Araştırma Makalesi
Hemşirelerin Cerrahi Hastalarında Normoterminin Sürdürülmesi Hakkındaki Bilgi Durumları ve Uygulamaları: Nitel Bir Çalışma Örneği
Öz
Amaç: Bu çalışma, cerrahi klinik hemşirelerinin normoterminin sürdürülmesine yönelik bilgi durumlarını ve klinik uygulama girişimlerini değerlendirmek amacıyla yapılmıştır.
Yöntem: Araştırma bir üniversite hastanesinin cerrahi kliniklerinde çalışan 15 hemşire ile yürütülmüştür. Veriler, Temmuz 2019-Eylül 2019 tarihleri arasında, Kişisel Bilgi Formu ve Yarı Yapılandırılmış Derinlemesine Görüşme Formu ile toplanmıştır. Veriler, geleneksel içerik yöntemi ile analiz edilmiştir.
Bulgular: Katılımcı hemşireler toplam 183 görüş bildirmiştir. Yapılan içerik analiz sonucunda, dört ana tema ve sekiz alt tema belirlenmiştir. Hemşirelerin tamamı normoterminin önemli olduğu görüşünü belirtmişlerdir. Normotermik değer aralığından sapmalar geliştiğinde, hipotermi durumundan daha çok, özellikle hipertermi durumunda dikkatli davrandıklarını, durumu önemsediklerini, takip, tedavi ve bakım girişimlerini uyguladıklarını belirtmişlerdir.
Sonuç ve Öneriler: Cerrahi kliniklerde çalışan hemşirelerin normotermi hakkında farkındalıklarının olduğu ama daha çok cerrahi hasta takibinde hipertemiyi dikkate aldıkları, hipotermi durumunda yapılması gereken girişimlerii bildikleri ama bu girişimleri uygulamadıkları sonucuna varılmıştır.
Anahtar Kelimeler
Destekleyen Kurum
Çalışmanın hiçbir aşamasında kurumsal ve finansal anlamda kişi ve kuruluştan destek alınmamıştır.
Proje Numarası
Yok
Teşekkür
Yok
Kaynakça
- Referans1 Agarwal, S., Graham, K., Kigwana, S., Castresana, M. (2020). Successful management of hypothermic cardiopulmonary bypass in a malignant hyperthermia susceptible patient. Annals of Cardiac Anaesthesia, 23(3), 367. doi: 10.4103/aca.ACA_245_18
- Referans2 Allene, M.D. (2020). Postoperative hypothermia and associate factors at Debre Berhan comprehensive specialized hospital 2019: A cross sectional study. International Journal of Surgery Open. doi:10.1016/j.ijso.2020.05.008
- Referans3 Belayneh, T., Gebeyehu, A., Abdissa, Z. (2014). Post-operative hypothermia in surgical patients at University of Gondar Hospital, Ethiopia. J Anesth Clin Res, 5(11), 1-4. doi: 10.4172/2155-6148.1000461
- Referans4 Benjamin, E.,E., Jarone, A. (2017). Knowledge of staff nurses regarding neonatal hypothermia and effectiveness of embrace thermopod in prevention of hypothermia. Indian Journal of Continuing Nursing Education, 18(1), 43.
- Referans5 Brady, J.E., Sun, L.S., Rosenberg, H., Li, G. (2009). Prevalence of Malignant Hyperthermia Due to Anesthesia in New York State, 2001–2005. Anesthesia & Analgesia, 109(4), 1162-1166. doi:10.1213/ane.0b013e3181ac1548
- Referans6 Çakır, G., Çilingir, D. (2018). Cerrahi alan enfeksiyonlarinin önlenmesinde ameliyat sürecinde normoterminin sağlanmasi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 21(2), 137-143.
- Referans7 Duff, J., Walker, K., Edward, K. L, Ralph, N,. Giandinoto, J., A., Alexander, K., . . . Stephenson, J. (2018). Effect of a thermal care bundle on the prevention, detection and treatment of perioperative inadvertent hypothermia. J Clin Nurs, 27(5-6), 1239-1249. doi:10.1111/jocn.14171
- Referans8 Duman, A.Y., Yılmaz, E. (2016). Ortopedi ameliyatlarında perioperatif hipotermi insidansı ve risk etmenleri. Cukurova Medical Journal, 41(4), 687-694.
