Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Hospital Process of Children with Ingested Corrosive Substances: A Single Center Retrospective Study in Türkiye
Korozif Madde Alan Çocukların Hastane Süreci: Türkiye'de Tek Merkezli Retrospektif Çalışma
Nazife Gamze ÖZER ÖZLÜa,b, Fatma VURALb, Ülküm Zafer DÖKÜMCÜc
aPhD Student at Dokuz Eylül University Institute of Health Sciences, İzmir, Türkiye
bDepartment of Surgical Diseases Nursing, Dokuz Eylül University Faculty of Nursing, İzmir, Türkiye
cDepartment of Pediatric Surgery, Ege University Hospital (Application and Research Center), İzmir, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(1):8-16
doi: 10.5336/nurses.2022-92844
Article Language: EN
Full Text
ABSTRACT
 Objective: This study retrospectively was aimed to determine how the treatment and care processes of children ingestion corrosive substances are maintained. Material and Methods: The population of the study is children with ingested corrosive substances, and the sample consisted of pediatric patients who ingestion corrosive substances from the pediatric surgery department of a university hospital in western Türkiye. Medical and nursing files of children with corrosive substance ingestion from the university's electronic patient file were examined. The sample of the study consisted of 70 pediatric patients who came between the years 2018-2021. The analysis of data was calculated using SPSS 24.0 program, frequency, percentage, median, interquartile range, comparison analysis and logistic regression. Results: The median age at first admission of pediatric patients was 4.0 years and 57.1% were girls. 35.7% of the pediatric patients due to oil consumption, 30.0% of them applied to the pediatric surgery department in the summer season, and the hospital was not the first application center for 61.4%. According to the Rush Medicus Patient Classification System, 40% of the children were defined as low-level dependent patients. The first arrival age of children affects the level of nursing dependency. It was determined that the rate of dilatation in pediatric patients varied according to the hospital first application center. Conclusion: As a result, although the dependency level of the children taking corrosive substances to the nurse is low, it was determined that the child's first admission age and dilatation status affect the level of addiction.

Keywords: Corrosive ingestion; pediatric surgery; retrospective study; treatment; nursing
ÖZET
 Amaç: Bu çalışma, korozif madde alan çocukların tedavi ve bakım süreçlerinin nasıl sürdürüldüğünü belirlemek amacıyla retrospektif olarak yapıldı. Gereç ve Yöntemler: Araştırmanın evreni korozif madde alan çocuklar, örneklemi Türkiye'nin batısında bir üniversite hastanesinin çocuk cerrahisi bölümüne gelen korozif madde alan çocuk hastalardır. Üniversitenin elektronik hasta dosyasından korozif madde alan çocukların tıbbi ve hemşirelik dosyaları incelendi. Araştırmanın örneklemini 2018-2021 yılları arasında gelen 70 çocuk hasta oluşturmuştur. Verilerin analizi SPSS 24.0 programı, frekans, yüzde, medyan, çeyrekler arası aralık, karşılaştırma analizi ve lojistik regresyon kullanılarak hesaplanmıştır. Bulgular: Pediatrik hastaların ilk başvuru yaş medyanı 4,00 yıl olup, %57,1'i kızdır. Pediatrik hastaların %35,7'si yağ çöz alımı nedeniyle, %30'u yaz mevsiminde çocuk cerrahisi bölümüne başvurmuş ve %61,4'ü hastane ilk başvuru merkezi olmamıştır. Rush Medicus Hasta Sınıflandırma Sistemine göre çocukların %40'ı düşük düzeyde bağımlı hastalar olarak tanımlandı. Çocukların hastaneye ilk geliş yaşı hemşirelik bağımlılık düzeyini etkilemektedir. Pediatrik hastalardaki dilatasyon oranının hastanenin ilk başvuru merkezine göre farklılık gösterdiği belirlendi. Sonuç: Sonuç olarak korozif madde alan çocukların hemşireye bağımlılık düzeyi düşük olmasına rağmen çocuğun ilk başvuru yaşı ve dilatasyon durumunun bağımlılık düzeyini etkilediği belirlendi.

Anahtar Kelimeler: Korozif madde alma; pediatrik cerrahi; retrospektif çalışma; tedavi; hemşirelik
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