| Author/Editor | Senekovič, Alenka; Fekonja, Zvonka; Vrbnjak, Dominika | |
| Title | Varnost pri aplikaciji intramuskularne injekcije | |
| Translated title | Safety in the administration of an intramuscular injection | |
| Type | članek | |
| Vol. and No. | Letnik 54, št. 2 | |
| Publication year | 2020 | |
| Volume | str. 164-177 | |
| ISSN | 1318-2951 - Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije | |
| Language | slv | |
| Abstract | Uvod: Aplikacija intramuskularne injekcije je pogosta intervencija v zdravstveni negi, ki za pacienta predstavlja potencialno varnostno tveganje. Namen raziskave je bil ugotoviti dejavnike, povezane z aplikacijo intramuskularne injekcije v glutealno področje, ki vplivajo na pozitivne in negativne izide pri pacientu. Metode: Izveden je bil sistematični pregled literature v podatkovnih bazah PubMed, Medline, ScienceDirect in CINAHL. V pregled so bili vključeni članki glede na ustreznost vsebine, vrsto raziskav, polno dostopnost, jezik ter objavo do decembra 2018. Iskanje je potekalo s pomočjo ključnih besed: "patient", "intramuscular dorsogluteal injection", "intramuscular ventrogluteal injection", "dorsogluteal site", "ventrogluteal site", "outcome", "injury", "safety", "complications", "pain". Kakovost posamičnih raziskav je bila ocenjena s pomočjo orodja National Heart Lung and Blood Institute. Zbrani podatki so bili sintetizirani z metodo analize vsebine. Rezultati: Izmed 95 identificiranih zadetkov je bilo v končno analizo vključenih 25. Ugotovitve so bile združene v pet kategorij, dejavnikov, ki vplivajo na varnost pri aplikaciji intramuskularne injekcije: značilnosti področja aplikacije ter konstitucionalne značilnosti pacientov, izbor področja in vbodnega mesta aplikacije, tehnika aplikacije intramuskularne injekcije, aspiracija in dejavniki, povezani z bolečino, in tehnike zmanjševanja bolečine. Diskusija in zaključek: Za zagotavljanje varnosti pri aplikaciji intramuskularne injekcije je potrebno poznavanje dejavnikov, ki vplivajo na izide pri pacientu. Zaradi ugotovljenih pomanjkljivosti v praksi bi bilo smiselno raziskati znanje zdravstvenih delavcev o aplikaciji intramuskularne injekcije.Introduction: Application of intramuscular injection administration is a frequent nursing intervention associated with potential safety risks for the patient. The aim of the study was to determine the factors related to the administration of an intramuscular injection which influence positive or negative patient outcomes. Methods: A systematic literature review was performed in PubMed, Medline, ScienceDirect and CINAHL databases. Relevant articles in terms of their content, type of study, accessibility, language and publication by December 2018 were included. The search was conducted using the following keywords: ''patient'', ''dorsogluteal injection'', ''intramuscular ventrogluteal injection'', ''dorsogluteal site'', ''ventrogluteal site'', ''outcome'', ''injury'', ''safety'', ''complications'' and ''pain''. The quality of individual studies was evaluated using the National Heart Lung and Blood Institute tools. The collected data were synthesized with a content analysis method. Results: From 95 identified hits, 25 were included in the analysis. The findings were grouped into five categories or factors that influence the safety of intramuscular injection administration: characteristics of the ventrogluteal and dorsogluteal injection sites, constitutional characteristics of patients, site selection and insertion point, the technique of intramuscular injection administration, aspiration and factors associated with pain and techniques for reducing the pain. Discussion and conclusion: It is necessary to know the factors that influence patient outcomes to ensure a safe intramuscular injection administration. Due to the observed shortcomings in clinical practice, the knowledge of health care workers regarding the intramuscular injection administration should be investigated. | |
| Keywords | dejavniki zdravstvena nega parenteralno dajanje zdravil injekcije pacienti healthcare nursing parenteral drug administration influential factors patients |