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  Atıf Sayısı 10
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CERRAHİ HEMŞİRELERİNİN AMELİYAT ÖNCESİ AÇ KALMA İLE İLGİLİ UYGULAMA VE BİLGİ DÜZEYİ
2018
Dergi:  
Ege Üniversitesi Hemşirelik Fakültesi Dergisi
Yazar:  
Özet:

Başlık:CERRAHİ HEMŞİRELERİNİN AMELİYAT ÖNCESİ AÇ KALMA İLE İLGİLİ UYGULAMA VE BİLGİ DÜZEYİ Title:SURGERY NURSES' KNOWLEDGE AND PRACTICE ABOUT PREOPERATIVE FASTING Özet: Amaç.  Cerrahi girişim birey üzerinde stres yaratan önemli bir yaşam deneyimidir. Ameliyat öncesi dönemde bireyin fiziksel, psikolojik ve yasal yönden hazırlanması büyük önem taşımaktadır. Ameliyat öncesi fizyolojik hazırlık kapsamında yer alan uygulamalardan birisi, hastanın ağızdan besin ve sıvı alımının kısıtlanmasıdır.  Gece yarısından sonra hastaları aç bırakmanın olumsuz yönleri ile ilgili kanıtların çokluğuna rağmen, bu uygulama birçok hastanede rutin olarak sürdürülmektedir. Bu araştırma, bir üniversite hastanesinde uygulanmakta olan ameliyat öncesi açlık ile ilgili hemşirelerin uygulamalarını ve bilgi düzeyini değerlendirmek amacıyla yürütüldü.   Gereç ve Yöntem. Araştırmanın evrenini bir üniversite hastanesinin cerrahi birimlerinde çalışan hemşireler oluşturmuştur. Evrenin tamamına ulaşılması hedeflenmiş (250) olup, araştırmanın örneklemini %56 (140) hemşire oluşturmuştur. Araştırmanın yürütülebilmesi için, Ege Üniversitesi Hemşirelik Fakültesi Etik Kurul’undan, araştırmanın yapıldığı hastaneden ve araştırmaya katılacak hemşirelerden yazılı izin alınmıştır. Veriler 15 Ocak – 15 Mart 2014 tarihleri arasında toplanmıştır. Veriler, “Hemşire Tanıtıcı Bilgi Formu” ile elde edilmiştir. Bulgular ve Sonuç. Araştırma kapsamına alınan hemşirelerin; yaş ortalamasının 36.94 (min:23 max:56), 130’unun (%92.9) kadın, 111’inin  (%79.3) lisans mezunu olduğu,  hemşire olarak çalışma yılının ortalama 14.87 (min:1, max:33) yıl olduğu belirlenmiştir.  Çalışmaya katılan hemşirelerin tamamı çalıştıkları kliniklerde rutin olarak ameliyat öncesi hastalara gece saat 24.00 sonra sıvı/besin kısıtlaması yapıldığını ifade etmişlerdir. Çalışmaya dahil edilen hemşirelerin %88.6’sının besin/sıvı kısıtlaması hakkında bilimsel yayın okumadığı saptanmıştır. Çalışmaya katılan hemşirelerin besin/sıvı kısıtlamasına ilişkin kanıta dayalı rehberlerden haberdar olmadıkları ve geleneksel yaklaşımı uyguladıkları bulunmuştur. Ameliyat öncesi açlık ile ilgili kanıta dayalı uygulamaların klinik alana yansıması için, ameliyat öncesi aç kalma ile ilgili protokollerin tekrar incelenerek klinikte uygulanabilirliğinin cerrahi ekip ile gözden geçirilmesi önerilmektedir.  Abstract: Aim. Surgical intervention is an important life experience that create stress on the individual. Physical, psychological and legal preparation of the individual  is of great importance in preoperative period. One of the applications in preoperative period physiological preparations is the restriction of oral intake of nutrients and fluid for patient. There were many evidences about the starvation patient during night before operation was not necessary but this procedure was going on in many centers. This study was carried out to evaluate nurses knowledge and practice  preoperative fasting in a university hospital. Material and Methods. The research population consisted of nurses who work in surgical units a University Hospital. The objective was to reach the entire universe (250), but the sample of the research consisted of %56 (140) nurses. Written permission was taken from the Ege University Faculty of Nursing Ethics Committee, the Ege University Medical Faculty Hospital Administration and  nurses. Data were collected between the dates of 15 January – 15 April 2014. The data for this research was collected by Nurse Information Form. Results and Conclusions.   