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Cerrahi Girişim Uygulanan Hastalarda Basınç Ülseri Gelişiminin Önlenmesi

Yıl 2014, Cilt: 1 Sayı: 3, 54 - 61, 27.11.2015

Şenay Gül

Öz

　

Basınç ülserleri cerrahi girişim uygulanan hastalarda yaygın olarak görülen, yaşam kalitesini olumsuz etkileyen, ağrıya ve ciddi maddi kayıplara yol açan önemli bir sağlık sorunudur. Başta hemşireler olmak üzere ameliyathanede çalışan tüm sağlık profesyonelleri cerrahi girişim uygulanan hastalarda basınç ülseri gelişimine neden olan risk faktörlerini bilmeli ve gerekli önleme girişimlerini uygulamalıdır. Bu makalede cerrahi girişim uygulanan hastalarda basınç ülseri gelişiminde rol oynayan risk faktörleri ve önlemeye yönelik uygulamalar gözden geçirilmiştir.

Anahtar Kelimeler: Basınç ülserleri, basınç ülserleri risk faktörleri, basınç ülserini önleme, cerrahi girişim, hemşirelik

Anahtar Kelimeler

Basınç ülserleri basınç ülserleri risk faktörleri basınç ülserini önleme cerrahi girişim hemşirelik

