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Spanje novorojenčka v intenzivni enoti : diplomsko delo
ID Vavtar, Neža (Author), ID Vettorazzi, Renata (Mentor) More about this mentor... This link opens in a new window, ID Thaler, Darja (Reviewer)

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Abstract
Uvod: Spanje je človekova potreba; pri dojenčkih so vzorci spanca drugačni kot pri odrasli populaciji. Med spanjem se izločajo pomembni hormoni: melatonin, rastni hormoni, dehidroepiandrosteron in spolni hormoni. Spanje je pomembno za razvoj možganov. Pri novorojenčkih, zdravljenih v intenzivni enoti, se lahko zaradi potreb po zdravljenju zanemari potrebe po spanju. Namen: Predstaviti pomen spanja za novorojenčka. Metode dela: Uporabljena je bila deskriptivna metoda dela s pregledom literature. Pregledana in analizirana je bila literatura, napisana v slovenskem ali angleškem jeziku. Literatura je bila iskana s pomocˇjo podatkovnih baz CINAHL, Pubmed, Medline in Science Direct, v cˇasu od aprila do maja 2023. Rezultati: S pregledom literature je bilo ugotovljeno, da ima spanje pomemben vpliv na novorojenčke. Pregledane študije dokazujejo pomemben vpliv kenguru materine nege, Yanksonovega dotika in nežnega človekovega dotika na spanje. Koristno bi bilo zmanjšati število stikov, medtem ko je novorojenček v aktivni fazi spanja. Spanje bi se moralo v intenzivni enoti proučevati kot osnova za zagotavljanje nevroprotektivne nege. Medicinske sestre lahko pripomorejo k boljšemu spanju pacientov z upravljanjem okolja, s tehnikami sproščanja in terapevtskim pozicioniranjem. Razprava in zaključek: S pregledom literature smo ugotavljali, da ima spanje pomemben vpliv na novorojenčka. Merjenje spanja z opazovalnimi lestvicami, EGG-ja ter drugimi metodami bi lahko povečalo ozaveščenost o pomenu spanja za zdravje novorojenčkov v intenzivni enoti. Verjetnost pojava hipopneje je po manipulaciji bistveno višja pri dojenčkih v aktivnem spanju v primerjavi z drugimi stanji. Različne študije ugotavljajo povezanost nevroloških težav s spanjem. Spodbujanje in zaščita spanja je pomembna za izvajanje nevroprotektivne nege v intenzivni enoti.

Language:Slovenian
Keywords:diplomska dela, zdravstvena nega, spanje, novorojenček, intenzivna enota, medicinska sestra, aktivno spanje, mirno spanje
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[N. Vavtar]
Year:2024
Number of pages:31 str.
PID:20.500.12556/RUL-159418 This link opens in a new window
UDC:616-083
COBISS.SI-ID:201294083 This link opens in a new window
Publication date in RUL:10.07.2024
Views:241
Downloads:29
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Secondary language

Language:English
Title:Newborn sleep in intensive care unit : diploma work
Abstract:
Introduction: Sleep is a fundamental human need, and in infants, sleep patterns differ from those in the adult population. During sleep, important hormones such as melatonin, growth hormones, dehydroepiandrosterone, and sex hormones are secreted. Sleep is crucial for brain development. In newborns treated in intensive care units, the need for sleep can be neglected due to treatment requirements. Purpose: To highlight the importance of sleep for newborns. Methods: A descriptive method was used, reviewing literature written in Slovenian or English. Literature was searched using databases such as CINAHL, Pubmed, Medline, and Science Direct from April to May 2023. Results: The literature review revealed that sleep significantly impacts newborns. Reviewed studies demonstrate the significant impact of kangaroo mother care, Yankson's touch, and gentle human touch on sleep. It would be beneficial to reduce the number of interactions during the newborn's active sleep phase. Sleep should be studied in intensive care units as a basis for providing neuroprotective care. Nurses can contribute to better sleep for patients by managing the environment, using relaxation techniques, and therapeutic positioning. Discussion and conclusion: The literature review indicates that sleep has a significant impact on newborns. Measuring sleep using observational scales, EEGs, and other methods could raise awareness about the importance of sleep for the health of newborns in intensive care units. The likelihood of hypopnea occurring after manipulation is significantly higher in infants during active sleep compared to other states. Various studies find a connection between neurological issues and sleep. Promoting and protecting sleep is essential for implementing neuroprotective care in intensive care units.

Keywords:diploma theses, nursing care, sleep, newborn, intensive care unit, nurse, active sleep, quiet sleep

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