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Lajšanje srbenja pri bolniku s psoriazo : diplomsko delo
ID Ravnikar, Urška (Avtor), ID Bobnar, Albina (Mentor) Več o mentorju... Povezava se odpre v novem oknu

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Izvleček
Uvod: Srbenje je eden izmed najbolj izraženih simptomov pri bolnikih s psoriazo. Vsak posameznik različno izraža občutke srbenja, prav tako tudi vsak individualno ocenjuje, koliko ga srbi. Bolniki srbenje opisujejo kot zelo obremenjujoče stanje, ki pomembno vpliva na njihov vsakdan in medsebojne odnose. Poslabša se lahko ob določenem vedenju ali izpostavljenosti bolnika različnim vplivom. Lajšati ga je mogoče na farmakološke in nefarmakološke načine. Namen: Namen diplomskega dela je predstaviti možnosti lajšanja srbenja pri bolnikih s psoriazo. Metode dela: V diplomskem delu je uporabljena deskriptivna metoda dela s sistematičnim pregledom literature, iskane v podatkovnih bazah CINAHL in Medilne (PubMed) preko oddaljenega dostopa Zdravstvene fakultete Univerze v Ljubljani in bibliografske baze podatkov COBISS. SI. Zbiranje literature je potekalo od junija 2017 do februarja 2018. Časovna omejitev je obsegala članke, objavljene od leta 2008 do 2018. Za prikaz rezultatov je uporabljenih 24 člankov. Rezultati so predstavljeni v tabelah glede na teme: izražanje občutkov srbenja, vzroki za poslabšanje, ocenjevalne lestvice, lajšanje srbenja pri bolnikih s psoriazo ter negativni vplivi in posledice srbenja. Rezultati: Ugotovili smo, da je srbenje najpogosteje opisano kot žgoč in zbadajoč občutek. Bolniki o poslabšanju srbenja poročajo predvsem v zimskih mesecih, ko je pomanjkanje sonca ter je zrak hladen in suh. Najpogosteje je za oceno srbenja uporabljena vizualna analogna lestvica. Novost na področju lajšanja srbenja pri bolnikih s psoriazo sta sistemski zdravili apremilast in ixekizumab, lokalno zdravljenje pa TrkA kinase inhibitor CT327. Dobra terapevtska možnost je klimatoterapija. Kot dopolnilo k lajšanju srbenja ter posledic, ki nastanejo v raziskavah, priporočajo psihološke intervencije, izobraževanja in programe, ki učijo, kako miselno nadzorovati srbenje. Pri zdravljenju psoriaze, kjer se uporablja tudi ozkopasovna ultraviolična B fototerapija, je opisano poslabšanje oz. pojav srbenja. Razprava in zaključek: Srbenje predstavlja zapleten in večplasten problem, ki preprečuje normalen potek bolnikovega vsakdana. Na področju lajšanja srbenja pri bolnikih s psoriazo je viden napredek, saj je bilo v zadnjem desetletju objavljenih več raziskav, s katerimi so bile odkrite pomembne ugotovitve na področju lajšanja srbenja, ki bodo pripomogle k bolj kakovostnemu življenju bolnikov, ki jim srbenje povzroča stisko.

Jezik:Slovenski jezik
Ključne besede:občutenje srbenja, ocenjevanje, zdravljenje, posledice
Vrsta gradiva:Diplomsko delo/naloga
Organizacija:ZF - Zdravstvena fakulteta
Leto izida:2018
PID:20.500.12556/RUL-102753 Povezava se odpre v novem oknu
COBISS.SI-ID:5478763 Povezava se odpre v novem oknu
Datum objave v RUL:07.09.2018
Število ogledov:1329
Število prenosov:317
Metapodatki:XML RDF-CHPDL DC-XML DC-RDF
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Sekundarni jezik

Jezik:Angleški jezik
Naslov:Relieve itching in patient with psoriasis : diploma work
Izvleček:
Introduction: Itching is one of the most expressed symptoms with patients suffering from psoriasis. Every patient describes the itching feeling differently and each individually assesses how much it itches. Itching worsens due to certain behaviour or a patient’s exposure to different influences. Psoriasis patients ease itching by using pharmacological and non-pharmacological ways. Patients describe itching as extremely onerous condition, which significantly affects their daily routine and relationship with other people. Aim: The aim of the paper is to present different possibilities of easing the itching with psoriasis patients. Methods: In the paper, a descriptive method with systematic literature overview was used. The databases CHINAL and Medilne (PubMed) were looked at by using remote access in Faculty of Health Sciences University in Ljubljana. Literature collection took place from January 2017 to February 2018. Time limit encompassed the articles published from the year of 2018 to 2018. Twenty-four articles have been used to present the results. The results are presented in tables according to topics: exposure to itching and the reasons for it getting worse, an evaluation scale, easing the itching with psoriasis patients, and negative effects and consequences of itching. Results: We found out that itching is usually described as burning and stabbing feeling. Patients report that itching gets worse in the winter months when the air is cold and dry, and there is a lack of exposure to the sun. The most common technique to measure itching is a visual analogue scale. A novelty in the area of easing the itching feeling with psoriasis patients are systemic remedies apremilast and ixekizumab, and TrkA kinase inhibitor CT327 as local treatment. A good therapeutic possibility is phototherapy. As a supplement to easing the itching feeling and the consequences which arise, psychological interventions, education and programme about mental supervision of itching are recommended in the research studies. It is described that with narrowband ultraviolet B phototherapy the condition gets worse or itching occurs. Discussion and conclusion: Itching represents a complex and multifaceted problem that prevents the normal life of the patient. There is a visible progress in the area of easing the itching feeling with psoriasis patients as there have been several research studies published over the last decade, which brought significant findings that will help the psoriasis patients, who are in distress due to the itching feeling, to a more quality life.

Ključne besede:itching sensation, assessment, treatment, consequences

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