- Referans9 Geurts, M., Macleod, M.R., Kollmar, R., Kremer, P.H.C., Van Der Worp, H.B. (2014). Therapeutic Hypothermia and the Risk of Infection: A Systematic Review and Meta-Analysis*. Critical Care Medicine, 42(2), 231-242. doi:10.1097/CCM.0b013e3182a276e8
- Referans10 Giuliano, K.K., Hendricks, J. (2017). Inadvertent perioperative hypothermia: current nursing knowledge. AORN journal, 105(5), 453-463. doi: 10.1016/j.aorn.2017.03.003
- Referans11 Glahn, K.P.E., Ellis, F.R., Halsall, P.J., Müller, C.R., Snoeck, M.M.J., Urwyler, A., Wappler, F. (2010). Recognizing and managing a malignant hyperthermia crisis: guidelines from the European Malignant Hyperthermia Group. British Journal of Anaesthesia, 105(4), 417-420. doi:10.1093/bja/aeq243
- Referans12 Guedes Lopes, I., Sousa Magalhães, A.M., Abreu de Sousa, A.L., Batista de Araújo, I.M. (2015). Preventing perioperative hypothermia: an integrative literature review. Revista de Enfermagem Referência, 4(4). doi.org/10.12707/RIV14027
- Referans13 İnal, M.A., Ural, S.G., Çakmak, H.Ş., Arslan, M., Polat, R. (2017). Türkiye'de Anesteziyoloji ve Reanimasyon Uzmanlarının Perioperatif Hipotermiye Yaklaşımlarının Değerlendirilmesi: Anket Çalışması. Turk J Anaesthesiol Reanim, 45, 139-145. DOI: 10.5152/TJAR.2017.81567
- Referans14 Ireland, S., Murdoch, K., Ormrod, P., Saliba, E., Endacott, R., Fitzgerald, M., Cameron, P. (2006). Nursing and medical staff knowledge regarding the monitoring and management of accidental or exposure hypothermia in adult major trauma patients. International journal of nursing practice, 12(6), 308-318.doi: 10.1111/j.1440-172X.2006.00589.x
- Referans15 Karacabay, K. (2016). Normoterminin Sağlanması. Türkiye Klinikleri Cerrahi Hastalıkları Hemşireliği-Özel Konular, 2(2), 33-38.
- Referans16 Kleimeyer, J.P., Harris, A.H., Sanford, J., Maloney, W.J., Kadry, B., Bishop, J.A. (2018). Incidence and risk factors for postoperative hypothermia after orthopaedic surgery. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 26(24), e497-e503. doi: 10.5435/JAAOS-D-16-00742.
- Referans17 Kumar, A., Martin, D.P., Dhanorker, S.R., Brandt, S.R., Schroeder, D.R., Hanson, A.C., . . . Dowd, S.C. (2019). Improving the rate of surgical normothermia in gynecologic surgery. Gynecologic oncology, 154(3), 590-594.doi 10.1016/j.ygyno.2019.06.027
- Referans18 Larach, M.G., Gronert, G.A., Allen, G.C., Brandom B.W., Lehman, E.B. (2010). Clinical Presentation, Treatment, and Complications of Malignant Hyperthermia in North America from 1987 to 2006. Anesthesia & Analgesia, 110(2), 498-507. doi:10.1213/ANE.0b013e3181c6b9b2
- Referans19 Leaper, D.J., Tanner, J., Kiernan, M., Assadian, O., Edmiston, Jr, C.E. (2015). Surgical site infection: poor compliance with guidelines and care bundles. International wound journal, 12(3), 357-362. doi 10.1111/iwj.12243
- Referans20 Leslie, K., & Sessler, D. I. (2003). Perioperative hypothermia in the high-risk surgical patient. Best Practice & Research Clinical Anaesthesiology, 17(4), 485-498. doidoi:https://doi.org/10.1016/S1521-6896(03)00049-1
- Referans21 Luck, S., Dossey, B., Schaub, BG. (2011). Holistic nurse coach leadership can transform healthcare. Beginnings, 31(1), 8-10.
