20.500.12556/ReVIS-11863 Pristopi za prihodnost paliativne oskrbe diplomsko delo visokošolskega strokovnega študijskega programa prve bolonjske stopnje Zdravstvena nega NAMEN: Namen diplomskega dela je bil proučiti sodobne pristope za izboljšanje paliativne oskrbe ter metode za celovitejše zdravljenje neozdravljivih bolnikov. Identificirani so bili ključni izzivi obstoječe prakse, predlagane rešitve in inovativni pristopi za izboljšanje kakovosti življenja bolnikov ter podpora njihovim družinam. METODA: Na podlagi relevantne literature smo izvedli sistematičen pregled literature s spodaj navedenimi ključnimi besednimi zvezami. Iskanje je potekalo v Google Učenjak, PubMed, ScienceDirect in Cobis+. Za boljšo preglednost virov smo uporabili diagram PRISMA. REZULTATI: V končno raziskavo smo vključili 15 virov v polnem besedilu. Analizirali smo 2 raziskovalni, opisni in presečni študiji, 1 randomizirano študijo, 1 pilotno randomizirano kontrolno študijo, 5 sistematičnih pregledov literature in 1 integrativni pregled literature. Sledili sta 2 primerjalni študiji, 1 intervju, 1 vprašalnik odprtega in zaprtega tipa ter 1 sistematičen pristop. Oblikovane so bile 4 kategorije: celostna oskrba in multidisciplinarni pristop, izobraževanje in usposabljanje zdravstvenih delavcev, javna ozaveščenost in dostopnost paliativne oskrbe, raziskave in izboljšanje kakovosti paliativne oskrbe. RAZPRAVA: Med pregledom literature smo ugotovili, da ima paliativna oskrba pozitiven vpliv na kakovost življenja bolnikov in njihovih svojcev, vendar se sooča z izzivi, kot so pomanjkanje usposobljenega kadra, omejeni viri in neenakomerna dostopnost. Multidisciplinarno sodelovanje je ključno za zagotavljanje celovite oskrbe, a preobremenjenost zdravstvenih delavcev zmanjšuje možnost individualiziranega pristopa. Zaradi pomanjkanja financiranja so razvoji novih programov in raziskave omejeni. V Sloveniji je nujno potrebna sistemska ureditev paliativne oskrbe, da bi lahko učinkovito obvladali podaljšano življenjsko dobo in naraščajoče število kroničnih bolezni. Ozaveščanje javnosti in izobraževanje zdravstvenih delavcev sta ključna za prihodnji razvoj paliativne oskrbe. PURPOSE: The aim of this thesis was to examine modern approaches to improve palliative care and methods for more comprehensive treatment of terminally ill patients. Key challenges of current practice were identified, solutions and innovative approaches were proposed to improve the quality of life of patients and support their families. METHOD: A systematic literature review was conducted using the key phrases listed below, based on relevant literature. The search was conducted in Google Scholar, PubMed, ScienceDirect and Cobis+. A PRISMA diagram was used to make the sources more transparent. RESULTS: 15 full-text sources were included in the final study. We analysed 2 exploratory, descriptive and cross-sectional studies, 1 randomised trial, 1 pilot randomised control trial, 5 systematic literature reviews and 1 integrative literature review. This was followed by 2 comparative studies, 1 interview, 1 open- and closed-ended questionnaire and 1 systematic approach. 4 categories were created: integrated care and multidisciplinary approach, education and training of health professionals, public awareness and accessibility of palliative care, research and quality improvement in palliative care. DISCUSSION: During the literature review, we found that palliative care has a positive impact on the quality of life of patients and their relatives, but faces challenges such as lack of trained staff, limited resources and uneven access. Multidisciplinary collaboration is key to providing comprehensive care, but overload of health professionals reduces the possibility of an individualised approach. Lack of funding limits the development of new programmes and research. There is an urgent need for a systemic approach to palliative care in Slovenia in order to effectively manage the prolonged life expectancy and the increasing number of chronic diseases. Public awareness and education of health professionals are key to the future development of palliative care. paliativna oskrba potrebni ukrepi za paliativno oskrbo kakovost življenja paliativnih bolnikov multidisciplinarni pristopi v paliativni oskrbi palliative care palliative care interventions needed palliative patients' quality of life multidisciplinary approaches in palliative care true false false J. Vodan Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-06-26 15:46:12 2025-06-26 15:46:12 2025-06-27 03:11:02 0000-00-00 00:00:00 2024 0 Maribor 2024 Maribor 55 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-036.8-083(043.2) 240585731 DIP_Vodan_Julija_2024.pdf DIP_Vodan_Julija_2024.pdf 1 D93334E5E1D2B6B28D6518C2D507D950 e1e5f9678996b47988af494ca51a3b8769c0ffda3eaecf1bedb1b98f84b14b83 f3b96177-5293-11f0-8080-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=13736 Univerza Alma Mater Europaea 0 0 0