It was determined that the nurses assigned to research were the average age was 36.94 (min:23 max:56), 92.9 % (130) of them were female, 79.3 % (111) of them were graduate degree, were an average of 14.87 years working as a nurse (min:1, max:33). All of the nurses participating in the study stated that the clinics routinely performed  liquid / nutrient restriction after midnight on the day of surgery. . It was determined that the nurses assigned to research 88.6% did not read scientific publications about nutrient / fluid restriction. Nurses participating in the study were found not to be aware of the evidence-based guidelines for nutrient / fluid restriction and to apply the traditional approach. It is suggested  to review the protocols related to preoperative fasting and to make clinical feasibility with the surgical team for the reflection of clinically relevant evidence-based practices on preoperative fasting. Anahtar kelimeler:   Ameliyat, ameliyat öncesi beslenme, hemşirelik Keywords:Operation, preoperative fasting, nursing  Destekleyen kurumlar:Yok Kaynakça: 1.        American Society of Anesthesiologists Committee. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures. an updated report by the American Society of Anesthesiologists Committee on Standards and Practice Parameters. Anesthesiology 2011; 114 (3): 495-511. 2.        Aygin D. Perioperatif Bakımda Güncel Yaklaşımlar. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2012; 15: (1)63-67. 3.        Baril P, Portman H. Preoperative Fasting: Knowledge and Perceptions. Aorn Journal  2007;86(4): 609-617. 4.        Crenshaw JT, Winslow EH. Preoperative fasting: old habits die hard. Am J Nurs 2002; 102: 36-44. 5.        Demirdağ H, Karaöz S. Ameliyat Öncesi Besin/ Sıvı Kısıtlamasına İlişkin Hastaların Deneyimleri ve Hemşirelerin Konu ile İlgili Bilgi ve Uygulamaları. F.N. Hem. Derg 2015; 23 (1): 1-10. 6.        Dolgun E, Taşdemir N,  Ter N, Yavuz M. Cerrahi Hastalarının Ameliyat Öncesi Aç Kalma Sürelerinin İncelenmesi. F.Ü.Sağ.Bil.Tıp Derg 2011; 25 (1): 11 – 15. 7.        Erdil F, Özhan-Elbaş N. Ameliyat öncesi (preoperatif) hemşirelik bakımı. Cerrahi Hastalıkları Hemşireliği. Genişletilmiş IV Baskı. Ankara: Aydoğdu Ofset ; 2001.103-114. 8.        İzveren AÖ, DAL Ü.  Abdominal Cerrahi Girişim Uygulanan Hastalarda Görülen Erken Dönem Sorunları ve Bu Sorunlara Yönelik Hemşirelik Uygulamaları. Sağlık Bilimleri Fakültesi Hemşirelik Dergisi 2011; 36-46. 9.        Kehlet H, Wilmore DW. Surgical Care – How can New Evidence Be Applied to Clinical Practice? Colorectal Disease 2010; 12(1):2–4. 10.     Özkan M, Gökkaya Z, Sarıtaş S. Ameliyat Öncesi Katı ve Sıvı Besin Kısıtlamasının Anksiyete Üzerine Etkisi. T.C. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu Dergisi 2016; 5 (7): 1-11. 11.     Royal College of Nursing (RCN) (2005). Perioperative fasting in adults and children: An RCN guidelines for the multidisiplinary team. Clinical Practise Guidelines, http://www.rcn.org.uk/data/ assets/pdf_fi le/0009/78678/002800.pdf 12.     Stuart PC. The evidence base behind modern fasting guidelines. Best Practise&Research Clinical Anaesthesiology 2006; 20(3): 457-469. 13.     Taniguchi H, Sasaki T, Hisae H Preoperative Management of SurgicalPatientsby “Shortened Fasting Time”: A Study on the Amount of Total Body Water by Multi-Frequency Impedance Method. International Journal of Medical Sciences  2012; 9(7):567-574. 14.     Tea C. Preoperative nursing management. In: Smeltzer SC, Bare BG. (Editors), Brunner & Suddarth’s Textbook of Medical Surgical Nursing. 10th. Edition, Philadelphia: Lippincott Williams& Wilkins, A Wolters Kluwer Company. 2004: 398-416. 15.     Tudor G. Fasting: how long is too long. AustNurs J 2006; 13: 29- 31. 16.     Türkiye Cumhuriyeti Sağlık Bakanlığı Sağlık Araştırmaları Genel Müdürlüğü, 2016 SB-SAGEM-2016/1 Sistem Ofset Basım Yayın San. ve Tic. Ltd. Şti. Ankara. 144-145. http://www.saglikistatistikleri.gov.tr 17.     Woodhouse A. Pre-operative fasting for elective surgical patients. Nursing Standard 2006; 20(21): 41-48. 18.     Yılmaz E. Cerrahi Hastalarda Ameliyat Öncesi Açlık Sürecinde Yeni Yaklaşımlar. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi 2009; 25(3): 105-18.  

