Author/Editor		Krnel, Tilen Tej; Skela-Savič, Brigita
Title		Enterostomalna zdravstvena nega otroka - pregled literature
Type		članek
Source		In: Medpoklicno povezovanje na različnih ravneh zdravstvenega varstva: trendi, potrebe in izzivi : zbornik predavanj z recenzijo : = proceedings of lectures with peer review Jesenice : Fakulteta za zdravstvo Angele Boškin
Publication year		2018
Volume		str. Str. 194-201
Language		slv
Abstract		Teoretična izhodišča: Subspecialno področje enterostomalne zdravstvene nege otroka je ozko usmerjeno, majhno v smislu populacije, ki ga pokriva ter polno izzivov. Namen prispevka je ugotoviti razvitost področja v smislu na dokazih podprte prakse. Metoda: Uporabljeni sta bili metoda sistematičnega pregleda literature ter metoda tematske analize z oblikovanjem kod in kategorij. Pregledali smo elektronsko bazo podatkov CINAHL. Iskali smo s pomočjo ključnih besed novorojenček, dojenček, otrok, stoma,, zdravstvena nega, enterostomalna zdravstvena nega v različnih kombinacijah, vse pa v angleškem jeziku. Rezultati: Pregledanih je bilo 5.387 virov. Prispevek predstavlja tematsko analizo izbranih 8 virov o izločalnih stomah. Bistvene ugotovitve člankov smo oblikovali v 65 kod, ki smo jih združili v 7 kategorij in sicer: pripomočki za nego stome; družina otroka s stomo; sodobni pripomočki za nego stome; vloga šole pri oskrbi otroka s stomo; umetnost enterostomalne ZN; na znanju temelječa enterostomalna ZN ter psiho-socialne potrebe otroka s stomo. Razprava: Ugotavljamo, da za subspecialno področje enterostomalne zdravstvene nege otroka (še) ne moremo trditi, da je na dokazih podprto, čeprav je opazen napredek. Največ dokazov prihaja s področja sodobnih silikonskih pripomočkov za oskrbo stom, zato lahko zaključimo, da je uporaba le-teh na dokazih podprta. Leta 2016 so bile oblikovane klinične smernice za oskrbo stom, ki pa niso specifično usmerjene na pediatrično populacijo. V tem vidimo priložnost za nadaljnji razvoj področja.Theoretical background: The sub special field of paediatric ostomy care nursing is very narrow, small and full of challenges. The aim of this article is to explore recent developments of the field in terms of evidence- -based practice. Methods: We conducted a systematic literature review and used the method of thematic analysis with the developments of codes and categories. We reviewed the CINAHL electronic database with key words in English, which were: new born, neonate, infant, baby, children, stoma, nursing, enterostomal nursing, ostomy care and ostomy nursing in different combinations. Results: We reviewed 5.387 references. The article represents the thematic analysis of the selected 8 articles about excretion stomas. The main findings were shaped into 65 codes and then united together in 7 categories. These are: the stoma care products; the family of the child with a stoma; new stoma care products; the role of the school in the care of the child with a stoma; the art of the paediatric ostomy nursing; knowledge- -based ostomy nursing and psycho-social needs of the child with a stoma. Discussion: We cannot say that the sub special field of paediatric ostomy care nursing is evidence-based, although there are some developments. There is evidence that the use of the silicone products in ostomy care is beneficial. Clinical Guidelines for Ostomy Care were developed in 2016, but they are not specific for the paediatric population. This is the opportunity for further development of the field.
Keywords		enterostomalna terapija stoma enterostomalni pripomočki nega stome ostomy nursing stoma stoma care products stoma care