Knowledge Levels of Nursing Students for Surgical Drain Follow up and Care

Year 2019, , 1278 - 1292, 15.04.2019

Akif Bulut , Tuğba Afşar Nursel Vatansever

https://doi.org/10.30569/adiyamansaglik.493880

Cited By: 1

Abstract

Objective:
This
study was carried out in order to determine the level of knowledge
about nursing department students' follow-up and care of the drains.

Method:
This
identificatory and cross-sectional study was carried out with 233
students (second, third and fourth grade students) who took Surgical
Nursing course at departmant of Nursing science during spring term in
2016-2017 academic year and accepted to participate the study
voluntarily.
The
data were collected by the researchers by using “Student
Introduction Form’’ and “Information Evaluation Form Concerning
Usage and Treatment of Drain’’.
The data obtained were evaluated using the percentage distributions,
averages and chi-square test using descriptive statistics in the SPSS
23 program. The statistical significance limit was accepted as
p<0.05.

Results:
%53.07
(n= 233) participated in the study, %73.4 (n= 171) of the students
were girls, %36.9 (n= 86) were in the third grade and %83.7 (n= 195)
and %7.3 (n= 17) were working in the health sector. It was determined
that %63.5 of the students (n= 148) had been educated about the
follow-up and care of the drains, and %50.6 (n= 118). The students
responded correctly to the information evaluation questions prepared
by the researchers by %55. In
our study, when the relationship between students’ classes and the
questions relating to basic informations about practicte and
maintenance of drain, it is indicated that second year students’
rate of knowing the correct answer (%43.3) is higher than upper
students.

Conclusion:
It
was noted that nursing students' knowledge levels about drains were
not sufficient in the results obtained. This lack of knowledge is
considered to be due, in particular, to changes in the type of drain
and the lack of relevant clinical practice courses for students as
they progress through a higher class.

Keywords

Drain, Care, Student, Nurse

Hemşirelik Öğrencilerinin Cerrahi Dren Takibi ve Bakımına Yönelik Bilgi Düzeyleri

Abstract

Amaç:
Bu
çalışma hemşirelik bölümü öğrencilerinin dren takibi ve
bakımı konusundaki bilgi düzeylerini belirlemek amacıyla yapıldı.

Yöntem:
Tanımlayıcı
ve kesitsel nitelikteki bu çalışma 2016-2017 Eğitim-Öğretim
Yılı Bahar Yarıyılı’nda Sağlık Bilimleri Fakültesi
Hemşirelik bölümünde Cerrahi Hastalıkları Hemşireliği dersini
almış (ikinci, üçüncü ve dördüncü sınıf öğrencileri)
çalışmaya katılmayı gönüllü olarak kabul eden 233 öğrenci
ile gerçekleştirildi. Veriler araştırmacılar tarafından
“Öğrenci Tanıtım Formu” ve “Dren
Uygulama ve Bakımına İlişkin Bilgi Değerlendirme Formu”
kullanılarak toplandı. Elde
edilen veriler SPSS 23 programında tanımlayıcı istatistikler
kullanılarak yüzdelik dağılımlar, ortalamalar ve ki-kare testi
kullanılarak değerlendirildi. İstatistiksel anlamlılık sınırı
p< 0.05 olarak kabul edildi.

Bulgular:
Çalışmaya
%53.07 (n=233) oranında katılım sağlandı, öğrencilerin %73.4’ü
(n=171) kız , %36.9’u (n=86) üçüncü sınıf , %83.7’sinin
(n=195) herhangi bir meslek eğitimi vermeyen liseden mezun olduğu,
%7.3’ünün (n=17) sağlık sektöründe çalıştığı
belirlendi. Öğrencilerin %63.5’inin (n=148) dren takibi ve bakımı
konusunda daha önce eğitim aldığı, %50.6’sının (n=118) dreni
olan bir hastaya bakım verdiği belirlendi. Öğrenciler,
araştırmacılar tarafından hazırlanan bilgi değerlendirme
sorularına %55 oranında doğru cevap verdiği saptandı.
Çalışmamızda
öğrencilerin sınıfları ile dren uygulaması ve bakımına
ilişkin temel bilgileri içeren sorular arasındaki ilişki
incelendiğinde ikinci sınıf öğrencilerinin üst sınıflara göre
doğru bilme oranının (%44.3) daha yüksek olduğu belirlendi.

