{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T10:00:01Z","timestamp":1783764001902,"version":"3.55.0"},"reference-count":26,"publisher":"Akademiai Kiado Zrt.","issue":"21","license":[{"start":{"date-parts":[[2023,5,28]],"date-time":"2023-05-28T00:00:00Z","timestamp":1685232000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2023,5,28]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A felfekv\u00e9s (decubitus) a nyom\u00e1snak kitett helyeken\n                    kialakul\u00f3 seb a b\u0151r\u00f6n \u00e9s a subcutisban. Els\u0151sorban id\u0151s, nem mobilis egy\u00e9nekben\n                    fordul el\u0151, melynek megel\u0151z\u00e9se \u00e9s kezel\u00e9se nemcsak orvosi \u00e9s \u00e1pol\u00f3i r\u00e9szv\u00e9telt,\n                    hanem anyagi r\u00e1ford\u00edt\u00e1st is ig\u00e9nyel. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    Tanulm\u00e1nyunkban a dokumentumelemz\u00e9st k\u00f6vet\u0151en az \u00e1llami k\u00f3rh\u00e1zak k\u00f6r\u00e9ben 2022.\n                    m\u00e1sodik negyed\u00e9v\u00e9ben v\u00e9gzett decubitusfelm\u00e9r\u00e9s relev\u00e1ns eredm\u00e9nyeit ismertetj\u00fck\n                    a decubitusprevenci\u00f3 \u00e9s -ell\u00e1t\u00e1s szervezeti \u00e9s menedzsmenti t\u00e9nyez\u0151ire\n                    f\u00f3kusz\u00e1lva. <jats:italic>M\u00f3dszer:<\/jats:italic> Az orsz\u00e1gos felm\u00e9r\u00e9s a decubitusell\u00e1t\u00e1s\n                    szempontj\u00e1b\u00f3l relev\u00e1ns int\u00e9zm\u00e9nyi k\u00f6rt tekintve teljes k\u00f6r\u0171 volt, a bev\u00e1logat\u00e1si\n                    krit\u00e9riumok meghat\u00e1roz\u00e1s\u00e1t k\u00f6vet\u0151en 86 int\u00e9zm\u00e9ny gyakorlat\u00e1r\u00f3l kaptunk k\u00e9pet a\n                    2019. b\u00e1zis\u00e9vre vonatkoz\u00f3an. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A hazai \u00e9s az eur\u00f3pai\n                    uni\u00f3s szakmapolitikai dokumentumok, szab\u00e1lyoz\u00f3k \u00e9s strat\u00e9giai dokumentumok\n                    \u00e1ttekint\u00e9se \u00e9s rendszerez\u00e9se sor\u00e1n meg\u00e1llap\u00edthat\u00f3, hogy a felfekv\u00e9s prevenci\u00f3ja\n                    \u00e9s ell\u00e1t\u00e1sa t\u00f6bb fejleszt\u00e9spolitikai c\u00e9lkit\u0171z\u00e9shez illeszthet\u0151, el\u0151fordul\u00e1si\n                    gyakoris\u00e1ga az eg\u00e9szs\u00e9g\u00fcgyi szektor min\u0151s\u00e9gi indik\u00e1torak\u00e9nt jelenik meg.\n                        <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic> Az \u00e1ltalunk megtervezett \u00e9s elv\u00e9gzett orsz\u00e1gos\n                    decubitusfelm\u00e9r\u00e9s eredm\u00e9nyei alapj\u00e1n elmondhat\u00f3, hogy a hazai j\u00f3gyakorlatok\n                    szigetszer\u0171en m\u0171k\u00f6dnek, jelent\u00e9si rendszer\u00fcnk inhomog\u00e9n, a dokument\u00e1ci\u00f3 nem\n                    egys\u00e9ges az int\u00e9zm\u00e9nyrendszer\u00fcnkben. A 86 int\u00e9zm\u00e9nyb\u0151l 17 rendelkezik \u00faj kelet\u0171\n                    (2021\u20132022), int\u00e9zm\u00e9nyi szint\u0171 decubitusell\u00e1t\u00e1st szab\u00e1lyoz\u00f3 dokumentummal,\n                    melyek az int\u00e9zm\u00e9nyek 17%-\u00e1ban 2010 vagy az el\u0151tti keltez\u00e9s\u0171ek. A szab\u00e1lyoz\u00f3\n                    dokumentumok fel\u00fclvizsg\u00e1lati hat\u00e1lya az int\u00e9zm\u00e9nyek 10%-\u00e1ban el\u0151 van \u00edrva. A\n                    vizsg\u00e1lt int\u00e9zm\u00e9nyek k\u00f6z\u00fcl 61 int\u00e9zm\u00e9ny (71%) m\u0171k\u00f6dtet decubitusteamet, 55\n                    int\u00e9zm\u00e9ny (64%) haszn\u00e1l profilaktikus k\u00f6tszereket. Hi\u00e1nyoznak a szakmai\n                    monitoringmutat\u00f3k, min\u0151s\u00e9gi indik\u00e1torok, esetlegesek az int\u00e9zm\u00e9nyi szint\u0171\n                    r\u00e1ford\u00edt\u00e1selemz\u00e9sek, kontrolling jelleg\u0171 visszamutat\u00e1sok, melyek a k\u00f6lts\u00e9g- \u00e9s\n                    k\u00f6lts\u00e9ghat\u00e9konys\u00e1gi elemz\u00e9sek alapj\u00e1t k\u00e9pezhetn\u00e9k.\n                        <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> T\u00f6bb szervezeti \u00e9s menedzsmenti int\u00e9zked\u00e9st\n                    \u00e9rint\u0151 javaslatunk mellett a vonatkoz\u00f3 szakmai ir\u00e1nyelv meg\u00faj\u00edt\u00e1s\u00e1t \u00e9s az\n                    egys\u00e9ges int\u00e9zm\u00e9nyi jelent\u00e9si rendszer bevezet\u00e9s\u00e9t is szorgalmazzuk. Orv Hetil.\n                    2023; 164(21): 821\u2013830.<\/jats:p>","DOI":"10.1556\/650.2023.32761","type":"journal-article","created":{"date-parts":[[2023,5,28]],"date-time":"2023-05-28T09:47:28Z","timestamp":1685267248000},"page":"821-830","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":5,"title":["A felfekv\u00e9s (decubitus) ell\u00e1t\u00e1s\u00e1nak \u00e9s megel\u0151z\u00e9s\u00e9nek szakmapolitikai megk\u00f6zel\u00edt\u00e9se"],"prefix":"10.1556","volume":"164","author":[{"given":"Borb\u00e1la","family":"Cseh","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Doktori Iskola Budapest Magyarorsz\u00e1g"},{"name":"Miskolci Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Elm\u00e9leti Eg\u00e9szs\u00e9gtudom\u00e1nyi Int\u00e9zet Miskolc Magyarorsz\u00e1g"},{"name":"Med-Econ Hum\u00e1n Szolg\u00e1ltat\u00f3 Kft. Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gyula","family":"Kincses","sequence":"additional","affiliation":[{"name":"Magyar Orvosi Kamara Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zolt\u00e1n","family":"Balogh","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Doktori Iskola Budapest Magyarorsz\u00e1g"},{"name":"Magyar Eg\u00e9szs\u00e9g\u00fcgyi Szakdolgoz\u00f3i Kamara Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Csaba L\u00e1szl\u00f3","family":"D\u00f3zsa","sequence":"additional","affiliation":[{"name":"Miskolci Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Elm\u00e9leti Eg\u00e9szs\u00e9gtudom\u00e1nyi Int\u00e9zet Miskolc Magyarorsz\u00e1g"},{"name":"Med-Econ Hum\u00e1n Szolg\u00e1ltat\u00f3 Kft. Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref0","unstructured":"1 Protocol of the Hungarian Ministry of Health on the risk estimation, prevention and treatment of decbitus. [Az Eg\u00e9szs\u00e9g\u00fcgyi Miniszt\u00e9rium szakmai protokollja. A decubitus rizik\u00f3felm\u00e9r\u00e9se, prevenci\u00f3ja \u00e9s kezel\u00e9se. K\u00e9sz\u00edtette: az \u00c1pol\u00e1si Szakmai Koll\u00e9gium.] Available from: https:\/\/kollegium.aeek.hu\/Iranyelvek\/Index [accessed: February 28, 2023]. [Hungarian]"},{"key":"ref1","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1046\/j.1440-1584.2000.00248.x","article-title":"Prevalence and treatment of pressure ulcers in Northern New South Wales","volume":"8","author":"2 Pearson","year":"2000","unstructured":"2 Pearson A, Francis K, Hodgkinson B, et al. Prevalence and treatment of pressure ulcers in Northern New South Wales. Aust J Rural Health 2000; 8: 103-110.","journal-title":"Aust J Rural Health"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"3 Forster E, Tawhara G. Paediatric pressure injury prevention strategies: a review. J Child Young People's Health 2021; 2: 10-18.","DOI":"10.33235\/jcyph.2.1.10-18"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"4 Mernier T, Taveau C, Cetrulo CL Jr, et al. Facial pressure sores in COVID-19 patients during prone positioning: a case series and literature review. Plast Reconstr Surg Glob Open 2022; 10: e4610.","DOI":"10.1097\/GOX.0000000000004610"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"5 Perrillat A, Foletti JM, Lacagne AS, et al. Facial pressure ulcers in COVID-19 patients undergoing prone positioning. How to prevent an underestimated epidemic. 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[Az Emberi Er\u0151forr\u00e1sok Miniszt\u00e9riuma k\u00f6zlem\u00e9nye a Magyar Eg\u00e9szs\u00e9g\u00fcgyi Ell\u00e1t\u00e1si Standardok k\u00e9zik\u00f6nyv (MEES) (2.0. v\u00e1ltozat) k\u00f6zz\u00e9t\u00e9tel\u00e9r\u0151l.] Available from: https:\/\/www.hbcs.hu\/uploads\/jogszabaly\/2969\/fajlok\/EMMI_kozlemeny_Egeszsegugyi_%20Standardok.pdf [accessed: February 3, 2023]. [Hungarian]"},{"key":"ref13","unstructured":"14 Ministry of Human Resources: A strategy for long-term care, 2030. [Emberi Er\u0151forr\u00e1sok Miniszt\u00e9riuma: Tart\u00f3s \u00e1pol\u00e1s-gondoz\u00e1sra vonatkoz\u00f3 strat\u00e9gia, 2030.] Available from: https:\/\/cdn.kormany.hu\/uploads\/document\/c\/c6\/c68\/c68381aafe390e0744e99b10df3a98b3bd67ce67.pdf [accessed: February 3, 2023]. [Hungarian]"},{"key":"ref14","unstructured":"15 Unanticipated Events reporting system. 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[Hungarian]"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/164\/21\/article-p821.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/164\/21\/article-p821.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/164\/21\/article-p821.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T07:21:09Z","timestamp":1697700069000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/164\/21\/article-p821.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,28]]},"references-count":26,"journal-issue":{"issue":"21"},"URL":"https:\/\/doi.org\/10.1556\/650.2023.32761","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,28]]}}}