Özet:

Purpose: The aim of this study is to evaluate the factors affecting the causes of unplanned hospital application for patients who have been tracheostomically expelled from the palliative care unit (PBU) within 30 days. Instruments and Methods: Patients who were tracheostomically deported from the PBU with spontaneous respiratory or mechanical ventilator support from August 2018 to September 2021 were included in the study. The demographic characteristics of the patients, the diagnoses of the disease, the complicated conditions, the clinical characteristics and the reasons for the unplanned hospital application were examined within 30 days of their home expulsion. Results: 57% of the 47 patients involved in the study were men (n=27) and 43% women (n=20) with an average age of 50.04 ± 15.68 years. 46.8 percent of patients with traqueostomy were diagnosed with unplanned hospitalization within 30 days of their expulsion. The reasons for the application were 9 patients (%40.91) increased body temperature, 5 patients (22.73) stomach pain, 3 patients (13.64) breathing failure, 2 patients (9.09) long-term electricity interruption at home, 2 patients (9.09) awareness changes and 1 patient (%4.55) diarrhea. The result: the determination of the unplanned causes of hospital application of tracheostomy patients displaced by spontaneous breathing or home-type mechanical ventilator from the PBU and the consideration of the preventable causes in the displacement may reduce the unplanned hospital application.

Anahtar Kelimeler: