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Amaç: Noninvaziv mekanik ventilasyon (NIMV) tedavisi sırasında kullanılan maskeye bağlı gelişen yüz basınç yaralanmaları tedavi başarısını olumsuz yönde etkileyen en önemli etkenlerden biridir. Bu çalışma, Batı Karadeniz Bölgesinde yer alan bir devlet hastanesinin dahili yoğun bakım ünitesinde NIMV tedavisi alan hastalarda yüz bölgesindeki basınç yarası sıklığını ve oluşumunu etkileyen faktörlerin incelenmesi amacıyla longitudinal tipte tanımlayıcı olarak yapıldı. Yöntem: Araştırmanın örneklemini 01 Şubat 2018 – 01 Şubat 2019 tarihleri arasında tedavi alan 33 hasta oluşturdu. Araştırmaya dahil olma kriterlerini taşıyan hastalar NIMV tedavisi başlangıcından itibaren ilk 24 saat değerlendirildi ve veriler tedavinin 2., 6., 12. ve 24. saatlerinde kayıt altına alındı. NIMV tedavisi süresince sadece oro-nazal maske kullanıldı. Verilerin değerlendirilmesinde tanımlayıcı istatistiksel metodlar, Mann-Whitney U testi, Friedman Testi, Bonferroni düzeltmeli Wilcoxon signed-ranks testi, Fisher’s exact testi ve Fisher-Freeman-Halton exact testi kullanıldı. Bulgular: Araştırma sonucunda hastaların %75,8’i evre I, %6,1’i evre II olmak üzere yüz bölgesi basınç yarası oluşma sıklığının %81,9 olduğu belirlendi. Tedavinin başlaması ile birlikte hastaların Glaskow Koma Skorunun anlamlı olarak yükseldiği, maske uyum puanının anlamlı olarak arttığı görüldü. Evre II yüz bölgesi basınç yarası gelişen hastalara ince gazlı pansuman ile kapama işlemi uygulandı. Yüz bölgesinde basınç yarası gelişen hastaların yaş ortalaması 73,37±13,43, kronik hastalığa sahip olan, steroid tedavisi alan ve obez hastalarda yüz bölgesi basınç yarası gelişimi dikkat çekici düzeyde yüksek olduğu görüldü. Sonuç: NIMV tedavisi uygulanan hastalarda ilk 24 saat içerisinde yüz bölgesi basınç yarası gelişme sıklığının oldukça yüksek olduğu bu nedenle farklı tip maske kullanımı ile benzer çalışmaların yapılmasını önermekteyiz.
Objective: Face pressure sores due to the mask used during noninvasive mechanical ventilation (NIMV) treatment is one of the most important factors preventing the success of the treatment. This study was conducted as a longitudinal type descriptor in order to investigate the factors affecting the frequency and occurrence of pressure sores in the face region in patients receiving NIMV treatment in the internal intensive care unit of a public hospital in the Western Black Sea Region. Methods: The sample of the study consisted of 33 patients who received treatment between 01 February 2018 - 01 February 2019. Patients with the inclusion criteria were evaluated for the first 24 hours after the start of NIMV treatment and the data were recorded at 2, 6, 12 and 24 hours of treatment. Only oro-nasal masks were used during NIMV treatment. Descriptive statistical methods, Mann-Whitney U test, Friedman Test, Bonferroni corrected Wilcoxon signed-ranks test, Fisher's exact test and Fisher-Freeman-Halton exact test were used in the evaluation of the data. Results: As a result of the research, 75.8% of the patients were in Stage I, 6.1% were in Stage II. The incidence of pressure sores on the face was 81.9%. The Glaskow Coma Score of the patients increased significantly and mask compliance score increased significantly with the initiation of treatment. The patients with stage II facial pressure sores were treated with thin gas dressing. The average age of the patients who developed pressure sores in the facial region was 73.37 ± 13. 43 years, and the development of facial pressure sores was significantly higher in patients with chronic disease, steroid therapy and obese patients. Conclusion: Since the incidence of facial pressure sores is very high in the first 24 hours in patients receiving NIMV treatment, we suggest similar studies with different types of masks.
Objective: Facial pressure sores due to the mask used during noninvasive mechanical ventilation (NIMV) treatment is one of the most important factors preventing the success of the treatment. This study was conducted as a longitudinal type descriptor in order to investigate the factors affecting the frequency and occurrence of pressure sores in the face region in patients receiving NIMV treatment in the internal intensive care unit of a public hospital in the Western Black Sea Region. Methods: The sample of the study consisted of 33 patients who received treatment between 01 February 2018 - 01 February 2019. Patients with the inclusion criteria were evaluated for the first 24 hours after the start of NIMV treatment and the data were recorded at 2, 6, 12 and 24 hours of treatment. Only oro-nasal masks were used during NIMV treatment. Descriptive statistical methods, Mann-Whitney U test, Friedman Test, Bonferroni corrected Wilcoxon signed-ranks test, Fisher's exact test and Fisher-Freeman-Halton exact test were used in the evaluation of the data. Results: As a result of the research, 75.8% of the patients were in Stage I, 6.1% were in Stage II. The incidence of pressure sores on the face was 81.9%. The Glaskow Coma Score of the patients increased significantly and mask compliance score increased significantly with the initiation of treatment. The patients with stage II facial pressure sores were treated with thin gas dressing. The mean age of the patients who developed pressure sores in the facial region was 73.37 ± 13.43 years, and the development of facial pressure sores was significantly higher in patients with chronic disease, steroid therapy and obese patients. Conclusion: Since the incidence of facial pressure sores is very high in the first 24 hours in patients receiving NIMV treatment, we suggest similar studies with different types of masks.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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