Kaynakça

  • 1. European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Treatment of pressure ulcers: Quick Reference Guide [online] 2009. Elektronik adresi: http://www.epuap.org/ guidelines/Final_Quick_Treatment.pdf[Erişim Tarihi: 6 Haziran 2014].
  • 2. Gefen A. How much time does it take to get a pressure ulcer? Integrated evidence from human, animal, and in vitro studies. Ostomy Wound Manage 2008;54:26-8
  • 3. Cuddigan J, Ayello EA, Sussman C, Baraoski S. Pressureulcers in America: prevalence, incidence, and implications for the future. Reston, VA: NPUAP; 2001.
  • 4. Schoonhoven L, Defloor T, Grypdonck MHF. Incidence of pressure ulcers due to surgery. J Clin Nurs 2002;11(4):479-87.
  • 5. Pokorny ME, Koldjeski D, Swanson M. Skin care intervention for patients having cardiac surgery. Am J CritCare 2003;12: 535-44.
  • 6. Brandeis GH, Berlowitz DR, Katz P. Are pressure ulcers preventable? A survey of experts. Adv. in Skin & Wound Care2001; 14: 244-248.
  • 7. Karadağ M, Gümüşkaya N. The incidence of pressure ulcer in surgical patients: a sample in Turkey. Journal of ClinicalNursing 2005; 15: 413-421.
  • 8. Rastinehad D. Pressure ulcer pain. J Wound Ostomy Continence Nurs 2006;33:252-7.
  • 9. Stephen-Haynes J. NICE pressure ulcer guideline: summary and implications for practice. Br J Community Nurs 2006; 11:18.
  • 10. Gorecki C, Brown JM, Nelson EA, Briggs M, Schoonhoven L, Dealey C, et al. Impact of pressure ulcers on quality of life in older patients: a systematic review. J AmGeriatrSoc, 2009;57:1175-83.
  • 11. Feuchtinger J, de Bie R, Dassen T, Halfens RA. 4-cm thermo active visco elastic foam pad on the operating room table to prevent pressure ulcer during cardiac surgery. J ClinNurs 2006;15:162-7.
  • 12. Pressure Ulcer Risk Assessment and Prevention: Clinical Practice Guidelines. Royal College Of Nursing 2001;http://www.rcn.org.uk/__data/assets/pdf_file/0003/109839/002166.pdf (Erişim Tarihi: 26.07.2013).
  • 13. Risk Assessment & Prevention of Pressure Ulcers Registered Nurses’ Association of Ontario Nursing Best Practice Guidelines Program 2011;www.rnao.org/bestpractices (Erişim Tarihi: 27.07.2013).
  • 14. Pressure ulcers: The prevention and treatment (Quick reference guide). National Institute Healty and Clinical Excellence 2005; http://www.nice.org.uk/nicemedia/live/10972/29883/29883.pdf (Erişim Tarihi:30.07.2013).
  • 15. Lyder C. H. Pressure ulcer prevention and management. [Review] Annual Review of Nursing Research 2002;20:35-61.
  • 16. Lyder CH, Preston J, Grady JN, Scinto J, Allman R, Bergstron N, Rodeheaver G. Quality of care for hospitalized medicare patients at risk for pressure ulcers, Arch Intern Med 2001; 161: 1549-1554.
  • 17. Schultz A, Bien M, Dumond K, Brown K, Myers A. Etiology and incidence of pressure ulcers in surgical patients. AORN Journal 1999; 70 (3) : 434-449.
  • 18. Stotts NA. Risk of pressure ulcer development in surgical patients: a review of the literature. Adv Wound Care 1999; 12:127-36.
  • 19. Grous CA, Reilly NJ, Gift AG. Skin integrity in patients undergoing prolonged operations. Journal WOCN 1997; 24(2): 86-91.
  • 20. Bayers PH, Carta SG, Mayrovitz AN. Pressure ulcer research issues in surgical patients. Adv Skin &Wound Care 2000; 13: 115-121.
  • 21. Hoshowsky VM, Schramm CA. Intraoperative pressure söre prevention: an analysis of bedding materials, Research in Nursing & Health 1994;17: 333-39.
  • 22. Aronovitch SA. Intraoperatively acquired pressure ulcers: are there common risk factors? Ostomy Wound Manage 2007;53(2):57–69.
  • 23. Hawkins JE. The effectiveness of pressure-reducing table pads as an intervention to reduce the risk of intraoperatively acquired pressure sores. Military Medicine 1997; 162(11): 759-761.
  • 24. Bliss M, Simini B. When are the seeds of postoperative pressure sores sown? British Medical Journal 1999; 319 (7214): 863-865.
  • 25. Shah JL. Postoperative pressure sores after epidural anaesthesia. BMJ 2000; 321: 941-942.
  • 26. Nilsson U. Intraoperative Positioning of Patients Under General Anesthesia and the Risk of Postoperative Pain and PressureUlcers, J Peri Anesthesia Nursing 2013;28(3)3: 137-143.
  • 27. Schoonhoven L, Defloor T, Van der Tweel I, BuskensE, Grypdonck MH. Risk indicators for pressure ulcers during surgery. Appl Nurs Res 2002;15:163-73.
  • 28. Defloor T. The risk of pressure sore: a conceptual scheme. Journal of Clinical Nursing 1999; 8(2):206.
  • 29. Botella-Carretero JI, Iglesias B, Balsa JA, Arrieta F, Zamarrón I, Vázquez C. Perioperative oral nutritional supplements in normally or mildly under nourished geriatric patients submitted to surgery for hip fracture: a randomized clinical trial. Clin Nutr 2010;29:574–9.
  • 30. Avenell A, Handoll HH. Nutritional supplementation for hip fracture after care in older people. Cochrane Database Syst Rev 2010; CD001880.
  • 31. Keast D, Parslow N, Houghton, et al. Best practice recommendations for the prevention and treatment of pressure ulcers: update 2006. Adv Skin Wound Care J 2007;20:447-62.
  • 32. Brito PA, Generoso SV, Correia M. Prevalence of pressure ulcers in hospitals in Brazil and association with nutritional status: A multicenter, cross-sectional study. Nutrition 2013;29:646–649.
  • 33. Papantonio CT, Wallop JM, Kolodner KB. Sacral ulcers following cardiacs urgery: incidence and risks. Adv Wound Care 1994;7:24-36.
  • 34. Jerusum J, Joseph K, Davis JM, Suki R. Balloons, beds and breakdown. Crit Care Nurs Clin North Am 1996;8:423-40.
  • 35. Lewicki LJ, Mion L, Splane KG, et al. Patient risk factors for pressure ulcer during cardiac surgery. AORN J 1997;65(5):933-42
  • 36. Nixon J, McElvenny D, Mason S, Brown J, Bond S. A sequential randomised controlled trial comparing a dry visco-elastic polymer pad and standard operating table mattress in the prevention of postoperative pressure sores. Int J Nurs Stud 1998;35:193-203.
  • 37. Chalian AA, Kagan SH. Back side first in head and neck surgery? Preventing pressure ulcers in extended length surgeries. Head & Neck 2001; 23: 25-28.
  • 38. Armstrong D, Bartz P. An integrative review of pressure relief in surgical patient. AORN Journal, 2001; 73(3): 645-657.
  • 39. National Pressure Ulcer Advisory Panel. Terms and definitions related to support surfaces, 2007.
  • 40. Yavuz M. Basınç yaralarının önlenmesi ve tedavisinde destek yüzeyler. Türk Cerrahi ve Ameliyat Hemşireliği Kongresi,2007; 134-150; Gaziantep
  • 41. Colin J.-M. Rochet P, Ribinik B, Barrois Y, Passadori J.-M. What is the best support surface in prevention and treatment, as of 2012, for a patient at risk and/or suffering from pressure ulcer sore? Developing French guidelines for clinical practice. Annals of Physical and Rehabilitation Medicine 2012;55:466–481.
  • 42. McInnes E, Bell-Syer SE, Dumville JC, Legood R, Cullum NA. Support surfaces for pressure ulcer prevention. Cochrane Database SystRev 2008;CD001735.
  • 43. Reddy M, Gill SS, Rochon PA. Preventing pressure ulcers: a systematic review. JAMA 2006;296:974-84.
  • 44. Gül Ş. Ameliyathanede Sıvı Dolgulu Destek Yüzeyi Kullanmanın Basınç Ülserini Önlemeye Etkisi, Yüksek Lisans Tezi 2011; Gazi Üniversitesi; Ankara.

