Özet:

Lumbar puncture (LP) is a procedure performed by entering the subarachnoid space through the L3-4 or L4-5 vertebral space for diagnostic and therapeutic purposes. Common complications of LP; headache, back pain, infection, weakness in the legs, subdural hematoma, bleeding, CSF leakage from the puncture site, nerve damage, and brain herniation. Post dural puncture headache (PDPB) is one of the common complications after LP. Its incidence varies between 10-80% and usually occurs within seven days after the intervention. In PDPB, half of the patients experience deterioration in daily living activities, work productivity and quality of life until at least one week after LP, and deterioration in learning abilities and family relationships may occur. In PDPB, treatment is applied according to the severity of the condition. The traditional treatment of PDPB includes bed rest, fluid therapy, analgesic administration, caffeine, and epidural blood patch (EBP). In the LP procedure, nurses have various duties before, during and after the procedure. The aim of this study is to evaluate nursing approaches in PDPB. In this context, nurses should educate patients before the LP procedure and inform patients about the complications that the patient may encounter after the procedure and how to combat them. After the procedure, the patient should lie flat for four hours and vital signs should be evaluated. The presence of pain, swelling, redness, bleeding, discharge in the intervention area should be evaluated and the patient should be observed for LP complications.

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