Yoğun Bakım Hastalarında Tıbbi Cihazla İlişkili Basınç Yaralanması Gelişimi ve Etkileyen Faktörler: Nokta Prevalans Çalışması

Year 2024, Volume: 6 Issue: 1, 57 - 64, 08.04.2024

Sevil Pamuk Cebeci Asuman Çobanoğlu Hatice Oğuzhan

https://doi.org/10.48071/sbuhemsirelik.1374543

Abstract

Giriş: Tıbbi cihazla ilişkili basınç yaraları, tıbbi cihazların daha sık kullanıldığı yoğun bakım ünitelerinde daha fazla görülmektedir.
Amaç: Araştırma yoğun bakım hastalarında tıbbi cihazla ilişkili basınç yaralanması durumu ve etkileyen faktörleri incelemek amacıyla yapıldı.
Yöntem: Araştırma Türkiye’de iki farklı ilde bulunan iki eğitim ve araştırma hastanesinin yoğun bakım ünitelerinde tedavi gören 102 hasta ile nokta prevalans çalışması olarak yapıldı. Araştırma verileri Hasta Bilgi Formu, Braden Basınç Yaralanması Risk Değerlendirme Ölçeği, Basınç Yaralanması Evrelendirme Formu ve Glaskow Koma Skalası ile toplandı.
Bulgular: Hastaların Braden Basınç Yaralanması Risk Değerlendirme Ölçeği puan ortalamasının 11,27 ± 3,11 olduğu, %67,6’sında tıbbi cihazla ilişkili olmayan basınç yaralanması, %29,4’ünde ise tıbbi cihazla ilişkili basınç yaralanması olduğu saptandı. Hastalarda tıbbi cihazla ilişkili basınç yaralanması; burun ve burun kenarında %36,6, kulak ve kulak çevresinde %20, subklavian bölgede ise %20 oranında görüldü. Hastaların albümin ve hematokrit değerleri ile tıbbi cihazla ilişkili basınç yaralanması görülme durumu arasında anlamlı bir ilişki olduğu da belirlendi (p < 0,05).
Sonuç: Araştırmada yoğun bakımda yatan hastalarda tıbbi cihazla ilişkili basınç yaralanmasının oldukça yüksek oranda görüldüğü ve basınç yaralanmasının burun ve burun kenarı, kulak ve kulak çevresi ile subklavian bölgede daha fazla olduğu belirlendi.

Keywords

Basınç yaralanması, hemşirelik bakımı, tıbbi cihaz, yara, yoğun bakım

Medical Device-Related Pressure Injury Development in Intensive Care Patients and Affecting Factors: Point Prevalence Study

Abstract

ABSTRACT
Introduction: Medical device-related pressure injuries are more common in intensive care units where medical devices are used more frequently
Aim: The research was conducted to examine the pressure injury conditionrelated to medical devices and the affecting factors in intensive care patients.
Method: The research was conducted as a point prevalence study with 102 patients treated in the intensive care units of two training and research hospitals located in two different provinces in Turkey. Research data were collected with the Patient Information Form, Braden Pressure Injury Risk Assessment Scale, Pressure Injury Staging Form, and Glasgow Coma Scale.
Results: It was determined that the mean score of the Braden Pressure Injury Risk Assessment Scale of the patients was 11.27 ± 3.11, non-medical device related pressure injuries in 67.6% and 29.4% of them had a pressure injuries due to a medical device. Regions where medical device-related pressure injuries in patients; It was seen as 36.6% in the nose andnose edge, 20.0% in the ear and around the ear, and 20.0% in the subclavian region. It was also determined that there was a significant relationship between the patients' albumin and hematocrit values and medical device-related pressure injury (p < 0.05).
Conclusion: In the study, it was found that pressure injuries related to medical devices were seen at a very high rate in patients hospitalized in intensive care and that pressure injuries were more common in the nose and nose edge, ear and around the ear, and the subclavian region.

Keywords

Intensive care, medical device, nursing care, pressure injury, wound

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