- Referans22 O'Brien, B.C., Harris, I.B., Beckman, T.J., Reed, D.A., Cook, D.A. (2014). Standards for reporting qualitative research: a synthesis of recommendations. Acad Med, 89(9), 1245-1251. doi:10.1097/ACM.0000000000000388
- Referans23 Polderman, K.H. (2009). Mechanisms of action, physiological effects, and complications of hypothermia. Critical care medicine, 37(7), S186-S202. 10.1097/CCM.0b013e3181aa5241
- Referans24 Sousa, C.S., Cunha, A.L.M. (2014). Knowledge of nursing professionals of a surgical center regarding malignant hyperthermia. Revista gaucha de enfermagem, 35, 43-48.
- Referans25 Soysal, G.E., Arzu, İ. (2018). Ameliyat döneminde istenmeyen hipotermide kanita dayali uygulamalar. Bozok Medical Journal, 8(02), 72.
- Referans26 Torossian, A., Bräuer, A., Höcker, J., Bein, B., Wulf, H., Horn, E.P. (2015). Preventing inadvertent perioperative hypothermia. Deutsches Ärzteblatt International, 112(10), 166. doi 10.3238/arztebl.2015.0166
- Referans27 Torossian, A., Van Gerven, E., Geertsen, K., Horn, B., Van de Velde, M., Raeder, J. (2016). Active perioperative patient warming using a self-warming blanket (BARRIER EasyWarm) is superior to passive thermal insulation: a multinational, multicenter, randomized trial. J Clin Anesth, 34, 547-554. doi:10.1016/j.jclinane.2016.06.030
- Referans28 Vural, F., Çelik, B., Deveci, Z., Yasak, K. (2018). Investigation of inadvertent hypothermia incidence and risk factors. Turkish Journal of Surgery, 34(4), 300. doi:10.5152/turkjsurg.2018.3992
- Referans29 Weant, K.A., Gregory, H. (2021). Pathophysiology and Treatment of Malignant Hyperthermia. Advanced Emergency Nursing Journal, 43(2), 102-110. doi:10.1097/TME.0000000000000344
- Referans30 Yüksel, S., Uğraş, G.A. (2016). Cerrahi hastasında hipotermi gelişimini önlemede hemşirenin rolü. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 9(2), 113-121.
Nurses' Knowledge and Practices on Maintaining Normothermia in Surgical Patients: A Qualitative Study Example
Öz
Purpose: This study was conducted to evaluate the knowledge of surgical clinic nurses regarding the maintenance of normothermia and their clinical practice attempts.
Method: The research was conducted with 15 nurses working in the surgical clinics of a university hospital. Data were collected between July 2019 and September 2019 with Personal Information Form and Semi-Structured In-depth Interview Form. The data were analyzed with the traditional content method.
Results: Participating nurses gave a total of 183 opinions. As a result of the content analysis, four main themes and eight sub-themes were determined. All of the nurses stated that normothermia is important. They stated that when deviations from the normothermic value range develop, they act more carefully, especially in hyperthermia, than in the case of hypothermia, they care about the situation, and they apply follow-up, treatment and care interventions.
Conclusions and Suggestions: It has been concluded that nurses working in surgical clinics are aware of normothermia, but they mostly consider hyperthermia in surgical patient follow-up, they know the interventions to be done in case of hypothermia, but they do not apply these interventions.
Anahtar Kelimeler
Proje Numarası
Yok
Kaynakça
- Referans1 Agarwal, S., Graham, K., Kigwana, S., Castresana, M. (2020). Successful management of hypothermic cardiopulmonary bypass in a malignant hyperthermia susceptible patient. Annals of Cardiac Anaesthesia, 23(3), 367. doi: 10.4103/aca.ACA_245_18
- Referans2 Allene, M.D. (2020). Postoperative hypothermia and associate factors at Debre Berhan comprehensive specialized hospital 2019: A cross sectional study. International Journal of Surgery Open. doi:10.1016/j.ijso.2020.05.008
- Referans3 Belayneh, T., Gebeyehu, A., Abdissa, Z. (2014). Post-operative hypothermia in surgical patients at University of Gondar Hospital, Ethiopia. J Anesth Clin Res, 5(11), 1-4. doi: 10.4172/2155-6148.1000461
- Referans4 Benjamin, E.,E., Jarone, A. (2017). Knowledge of staff nurses regarding neonatal hypothermia and effectiveness of embrace thermopod in prevention of hypothermia. Indian Journal of Continuing Nursing Education, 18(1), 43.
