Turkiye Klinikleri Journal of Anesthesiology Reanimation

.: ORIGINAL RESEARCH
Cerrahi Yoğun Bakım Ünitelerinden Kliniklere Nakledilen Hastaların Yoğun Bakım Deneyimleri
Intensive Care Experiences of Patients Transferred from Surgical Intensive Care Units to Clinics
Seçil TAYLANa, Sevban ARSLANb, Sevgi Deniz DOĞANc, Sevilay ERDEN YÜKSEKKAYAa, Derya GEZERd
aHemşirelik Bölümü, Cerrahi Hastalıkları Hemşireliği AD, Akdeniz Üniversitesi Kumluca Sağlık Bilimleri Fakültesi, Antalya, TÜRKİYE
bHemşirelik Bölümü, Cerrahi Hastalıkları Hemşireliği AD, Çukurova Üniversitesi Sağlık Bilimleri Fakültesi, Adana, TÜRKİYE
cSağlık Bakım Hizmetleri Bölümü, Isparta Uygulamalı Bilimler Üniversitesi Uluborlu Selahattin Karasoy Meslek Yüksekokulu Sağlık Bakım Hizmetleri, Isparta, TÜRKİYE
dGenel Cerrahi AD, Çukurova Üniversitesi Tıp Fakültesi, Adana, TÜRKİYE
Turkiye Klinikleri J Anest Reanim. 2019;17(1):1-7
doi: 10.5336/anesthe.2019-64778
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, cerrahi yoğun bakım üniteleri (YBÜ)'nden servislere nakledilen hastaların yoğun bakım deneyimlerini değerlendirmek amacıyla yapılmıştır. Gereç ve Yöntemler: Tanımlayıcı tipteki araştırma, bir üniversite hastanesinin cerrahi YBÜ'lerinde en az 24 saat yattıktan sonra kliniklere nakledilen 113 hasta ile yürütülmüştür. Veriler, çalışmaya katılmayı kabul eden hastalardan sözlü onam alındıktan sonra kişisel bilgi formu ve Yoğun Bakım Deneyim Ölçeği (YBDÖ) kullanılarak toplanmıştır. Verilerin analizi tanımlayıcı istatistikler, Mann-Whitney U ve Kruskal-Wallis testleri kullanılarak yapılmıştır. Bulgular: Araştırmaya katılan hastaların yaş ortalaması 54,3±14,6 (18-88) yıl, %54'ü erkek, %86,7'si evli olup, %54'ü genel cerrahi kliniklerine nakledilmiştir. Hastaların YBDÖ'den aldıkları toplam puan ortalaması 58,24±9,4 (31-81) olarak saptanmıştır. Ölçeğin alt boyutlarından alınan puan ortalamaları "YBÜ'de iken çevrenin farkında olma" alt boyutundan 18,46±3,1 (10-26); "YBÜ'de yaşanan kötümser deneyimler" alt boyutundan 14,55±3,8 (4-26); "YBÜ'de yaşanan deneyimlerin hatırlanması" alt boyutundan 11,28±2,7 (6-20); "YBÜ'de alınan bakımdan memnuniyet" alt boyutundan 13,95±4,6 (5-25) olarak belirlenmiştir. Hastaların medeni durum, gelirin durumu ve yattığı YBÜ'ye göre yoğun bakım deneyimlerinin etkilendiği saptanmıştır. Sonuç: YBÜ'de yatan hastaların olumsuz deneyimlerinin azaltılması ve olumlu deneyimlerle taburcu olabilmesi için yoğun bakım deneyimlerini etkileyen faktörlerin ve çözüm yollarının belirlenmesi ile ilgili çalışmaların yapılması ve sonuçlarının uygulamaya yansıtılması önerilmektedir.

Anahtar Kelimeler: Yoğun bakım; deneyim; memnuniyet; hasta
ABSTRACT
 Objective: The aim of this study was to evaluate the intensive care experiences of patients transferred from surgical intensive care units (ICU) to clinics. Material and Methods: The descriptive study was carried out with 113 patients who were admitted to the clinics after being at least 24 hours in the surgical ICUs of a university hospital. The data were collected using a personal information form and the Intensive Care Experience Scale (ICES) after obtaining verbal consent from patients who agreed to participate in the study. Descriptive statistics, Mann-Whitney U, and Kruskal-Wallis tests were used to analyze the data. Results: The mean age of the patients was 54.3±14.6 (18-88), 54% of the patients were male, 86.7% were married, and 54% were transferred to general surgery clinics. The ICES mean total score of the patients was 58.24±9.4 (31-81). The subgroup mean scores of the patients wereas follows; 18.46±3.1 (10-26) in the subgroup of "Being aware of the environment", 14.55±3.8 (4-26) in the subgroup of "Pessimistic experiences", 11.28±2.7 (6-20) in the subgroup of "Recall of the experiences" and 13.95±4.6 (5-25) in the subgroup of "Satisfaction from the received care". It was determined that intensive care experiences were affected according to the marital status, income status and ICU of the patients. Conclusion: To reduce the negative experiences of the patients staying in the intensive care units and to discharge the patients with positive experiences, it is recommended to conduct studies on the factors affecting the intensive care experiences, to identify the solutions, and to reflect these results on the practice.

Keywords: Intensive care; experience; satisfaction; patient
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