Turkiye Klinikleri Journal of Nursing Sciences

.: REVIEW
Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı
Delirium and Nursing Care After Cardiac Surgery
Sevil PAMUK CEBECİa
aYunus Emre Devlet Hastanesi, Eskişehir, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2019;11(3):313-23
doi: 10.5336/nurses.2018-62177
Article Language: TR
Full Text
ÖZET
 Kardiyak cerrahisi sonrası erken dönemde en sık görülen psikiyatrik rahatsızlık olan deliryum, hafif ya da belirgin nörobilişsel fonksiyon bozukluğuna yol açan, hipoperfüzyon ya da infarkt tarzında serebral hasarlanma veya majör bir komplikasyon olarak ortaya çıkabilmektedir. Serebral hasarın altta yatan nedenleri arasında beynin kan akımındaki değişiklikler, emboliler ve kardiyopulmoner baypas esnasındaki hemodinamik değişiklikler sayılabilir. Kardiyak cerrahi sonrası deliryumun önlenmesi yoğun bakım ünitesinde başlamalı, serviste devam etmeli ve taburculuk sonrası dönemi de kapsamalıdır. Hemşireler, hastalarla sürekli iletişim içinde olmaları nedeni ile deliryumdaki hastaların oryantasyonlarında, deliryum gelişimini önlemede ve tedavisinde anahtar konumdadırlar. Değerlendirmede bireysel risk faktörleri kadar çevresel risk faktörleri de dikkate alınarak predispozan faktörler önlenmeli, bireye özgü hemşirelik bakımı planlanarak uygulanmalı ve sonuçları değerlendirilmelidir. Bu çalışma, kardiyak cerrahi geçiren hastalarda deliryum gelişim insidansını, risk faktörlerini, önleyici/tedavi edici girişimleri ve hemşirelik bakımını literatür ışığında tartışmak amacıyla yapılmıştır.

Anahtar Kelimeler: Deliryum; kardiyak cerrahi; hemşirelik bakımı
ABSTRACT
 Delirium, the most common psychiatric disorder in the early postoperative period, may present as a major complication of cerebral injury or hypoperfusion or infarction, leading to mild or significant neurocognitive dysfunction. The underlying causes of serebral injury include; changes in the blood flow of the brain, emboli and hemodynamic changes during cardiopulmonary bypass. Prevention of delirium after cardiac surgery should begin in the intensive care unit, continue at the service and include post-discharge period. Since nurses are in constant communication with the patient, they are the key to the prevention and treatment of delirium in the orientation of the patients in the delirium. Considering the environmental risk factors as well as individual risk factors, the predisposing factors should be prevented, individualized nursing care should be planned and applied and the results should be evaluated. This article discusses the incidence of delirium development, risk factors, preventive/therapeutic interventions and nursing care in patients undergoing cardiac surgery to discuss the literature.

Keywords: Delirium; cardiac surgery; nursing care
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www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

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