- Referans5 Brady, J.E., Sun, L.S., Rosenberg, H., Li, G. (2009). Prevalence of Malignant Hyperthermia Due to Anesthesia in New York State, 2001–2005. Anesthesia & Analgesia, 109(4), 1162-1166. doi:10.1213/ane.0b013e3181ac1548
- Referans6 Çakır, G., Çilingir, D. (2018). Cerrahi alan enfeksiyonlarinin önlenmesinde ameliyat sürecinde normoterminin sağlanmasi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 21(2), 137-143.
- Referans7 Duff, J., Walker, K., Edward, K. L, Ralph, N,. Giandinoto, J., A., Alexander, K., . . . Stephenson, J. (2018). Effect of a thermal care bundle on the prevention, detection and treatment of perioperative inadvertent hypothermia. J Clin Nurs, 27(5-6), 1239-1249. doi:10.1111/jocn.14171
- Referans8 Duman, A.Y., Yılmaz, E. (2016). Ortopedi ameliyatlarında perioperatif hipotermi insidansı ve risk etmenleri. Cukurova Medical Journal, 41(4), 687-694.
- Referans9 Geurts, M., Macleod, M.R., Kollmar, R., Kremer, P.H.C., Van Der Worp, H.B. (2014). Therapeutic Hypothermia and the Risk of Infection: A Systematic Review and Meta-Analysis*. Critical Care Medicine, 42(2), 231-242. doi:10.1097/CCM.0b013e3182a276e8
- Referans10 Giuliano, K.K., Hendricks, J. (2017). Inadvertent perioperative hypothermia: current nursing knowledge. AORN journal, 105(5), 453-463. doi: 10.1016/j.aorn.2017.03.003
- Referans11 Glahn, K.P.E., Ellis, F.R., Halsall, P.J., Müller, C.R., Snoeck, M.M.J., Urwyler, A., Wappler, F. (2010). Recognizing and managing a malignant hyperthermia crisis: guidelines from the European Malignant Hyperthermia Group. British Journal of Anaesthesia, 105(4), 417-420. doi:10.1093/bja/aeq243
- Referans12 Guedes Lopes, I., Sousa Magalhães, A.M., Abreu de Sousa, A.L., Batista de Araújo, I.M. (2015). Preventing perioperative hypothermia: an integrative literature review. Revista de Enfermagem Referência, 4(4). doi.org/10.12707/RIV14027
- Referans13 İnal, M.A., Ural, S.G., Çakmak, H.Ş., Arslan, M., Polat, R. (2017). Türkiye'de Anesteziyoloji ve Reanimasyon Uzmanlarının Perioperatif Hipotermiye Yaklaşımlarının Değerlendirilmesi: Anket Çalışması. Turk J Anaesthesiol Reanim, 45, 139-145. DOI: 10.5152/TJAR.2017.81567
- Referans14 Ireland, S., Murdoch, K., Ormrod, P., Saliba, E., Endacott, R., Fitzgerald, M., Cameron, P. (2006). Nursing and medical staff knowledge regarding the monitoring and management of accidental or exposure hypothermia in adult major trauma patients. International journal of nursing practice, 12(6), 308-318.doi: 10.1111/j.1440-172X.2006.00589.x
- Referans15 Karacabay, K. (2016). Normoterminin Sağlanması. Türkiye Klinikleri Cerrahi Hastalıkları Hemşireliği-Özel Konular, 2(2), 33-38.
- Referans16 Kleimeyer, J.P., Harris, A.H., Sanford, J., Maloney, W.J., Kadry, B., Bishop, J.A. (2018). Incidence and risk factors for postoperative hypothermia after orthopaedic surgery. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 26(24), e497-e503. doi: 10.5435/JAAOS-D-16-00742.