Yıl 2014, Cilt: 1 Sayı: 3, 54 - 61, 27.11.2015

Şenay Gül

Öz

Kaynakça

  • 1. European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Treatment of pressure ulcers: Quick Reference Guide [online] 2009. Elektronik adresi: http://www.epuap.org/ guidelines/Final_Quick_Treatment.pdf[Erişim Tarihi: 6 Haziran 2014].
  • 2. Gefen A. How much time does it take to get a pressure ulcer? Integrated evidence from human, animal, and in vitro studies. Ostomy Wound Manage 2008;54:26-8
  • 3. Cuddigan J, Ayello EA, Sussman C, Baraoski S. Pressureulcers in America: prevalence, incidence, and implications for the future. Reston, VA: NPUAP; 2001.
  • 4. Schoonhoven L, Defloor T, Grypdonck MHF. Incidence of pressure ulcers due to surgery. J Clin Nurs 2002;11(4):479-87.
  • 5. Pokorny ME, Koldjeski D, Swanson M. Skin care intervention for patients having cardiac surgery. Am J CritCare 2003;12: 535-44.
  • 6. Brandeis GH, Berlowitz DR, Katz P. Are pressure ulcers preventable? A survey of experts. Adv. in Skin & Wound Care2001; 14: 244-248.
  • 7. Karadağ M, Gümüşkaya N. The incidence of pressure ulcer in surgical patients: a sample in Turkey. Journal of ClinicalNursing 2005; 15: 413-421.
  • 8. Rastinehad D. Pressure ulcer pain. J Wound Ostomy Continence Nurs 2006;33:252-7.
  • 9. Stephen-Haynes J. NICE pressure ulcer guideline: summary and implications for practice. Br J Community Nurs 2006; 11:18.
  • 10. Gorecki C, Brown JM, Nelson EA, Briggs M, Schoonhoven L, Dealey C, et al. Impact of pressure ulcers on quality of life in older patients: a systematic review. J AmGeriatrSoc, 2009;57:1175-83.
  • 11. Feuchtinger J, de Bie R, Dassen T, Halfens RA. 4-cm thermo active visco elastic foam pad on the operating room table to prevent pressure ulcer during cardiac surgery. J ClinNurs 2006;15:162-7.
  • 12. Pressure Ulcer Risk Assessment and Prevention: Clinical Practice Guidelines. Royal College Of Nursing 2001;http://www.rcn.org.uk/__data/assets/pdf_file/0003/109839/002166.pdf (Erişim Tarihi: 26.07.2013).
  • 13. Risk Assessment & Prevention of Pressure Ulcers Registered Nurses’ Association of Ontario Nursing Best Practice Guidelines Program 2011;www.rnao.org/bestpractices (Erişim Tarihi: 27.07.2013).
  • 14. Pressure ulcers: The prevention and treatment (Quick reference guide). National Institute Healty and Clinical Excellence 2005; http://www.nice.org.uk/nicemedia/live/10972/29883/29883.pdf (Erişim Tarihi:30.07.2013).
  • 15. Lyder C. H. Pressure ulcer prevention and management. [Review] Annual Review of Nursing Research 2002;20:35-61.
  • 16. Lyder CH, Preston J, Grady JN, Scinto J, Allman R, Bergstron N, Rodeheaver G. Quality of care for hospitalized medicare patients at risk for pressure ulcers, Arch Intern Med 2001; 161: 1549-1554.
  • 17. Schultz A, Bien M, Dumond K, Brown K, Myers A. Etiology and incidence of pressure ulcers in surgical patients. AORN Journal 1999; 70 (3) : 434-449.
  • 18. Stotts NA. Risk of pressure ulcer development in surgical patients: a review of the literature. Adv Wound Care 1999; 12:127-36.
  • 19. Grous CA, Reilly NJ, Gift AG. Skin integrity in patients undergoing prolonged operations. Journal WOCN 1997; 24(2): 86-91.
  • 20. Bayers PH, Carta SG, Mayrovitz AN. Pressure ulcer research issues in surgical patients. Adv Skin &Wound Care 2000; 13: 115-121.
  • 21. Hoshowsky VM, Schramm CA. Intraoperative pressure söre prevention: an analysis of bedding materials, Research in Nursing & Health 1994;17: 333-39.
  • 22. Aronovitch SA. Intraoperatively acquired pressure ulcers: are there common risk factors? Ostomy Wound Manage 2007;53(2):57–69.
  • 23. Hawkins JE. The effectiveness of pressure-reducing table pads as an intervention to reduce the risk of intraoperatively acquired pressure sores. Military Medicine 1997; 162(11): 759-761.
