20.500.12556/RUL-183550 Sindrom karpalnega kanala pri medicinskih sestrah diplomsko delo Carpal tunnel syndrome among nurses diploma work Uvod: Sindrom karpalnega kanala je najpogostejša periferna nevropatija, ki nastane zaradi utesnitve medianega živca ob prehodu skozi zapestni kanal. Sindrom karpalnega kanala predstavlja pomemben zdravstveni problem, saj povzroča bolečine, motnje senzibilitete in motorike in posledično zmanjšano funkcionalnost roke, kar lahko vodi v zmanjšano delovno sposobnost. Diplomsko delo posebej izpostavlja pojavnost sindroma karpalnega kanala pri medicinskih sestrah, saj njihov poklic vključuje številne ponavljajoče se gibe zapestja. Namen: Namen diplomskega dela je bil s pregledom strokovne in znanstvene literature predstaviti sindrom karpalnega kanala, njegove anatomske in patofiziološke značilnosti, diagnostiko, preprečevanje ter zdravljenje, s posebnim poudarkom na pojavnosti pri medicinskih sestrah. Metode dela: Uporabljena je bila deskriptivna metoda dela s pregledom literature v slovenskih in tujih podatkovnih bazah (PubMed, Medline, Cinahl, Elsevier, Science Direct, COBISS, Google učenjak). Iskanje je temeljilo na ključnih besedah v slovenskem in angleškem jeziku. Iskanje, zbiranje in analiza literature so potekali med julijem 2024 in avgustom 2025. V analizo je bilo vključenih 43 enot literature. Rezultati: Pregled literature kaže, da je sindrom karpalnega kanala posledica povečanega tlaka v anatomsko omejenem osteofibroznem prostoru, kar vodi v motnje mikrocirkulacije, demielinizacijo in v napredovalih primerih tudi aksonsko okvaro medianega živca. Diagnostika temelji na kombinaciji kliničnih testov, vprašalnika BCTQ ter slikovnih in elektrodiagnostičnih preiskav, pri čemer imajo elektrodiagnostične metode ključno vlogo pri potrditvi diagnoze in oceni resnosti okvare. Analiza literature kaže, da je sindrom karpalnega kanala razširjen predvsem v poklicih s ponavljajočimi se gibi zapestja, kamor sodi tudi zdravstvena nega. Tuje raziskave poročajo o visoki prevalenci sindroma med medicinskimi sestrami, pri čemer so kot pomembni dejavniki tveganja izpostavljeni starost nad 30 let, daljša delovna doba ter neugodni delovni položaji. V slovenskem prostoru je na tem področju zaznati pomanjkanje raziskav. Ugotovitve obenem poudarjajo pomen ergonomskih in organizacijskih ukrepov ter zgodnjega ukrepanja za preprečevanje napredovanja bolezni. Zdravljenje je lahko tako nekirurško kot kirurško. Razprava in zaključek: Sindrom karpalnega kanala pomembno vpliva na kakovost življenja in delovno zmožnost medicinskih sester. Ker za slovenski prostor ni zadostnih podatkov, bi bila smiselna izvedba obsežnejše raziskave, ki bi omogočila oblikovanje učinkovitih preventivnih ukrepov in strategij zdravljenja. Introduction: Carpal tunnel syndrome is the most common peripheral neuropathy caused by compression of the median nerve within the carpal tunnel. It represents an important health problem, as it causes pain, sensory and motor disturbances, and consequently reduced hand function, which may lead to decreased work ability. This thesis particularly highlights the prevalence of carpal tunnel syndrome among nurses, whose profession involves frequent repetitive wrist movements. Purpose: This thesis aimed to review professional and scientific literature on the anatomy and pathophysiology of the carpal tunnel, clinical features, diagnostics, prevention, and treatment of carpal tunnel syndrome, with emphasis on its prevalence among nurses. Methods: A descriptive method was applied, with a review of literature in Slovenian and international databases (PubMed, Medline, Cinahl, Elsevier, Science Direct, COBISS, Google Scholar). The search was based on keywords in both Slovenian and English. The search, collection, and analysis of literature were conducted between July 2024 and August 2025. A total of 43 sources were included in the analysis. Results: A review of the literature indicates that carpal tunnel syndrome results from increased pressure within an anatomically confined osteofibrous space, leading to impaired microcirculation, demyelination, and, in advanced cases, axonal damage of the median nerve. Diagnosis is based on a combination of clinical tests, the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ), and imaging and electrodiagnostic studies, with electrodiagnostic testing playing a key role in confirming the diagnosis and assessing the severity of nerve impairment. The literature further shows that carpal tunnel syndrome is particularly prevalent in occupations involving repetitive wrist movements, including nursing. International studies report a high prevalence of the syndrome among nurses, with age over 30 years, longer duration of employment, and unfavourable working postures identified as significant risk factors. In Slovenia, however, there is a noticeable lack of research in this field. The findings also emphasize the importance of ergonomic and organizational measures, as well as early intervention, to prevent disease progression. Treatment may be either conservative or surgical, depending on the severity of the condition. Discussion and conclusion: Carpal tunnel syndrome evidently has an enormous impact on the living standard and work capability of nurses. As the data for the Slovenian environment is lacking, a large-scale study would enable the development of suitable preventive and treatment measures. diplomska dela zdravstvena nega sindrom karpalnega kanala mediani živec medicinske sestre ergonomija zdravljenje diploma theses nursing care carpal tunnel syndrome median nerve nurses ergonomics treatment true false false [S. Kresevič] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-06-14 07:45:36 2026-06-14 07:45:48 2026-06-15 08:47:44 0000-00-00 00:00:00 2026 0 Ljubljana 0 Ljubljana XII, 35 str., [1] str. pril. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083 160082 281572099 59340.pdf 59340.pdf 1 07E8EAD939DC4CED8B378D2E10DF568E b598ab72f87377f6716b6adfba998ed9984e16264e7c1cf9619aa10cc4863302 42147a4c-67b4-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=235613 Zdravstvena fakulteta 0 0 0