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Title: OBRAVNAVA ODONTOGENIH ABSCESOV PO PROCESU ZDRAVSTVENE NEGE Authors: ID Avdić, Sead (Author) ID Laznik, Gorazd (Mentor) More about this mentor... Files: 3877$$Sead_Avdic_diplomska_naloga.pdf (1016,21 KB) MD5: 42228C68E8BA320B10B08ABCFFA81F53   Language: Slovenian Work type: Bachelor thesis/paper Organization: UNM FZV - University of Novo mesto - Faculty of Health Sciences Abstract: Teoretična izhodišča: Teoretična izhodišča naloge temeljijo na procesnem pristopu v zdravstveni negi in strokovni obravnavi pacientov z odontogenimi abscesi, ki vključuje diagnostiko, terapijo, preprečevanje zapletov in zdravstveno vzgojo. Medicinske sestre se v tem kontekstu soočajo z zahtevnimi kliničnimi situacijami, potrebo po učinkoviti komunikaciji, izobraževanju pacientov ter zagotavljanju varne in celostne oskrbe. Poudarjena je njihova vloga v vseh fazah obravnave, zlasti pri spremljanju stanja, lajšanju bolečin in spodbujanju samostojne skrbi za ustno zdravje. S tem smo sledili namenu raziskave, ki je bil: opredeliti obravnavo pacientov z odontogenim abscesom po procesu zdravstvene nege. Metodologija: Raziskava je temeljila na kvalitativnem pristopu in deskriptivni metodi dela. Podatke smo zbrali s polstrukturiranimi intervjuji, izvedenimi junija 2025, z namenskim vzorcem šestih zdravstvenih delavcev s tremi ali več leti delovnih izkušenj na področju maksilofacialne kirurgije. Vprašanja, oblikovana na podlagi strokovne literature, so zajemala diagnostiko, zdravljenje, lajšanje bolečine, vlogo medicinskih sester in klinične izzive. Teoretični del temelji na pregledu virov iz podatkovnih baz, kot so PubMed, SpringerLink, Google Učenjak, Cobiss in knjižnica Univerze v Novem mestu. Rezultati: Rezultati intervjujev kažejo, da se pri obravnavi odontogenih abscesov najpogosteje uporabljajo klinični pregled in laboratorijski testi. Z zgodnjo diagnozo je okrevanje hitrejše, manj je zapletov. Zdravljenje običajno vključuje kirurški poseg in medikamentozno terapijo. Medicinske sestre pripravijo pacienta, ga spremljajo po posegu, izobražujejo in pomagajo lajšati bolečine. Glavne ovire so nesodelovanje pacientov, slaba ustna higiena in nerazumevanje navodil. Anketiranci poudarjajo pomen stalnega strokovnega izobraževanja in večje vključenosti pacientov v preventivo. Razprava: V razpravi smo celovito obravnavali pet raziskovalnih vprašanj, ki so osvetlila najpomembnejše vidike obravnave pacientov z odontogenimi abscesi. Ugotovili smo, da so v klinični praksi najpogostejši kombinirani diagnostični pristopi, pri čemer je temelj klinični pregled, dopolnjujejo pa ga laboratorijske in slikovne preiskave. Terapevtski ukrepi vključujejo empirično antibiotično terapijo in kirurško drenažo, pri čemer je pomembna izbira antibiotika na osnovi antibiograma. Bolečino najpogosteje lajšamo s kombinirano analgezijo, dopolnjeno s psihološko podporo. Medicinske sestre pri tem spremljajo učinkovitost terapije in nudijo čustveno oporo pacientu. Izobraževanje pacientov o ustni higieni je ključni preventivni dejavnik, a pogosto neformalen, zato bi bilo smiselno razviti strukturirane izobraževalne pristope. Zdravstveno osebje se sooča z izzivi, kot so nesodelovanje pacientov, jezikovne ovire in nizka zdravstvena pismenost. Vloga medicinske sestre je osrednja v vseh fazah oskrbe – od priprave pacienta, preko pooperativne nege do izobraževanja – in močno vpliva na izid zdravljenja in preprečevanje zapletov. Keywords: Odontogeni abscesi, proces zdravstvene nege, vloga medicinske sestre, ustna higiena. Year of publishing: 2025 PID: 20.500.12556/ReVIS-12183  Publication date in ReVIS: 12.09.2025 Views: 58 Downloads: 0 Metadata:    Cite this work Plain text BibTeX EndNote XML EndNote/Refer RIS ABNT ACM Ref AMA APA Chicago 17th Author-Date Harvard IEEE ISO 690 MLA Vancouver : Copy citation

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Language:	English
Title:	TREATMENT OF ODONTOGENIC ABSCESSES TROUGH THA PROVESS OF HEALTHCARE
Abstract:	Theoretical starting points: The theoretical basis of the thesis is based on a process approach in nursing and professional treatment of patients with odontogenic abscesses, which includes diagnostics, therapy, prevention of complications, and health education. In this context, nurses are faced with challenging clinical situations, the need for effective communication, patient education, and the provision of safe and comprehensive care. Their role in all phases of treatment is emphasized, especially in monitoring the condition, relieving pain, and promoting independent oral health care. In this way, we followed the purpose of the research, which was to define the treatment of patients with odontogenic abscess according to the nursing process. Methodology: The research was based on a qualitative approach and a descriptive research method. Data were collected through semi-structured interviews conducted in June 2025 with a purposive sample of six healthcare professionals, each with at least three years of experience in the field of maxillofacial surgery. The questions, developed based on relevant professional literature, covered diagnostics, treatment, pain management, the role of nurses, and challenges in clinical practice. The theoretical part was based on a review of scientific and professional literature available through databases such as PubMed, SpringerLink, Google Scholar, COBISS, and the library of the University of Novo Mesto. Results: The interview results show that clinical examination and laboratory tests are most commonly used in managing odontogenic abscesses. Early diagnosis is crucial for faster recovery and fewer complications. Treatment typically includes surgical intervention and medication. Nurses play a key role in patient preparation, postoperative monitoring, education, and pain management. The main obstacles include poor patient cooperation, inadequate oral hygiene, and lack of understanding. Respondents emphasize the importance of continuous professional education and greater patient involvement in preventive care. Discussion: The discussion addressed five research questions, providing a comprehensive analysis of key aspects of managing patients with odontogenic abscesses. It was found that combined diagnostic approaches are most commonly used in clinical practice, with physical examination being essential and supported by laboratory and imaging tests. Therapeutic measures include empirical antibiotic therapy and surgical drainage, with the selection of antibiotics based on antibiogram results being particularly important. Pain is most often managed with combined analgesia, supplemented by psychological support. Nurses monitor the effectiveness of therapy and provide emotional support to the patient. Patient education on oral hygiene emerged as a crucial preventive factor, yet it often occurs informally. Therefore, the development of structured educational strategies is advisable. Healthcare professionals face challenges such as lack of patient cooperation, language barriers, and low health literacy. The role of the nurse is central in all phases of care – from patient preparation and postoperative monitoring to education – and significantly influences treatment outcomes and complication prevention.
Keywords:	Odontogenic abscesses, nursing care process, role of the nurse, oral hygiene.

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