysis of clinical studies. Critical Care, vol. 16 (4), str. 2-10.
IYER, V.N., MANDREKAR, J.N., DANIELSON, R.D., ZUBKOV, A.Y., ELMER, J.L. in WIJDICKS,
E.F.M., 2009. Validity of the FOUR Score Coma Scale in the medical intensive care unit.
Mayo Clinic Proceedings, vol. 84 (8), str. 694-701.
295