Anahtar Kelimeler:

Pre-operative medical care for pregnancy and pregnancy
2018
Yazar:  
Özet:

Title:SURGERY NURSES' KNOWLEDGE AND PRACTICE ABOUT PREOPERATIVE FASTING Title:SURGERY NURSES' KNOWLEDGE AND PRACTICE ABOUT PREOPERATIVE FASTING  A surgical initiative is an important life experience that creates stress on the individual. In the pre-operative period, the preparation of the individual in a physical, psychological and legal way is of great importance. One of the applications included in the framework of pre-operative physiological preparation is the limitation of the patient's oral intake of nutrients and fluids.  Despite the abundance of evidence on the negative aspects of leaving patients hungry after midnight, this application is continued to be routine in many hospitals. This research was carried out with the aim of evaluating the practices and level of knowledge of nurses regarding pre-operative hunger that is being implemented in a university hospital.   means and methods. The universe of research was formed by nurses working in the surgical units of a university hospital. The aim was to reach the entire universe (250) and the sample of the research was made by 56% (140) nurses. For the conduct of the research, a written permission was obtained from the Ethics Board of the University of Ege Nursing Faculty, the hospital where the research was carried out and the nurses to participate in the research. The data was collected between 15 January and 15 March 2014. The data was obtained by the "Nursing Information Form". The findings and the result. The study found that the average age of nurses is 36.94 (min:23 max:56), 130 (%92.9) women, 111 (%79.3) graduates, and the average year of work as nurses is 14.87 (min:1, max:33) years.  All the nurses who participated in the study said that in the clinics where they worked, they were routine pre-operative patients with fluid/food restrictions after 24:00 in the night. The study found that 88.6 percent of the nurses involved did not read scientific publications on nutrient/fluid restrictions. The study found that the nurses who participated in the study were unknown of evidence-based guidelines on the limitation of nutrients/fluids and they applied the traditional approach. To reflect evidence-based practices related to pre-operative hunger in the clinical area, it is recommended that the applicability in the clinic is reviewed by the surgical team by reviewing the protocols related to pre-operative hunger.  Abstract of: Aim. Surgical intervention is an important life experience that creates stress on the individual. Physical, psychological and legal preparation of the individual is of great importance in the preoperative period. One of the applications in preoperative period physiological preparations is the restriction of oral intake of nutrients and fluids for the patient. There were many evidence about the hunger patient during the night before the operation was not necessary but this procedure was going on in many centers. This study was carried out to evaluate nurses knowledge and practice preoperative fasting in a university hospital. Materials and Methods. The research population consisted of nurses who work in surgical units a University Hospital. The objective was to reach the entire universe (250), but the sample of the research consisted of 56% (140) nurses. Written permission was taken from the Ege University Faculty of Nursing Ethics Committee, the Ege University Medical Faculty Hospital Administration and nurses. Data were collected between the dates of 15 January - 15 April 2014. The data for this research was collected by Nurse Information Form. Results and Conclusions.   It was determined that the nurses assigned to research were the average age was 36.94 (min:23 max:56), 92. 