  • 24. Bliss M, Simini B. When are the seeds of postoperative pressure sores sown? British Medical Journal 1999; 319 (7214): 863-865.
  • 25. Shah JL. Postoperative pressure sores after epidural anaesthesia. BMJ 2000; 321: 941-942.
  • 26. Nilsson U. Intraoperative Positioning of Patients Under General Anesthesia and the Risk of Postoperative Pain and PressureUlcers, J Peri Anesthesia Nursing 2013;28(3)3: 137-143.
  • 27. Schoonhoven L, Defloor T, Van der Tweel I, BuskensE, Grypdonck MH. Risk indicators for pressure ulcers during surgery. Appl Nurs Res 2002;15:163-73.
  • 28. Defloor T. The risk of pressure sore: a conceptual scheme. Journal of Clinical Nursing 1999; 8(2):206.
  • 29. Botella-Carretero JI, Iglesias B, Balsa JA, Arrieta F, Zamarrón I, Vázquez C. Perioperative oral nutritional supplements in normally or mildly under nourished geriatric patients submitted to surgery for hip fracture: a randomized clinical trial. Clin Nutr 2010;29:574–9.
  • 30. Avenell A, Handoll HH. Nutritional supplementation for hip fracture after care in older people. Cochrane Database Syst Rev 2010; CD001880.
  • 31. Keast D, Parslow N, Houghton, et al. Best practice recommendations for the prevention and treatment of pressure ulcers: update 2006. Adv Skin Wound Care J 2007;20:447-62.
  • 32. Brito PA, Generoso SV, Correia M. Prevalence of pressure ulcers in hospitals in Brazil and association with nutritional status: A multicenter, cross-sectional study. Nutrition 2013;29:646–649.
  • 33. Papantonio CT, Wallop JM, Kolodner KB. Sacral ulcers following cardiacs urgery: incidence and risks. Adv Wound Care 1994;7:24-36.
  • 34. Jerusum J, Joseph K, Davis JM, Suki R. Balloons, beds and breakdown. Crit Care Nurs Clin North Am 1996;8:423-40.
  • 35. Lewicki LJ, Mion L, Splane KG, et al. Patient risk factors for pressure ulcer during cardiac surgery. AORN J 1997;65(5):933-42
  • 36. Nixon J, McElvenny D, Mason S, Brown J, Bond S. A sequential randomised controlled trial comparing a dry visco-elastic polymer pad and standard operating table mattress in the prevention of postoperative pressure sores. Int J Nurs Stud 1998;35:193-203.
  • 37. Chalian AA, Kagan SH. Back side first in head and neck surgery? Preventing pressure ulcers in extended length surgeries. Head & Neck 2001; 23: 25-28.
  • 38. Armstrong D, Bartz P. An integrative review of pressure relief in surgical patient. AORN Journal, 2001; 73(3): 645-657.
  • 39. National Pressure Ulcer Advisory Panel. Terms and definitions related to support surfaces, 2007.
  • 40. Yavuz M. Basınç yaralarının önlenmesi ve tedavisinde destek yüzeyler. Türk Cerrahi ve Ameliyat Hemşireliği Kongresi,2007; 134-150; Gaziantep
  • 41. Colin J.-M. Rochet P, Ribinik B, Barrois Y, Passadori J.-M. What is the best support surface in prevention and treatment, as of 2012, for a patient at risk and/or suffering from pressure ulcer sore? Developing French guidelines for clinical practice. Annals of Physical and Rehabilitation Medicine 2012;55:466–481.
  • 42. McInnes E, Bell-Syer SE, Dumville JC, Legood R, Cullum NA. Support surfaces for pressure ulcer prevention. Cochrane Database SystRev 2008;CD001735.
  • 43. Reddy M, Gill SS, Rochon PA. Preventing pressure ulcers: a systematic review. JAMA 2006;296:974-84.
  • 44. Gül Ş. Ameliyathanede Sıvı Dolgulu Destek Yüzeyi Kullanmanın Basınç Ülserini Önlemeye Etkisi, Yüksek Lisans Tezi 2011; Gazi Üniversitesi; Ankara.
Toplam 44 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Şenay Gül

Yayımlanma Tarihi 27 Kasım 2015
Gönderilme Tarihi 27 Kasım 2015
Yayımlandığı Sayı Yıl 2014 Cilt: 1 Sayı: 3

Kaynak Göster

Vancouver Gül Ş. Cerrahi Girişim Uygulanan Hastalarda Basınç Ülseri Gelişiminin Önlenmesi. HUHEMFAD. 2015;1(3):54-61.