Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Cerrahi Hemşirelerinin İstenmeyen Perioperatif Hipotermi Bakımına Yönelik Bilgi ve Uygulamalarının Belirlenmesi
Determining the Knowledge and Interventions by Surgical Nurses for Inadvertent Perioperative Hypothermia Care
Fazilet TAMERa, Mevlüde KARADAĞb
aYüksek İhtisas Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Ameliyathane Hizmetleri Programı, Ankara, TÜRKİYE
bYüksek İhtisas Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Ankara, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2020;12(1):19-29
doi: 10.5336/nurses.2019-70341
Article Language: TR
Full Text
ÖZET
 Amaç: Cerrahi hastalarının %50-90'ında istenmeyen perioperatif hipotermi (İPH) gelişme riski bulunmaktadır. Günümüzde İPH henüz tam olarak çözümlenmemiş sorunlardan biridir ve hemşirelik girişimleri arasında önemli bir yere sahiptir. Bu çalışma, cerrahi hemşirelerinin İPH bakımına yönelik bilgi düzeylerinin ve uygulamalarının belirlenmesi amacıyla tanımlayıcı olarak yapılmıştır. Gereç ve Yöntemler: Çalışmanın evrenini, iki üniversite ve iki eğitim ve araştırma hastanesinin cerrahi kliniklerinde Ağustos 2017-Aralık 2017 tarihleri arasında çalışan 245 hemşire oluşturmuştur. Çalışmaya katılmayı kabul eden 115 hemşire ile çalışma tamamlanmıştır. Verilerin toplanmasında araştırmacılar tarafından literatür doğrultusunda hazırlanan 'Soru Formu', verilerin değerlendirilmesinde ise sayı, yüzde, tanımlayıcı istatistikler, Mann-Whitney U ve Kruskal-Wallis H testi kullanılmıştır. Bulgular: Çalışmada, hemşirelerin %19,1'inin İPH toplam bilgi puanı bölümünden başarılı oldukları saptanmıştır. Hemşirelerin çoğunun anesteziden bir saat önce İPH yönünden hastayı değerlendirmediği, sadece ameliyat sonrası ilk 24 saat içinde İPH yönünden hastayı değerlendirdiği tespit edilmiştir. Hemşirelerin %59,7'sinin ise ameliyat öncesi ısıtma işlemini yapmadığı belirlenmiştir. Sonuç: Hemşirelerin İPH bakımına yönelik bilgi ve uygulamalarının yeterli düzeyde olmadığı tespit edilmiştir. Cerrahi hemşirelerinin İPH bakımına yönelik bilgi düzeylerini ve uygulama oranlarını artırmaya yönelik eğitim programlarının düzenlenmesi ve klinik uygulama kılavuzlarının oluşturulması önerilmektedir.

Anahtar Kelimeler: Perioperatif hemşirelik; hipotermi; plansız hipotermi; hemşirelik bakımı
ABSTRACT
 Objective: There is a risk of developing inadvertent perioperative hypothermia (IPH) in 50-90% of surgical patients. Today, IPH is one of the problems that have not been solved yet and has an important place among nursing interventions. This study was conducted as a descriptive study in order to determine the knowledge levels and applications of surgical nurses for IPH care. Material and Methods: The population of the study consisted of 245 nurses working between August and December 2017 in surgical clinics of two universities and two training and research hospitals. The study was completed with 115 nurses who agreed to participate in the study. In the data collection, the 'Questionnaire' prepared by the researchers in line with the literature; In the evaluation of the data, number, percentage, descriptive statistics, Mann-Whitney U and Kruskal-Wallis H test were used. Results: In the study, it was found that 19.1% of the nurses were successful in the total knowledge score of IPH. It was found that most of the nurses did not evaluate the patient for IPH one hour before anesthesia but only for the first 24 hours postoperatively. It was determined that 59.7% of the nurses did not perform preoperative heating. Conclusion: It was determined that nurses' level of knowledge and practices regarding IPH care was not sufficient. It is recommended that educational programs and clinical practice guidelines should be developed to increase the knowledge and application rates of surgical nurses for the treatment of IPH.

Keywords: Perioperative nursing; hypothermia; inadvertent hypothermia; nursing care
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