9% (130) of them were female, 79.3% (111) of them were graduate degree, were an average of 14.87 years working as a nurse (min:1, max:33). All of the nurses participating in the study stated that the clinics routinely performed liquid / nutrient restriction after midnight on the day of surgery. It was determined that the nurses assigned to research 88.6% did not read scientific publications about nutrient / fluid restriction. Nurses participating in the study were found not to be aware of the evidence-based guidelines for nutrient/fluid restriction and to apply the traditional approach. It is suggested to review the protocols related to preoperative fasting and to make clinical feasibility with the surgical team for the reflection of clinically relevant evidence-based practices on preoperative fasting. Keywords: surgery, pre-operative nutrition, nursing Keywords:operation, preoperative fasting, nursing Supporting institutions:No Source: 1.        The American Society of Anesthesiologists. Practice guidelines for preoperative fasting and the use of pharmacological agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures. An updated report by the American Society of Anesthesiologists Committee on Standards and Practice Parameters. Anesthesiology 2011; 114 (3): 495-511. 2nd        by D. Current approaches to the Perioperative Care. Anatolian Journal of Nursing and Health Sciences 2012; 15: (1)63-67. and 3.        Baril P, Portman H. Preoperative Fasting: Knowledge and Perceptions Aorn Journal 2007;86(4): 609-617. The fourth.        Crenshaw JT, Winslow EH. Preoperative fasting: old habits die hard. Am J Nurs 2002; 102: 36-44. and 5.        The patient’s experience of nutrition/fluid limitation before surgery and the information and applications of the nurses related to the subject. by F.N. and HAM. Journal 2015; 23 (1): 1-10. 6 .        Full E, Taşdemir N, Ter N, Yavuz M. Surgery patients Pre-operative hunger periods examination. The Journal of Medicine 2011; 25 (1): 11 - 15. The 7.        F, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E, E Nursing of surgical diseases. Extended IV printing. Ancient: Aydoğdu Ofset; 2001.103-114. and 8.        This is the first time the patient has been diagnosed with an abdominal surgery, and the first time the patient has been diagnosed with an abdominal surgery, the first time the patient has been diagnosed with an abdominal surgery. School of Health Sciences Journal of Nursing 2011; 36-46. The 9.        Kehlet H, Wilmore DW. Surgical Care - How can New Evidence Be Applied to Clinical Practice? Colorectal Disease 2010; 12(1):2-4. The 10.     M, Gökkaya Z, Sarıtaş S. Effects of Pre-operative Strict and Liquid Nutrition Restriction on Anxiety. by T.C. The University of Inönü Health Services Professional Higher Education Magazine 2016; 5 (7): 1-11. 11 of 11.     Royal College of Nursing (RCN) (2005). Perioperative fasting in adults and children: An RCN guidelines for the multidisciplinary team. Clinical Practise Guidelines, http://www.rcn.org.uk/data/ assets/pdf_fi le/0009/78678/002800.pdf 12.     The Stuart PC. The evidence base behind modern fasting guidelines. Best Practise & Research Clinical Anaesthesiology 2006; 20(3): 457-469. 13 .     Taniguchi H, Sasaki T, Hisae H Preoperative Management of SurgicalPatientsby "Shortened Fasting Time": A Study on the Amount of Total Body Water by Multi-Frequency Impedance Method. International Journal of Medical Sciences 2012; 9(7):567-574. 14 .     Tea C. Preoperative Nursing Management. In: Smeltzer SC, Bare BG. Brunner & Suddarth's Textbook of Medical Surgical Nursing. The 10th. Edition, Philadelphia: Lippincott Williams & Wilkins, A Wolters Kluwer Company. 2004: 398-416. 15 .     Tudor G. Fasting: how long is too long. AustNurs J 2006; 13: 29- 31. 16 is.     General Directorate of Health Research of the Ministry of Health of the Republic of Turkey, 2016 SB-SAGEM-2016/1 System Ofset Press Release San. and TIC. Ltd is. and Ankara. 144-145. http://www.saglikistatistikleri.gov.tr 17.     Woodhouse A. Pre-operative fasting for elective surgical patients. Nursing Standard 2006; 20(21): 41-48. 18 .     New approaches in the pre-operative hunger process in patients with E. Surgery. The University of Ege Higher School of Nursing magazine 2009; 25(3): 105-18.

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