20.500.12556/ReVIS-12725 Obravnava diabetičnega stopala po procesu zdravstvene nege Management of Diabetic Foot Under the Nursing Care Proess Izhodišča: Diabetično stopalo je zapleteno zdravstveno stanje, ki je preplet različnih okužb, poškodb in drugih motenj stopala, povezanih s sladkorno boleznijo. Potek zdravljenja je močno odvisen od stopnje in resnosti bolezni ter splošnega zdravstvenega stanja pacienta. Ključno vlogo pri uspešni rehabilitaciji ima dobro zasnovan načrt zdravstvene nege, ki mora biti celosten in individualno prilagojen. Pomembna sta zgodnje odkrivanje in ustrezno izobraževanje pacienta o njegovem stanju. Zaradi kompleksnosti obravnave se uveljavlja interdisciplinarni pristop, ko več strokovnjakov sodeluje pri oblikovanju in izvajanju načrta oskrbe. Namen raziskave je predstaviti pomen preventivnih ukrepov, natančne diagnoze in celostnega zdravljenja, ki temelji na multidisciplinarnem pristopu. Metode: V raziskovalnem delu smo uporabili kvalitativni raziskovalni pristop in deskriptivno metodo dela. Za potrebe empiričnega dela smo zbrali in anlizirali primarne in sekundarne vire. Primarni podatki so bili pridobljeni s tehniko intervjuja. Vir podatkov za teoretični in empirični del naloge je prav tako pregled strokovne in znanstvene literature iz podatkovnih baz COBISS, PubMed, Google scholar, DKUM in ScienceDirect. Rezultati: V raziskavo smo vključili namenski vzorec, ki je vključeval šest posameznic, ki so zaposlene v zdravstveni dejavnosti in aktivno vključene v obravnavo pacientov pri zdravstveni negi diabetičnega stopala. Intervjuvanke najpogosteje izvajajo celovite preglede diabetičnega stopala, uporabljajo tehnike za preprečevanje ran in prilagajajo obravnavo potrebam posameznika. Ovire v praksi so pomanjkanje opreme, časa in ustreznega znanja. Intervjuvanke poudarjajo pomen redne nege, izobraževanje pacientov in zgodnjega prepoznavanja zapletov. Za uspešno zdravljenje je pomembno interdisciplinarno sodelovanje, prilagajanje oskrbe in redno spremljanje stanja. Pacienti in svojci v procesu sodelujejo neposredno in z izobraževanji. Razprava: Analiza intervjujev kaže, da zdravstveni delavci dobro poznajo posamezne faze zdravstvene obravnave diabetičnega stopala in njihov pomen pri preprečevanju zapletov. Še posebej izpostavljajo pomen zgodnjega prepoznavanja tveganj, saj lahko pravočasno ukrepanje bistveno zmanjša možnost razvoja resnejših poškodb in pospeši proces okrevanja. Ugotavljamo še, da je pomembna tudi faza celostne rehabilitacije, pri kateri je v ospredju pacient kot celostna oseba, tako v fizičnem kot v psihološkem smislu. Pri tem različni strokovnjaki s svojim znanjem dopolnjujejo obravnavo. Intervjuvanke poudarjajo pomen multidisciplinarnega pristopa, saj ta omogoča širši pogled na problematiko, razbremeni kader in učinkoviteje rešuje zaplete. Background: Diabetic foot represents a complex medical condition that involves a combination of various infections, injuries, and other foot disorders associated with diabetes. The course of treatment largely depends on the stage and severity of the disease, as well as the patient’s overall health status. A well-designed nursing care plan plays a key role in successful rehabilitation and must be both comprehensive and individually tailored. Early detection and appropriate patient education about their condition are also of great importance. Due to the complexity of care, an interdisciplinary approach is increasingly being adopted, where multiple healthcare professionals collaborate in the development and implementation of the care plan. The aim of this research is to highlight the importance of preventive measures, accurate diagnosis, and holistic treatment based on a multidisciplinary approach. Methods: We used a qualitative research approach and a descriptive method of work. Primary data were obtained using the interview technique with a pre-prepared question template for a semi-structured interview. For the theoretical part of the thesis, we used primary and secondary sources obtained from the databases COBISS, PubMed, Google Scholar and the university library. Results: We included a purposive sample in the study, which included six individuals who are employed in healthcare and therefore actively involved in the treatment of patients with diabetic foot. The interviewees most often perform comprehensive diabetic foot examinations, use wound prevention techniques, and adapt treatment to the needs of the individual. In practice, obstacles such as lack of equipment, time, and appropriate knowledge arise. The interviewees emphasize the importance of regular care, patient education, and early recognition of complications. Interdisciplinary cooperation, adaptation of care, and regular monitoring of the condition are important for successful treatment. Patients and relatives are involved in the entire process through education and direct participation. Discussion: The analysis of the interviews indicates that healthcare professionals are well acquainted with the various stages of diabetic foot care and understand their importance in preventing complications. They particularly emphasize the significance of early risk identification, as timely intervention can significantly reduce the likelihood of more severe injuries and accelerate the recovery process. It is also evident that, in addition to early intervention, the phase of comprehensive rehabilitation is crucial focusing on the patient as a whole, both physically and psychologically. Various professionals play an essential role in this process, contributing their expertise to enrich the overall care. The interviewees highlight the importance of a multidisciplinary approach, as it enables a broader perspective on the issue, reduces the burden on individual staff members, and contributes to more effective complication management. celostna obravnava zdravstvena vzgoja multidisciplinarni pristop zgodnje odkrivanje kronični zaplet. holistic care health education multidisciplinary approach early detection chronic complication. true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-12-12 19:36:12 2025-12-12 19:36:12 2026-02-02 11:32:48 0000-00-00 00:00:00 2025 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 24820 261500931 DIP_Bostjancic_Grega_2025.pdf DIP_Bostjancic_Grega_2025.pdf 1 F9E831280426243AD135F5CE227F2C4F 6197ee25007a93e97b19a7517aca588df039a367c24b7d76e82d80c565c4b41a 6f5edd43-d789-11f0-94a7-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=14965 Univerza v Novem mestu - Fakulteta za zdravstvene vede 0 0 0