- Referans17 Kumar, A., Martin, D.P., Dhanorker, S.R., Brandt, S.R., Schroeder, D.R., Hanson, A.C., . . . Dowd, S.C. (2019). Improving the rate of surgical normothermia in gynecologic surgery. Gynecologic oncology, 154(3), 590-594.doi 10.1016/j.ygyno.2019.06.027
- Referans18 Larach, M.G., Gronert, G.A., Allen, G.C., Brandom B.W., Lehman, E.B. (2010). Clinical Presentation, Treatment, and Complications of Malignant Hyperthermia in North America from 1987 to 2006. Anesthesia & Analgesia, 110(2), 498-507. doi:10.1213/ANE.0b013e3181c6b9b2
- Referans19 Leaper, D.J., Tanner, J., Kiernan, M., Assadian, O., Edmiston, Jr, C.E. (2015). Surgical site infection: poor compliance with guidelines and care bundles. International wound journal, 12(3), 357-362. doi 10.1111/iwj.12243
- Referans20 Leslie, K., & Sessler, D. I. (2003). Perioperative hypothermia in the high-risk surgical patient. Best Practice & Research Clinical Anaesthesiology, 17(4), 485-498. doidoi:https://doi.org/10.1016/S1521-6896(03)00049-1
- Referans21 Luck, S., Dossey, B., Schaub, BG. (2011). Holistic nurse coach leadership can transform healthcare. Beginnings, 31(1), 8-10.
- Referans22 O'Brien, B.C., Harris, I.B., Beckman, T.J., Reed, D.A., Cook, D.A. (2014). Standards for reporting qualitative research: a synthesis of recommendations. Acad Med, 89(9), 1245-1251. doi:10.1097/ACM.0000000000000388
- Referans23 Polderman, K.H. (2009). Mechanisms of action, physiological effects, and complications of hypothermia. Critical care medicine, 37(7), S186-S202. 10.1097/CCM.0b013e3181aa5241
- Referans24 Sousa, C.S., Cunha, A.L.M. (2014). Knowledge of nursing professionals of a surgical center regarding malignant hyperthermia. Revista gaucha de enfermagem, 35, 43-48.
- Referans25 Soysal, G.E., Arzu, İ. (2018). Ameliyat döneminde istenmeyen hipotermide kanita dayali uygulamalar. Bozok Medical Journal, 8(02), 72.
- Referans26 Torossian, A., Bräuer, A., Höcker, J., Bein, B., Wulf, H., Horn, E.P. (2015). Preventing inadvertent perioperative hypothermia. Deutsches Ärzteblatt International, 112(10), 166. doi 10.3238/arztebl.2015.0166
- Referans27 Torossian, A., Van Gerven, E., Geertsen, K., Horn, B., Van de Velde, M., Raeder, J. (2016). Active perioperative patient warming using a self-warming blanket (BARRIER EasyWarm) is superior to passive thermal insulation: a multinational, multicenter, randomized trial. J Clin Anesth, 34, 547-554. doi:10.1016/j.jclinane.2016.06.030
- Referans28 Vural, F., Çelik, B., Deveci, Z., Yasak, K. (2018). Investigation of inadvertent hypothermia incidence and risk factors. Turkish Journal of Surgery, 34(4), 300. doi:10.5152/turkjsurg.2018.3992
- Referans29 Weant, K.A., Gregory, H. (2021). Pathophysiology and Treatment of Malignant Hyperthermia. Advanced Emergency Nursing Journal, 43(2), 102-110. doi:10.1097/TME.0000000000000344
- Referans30 Yüksel, S., Uğraş, G.A. (2016). Cerrahi hastasında hipotermi gelişimini önlemede hemşirenin rolü. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 9(2), 113-121.
Toplam 30 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Proje Numarası | Yok |
| Yayımlanma Tarihi | 25 Nisan 2022 |
| Gönderilme Tarihi | 4 Ekim 2021 |
| Kabul Tarihi | 20 Ocak 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 4 Sayı: 1 |
Genel Sağlık Bilimleri Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı (CC BY NC) ile lisanslanmıştır.