Sonuç:
Elde
edilen sonuçlarda hemşirelik öğrencilerinin drenler konusunda
bilgi düzeylerinin yeterli olmadığı kaydedildi. Bu bilgi
yetersizliğinin özellikle dren tipindeki değişikler ve
öğrencilerin bir üst sınıfa geçtikçe bu konuyla ilgili klinik
uygulamalı derslerin bulunmamasından kaynaklandığı
düşünülmektedir.

Keywords

Dren, Bakım, Öğrenci, Hemşire

References

• 1. Durai R, Mownah A, Philip CN. Use of drains in surgery: a review. Journal of perioperative practice, 2009;19(6):180-186.
• 2. Yılmaz KB, Akıncı M, Şeker D, Güller M, Güneri G, Kulaçoğlu H. Factors affecting the safety of drains and catheters in surgical patients. Ulusal Cerrahi Dergisi 2014;30(2):90-92.
• 3. Čečka F, Loveček M, Jon B, Skalický P, Šubrt Z, Neoral C, Ferko A. Intra-abdominal drainage following pancreatic resection: A systematic review. World J Gastroenterology 2015;21(40):11458-68.
• 4. Brown MD, Brookfield KFW. A Randomized Study of Closed Wound Suction Drainage for Extensive Lumbar Spine Surgery. Spine 2004;29(10):1066-68.
• 5. Petrowsky H, Demartines N, Rousson V, Clavien P. Evidence-based value of prophylactic drainage in gastrointestinal surgery: a systematic review and meta-analyses. Annals of surgery 2004;240(6):1074-84.
• 6. Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Annals of surgery 2008;248(2):189-98.
• 7. Lyons N, Heron P, Bethune R. Improving the recording of surgical drain output. BMJ Open Quality 2015;4(1):doi: 10.1136/bmjquality.u209264.w3964.
• 8. Crawford D. Care and nursing management of a child with a chest drain. Nursing children and young people 2011;23(10):27-34.
• 9. Sullivan B. Nursing management of patients with a chest drain. British journal of nursing 2008;17(6):388-393.
• 10. Durai R, Phılıp CH. Surgical vacum drains: types, uses, and complications. AORN journal 2010;91(2):266-74.
• 11. Tiwari A, McFarlane JP, Peters, JL. A simple technique for securing surgical drains. Injury Extra 2004;35(11):91-3.
• 12. Kuhajda I, Zarogoulidis K, Kougioumtzi I, Huang H, Li Q, Dryllis G, Kioumis I, Pitsiou G, Machairiotis N, Katsikogiannis N, Papaiwannou A, Lampaki S, Papaiwannou A, Zaric B, Branislav P, Porpodis P, Zarogoulidis P. Tube thoracostomy; chest tube implantation and follow up. J Thorac Dis 2014;6(4):470-9.
• 13. Lehwaldt D, Timmins F. Nurses’ knowledge of chest drain care: an exploratory descriptive survey. Nursing in critical care 2005;10(4):192-200.
• 14. Magner C, Houghton C, Craig M, Cowman, S. Nurses' knowledge of chest drain management in an Irish Children's Hospital. Journal of clinical nursing 2013;22(19-20):2912-22.
• 15. Ergin M, Yeğinsu A, Gürlek K. Göğüs tüpü takılması. Turkish Journal of Surgery/Ulusal Cerrahi Dergisi 2010;26(2):115-21.
• 16. Ling L, Guo L, Wang J, Zhang L, Zhu J, Huang Z. Nursing Management of Lumbar Drainage in Cryptococcal Meningitis: A Case Report. Journal of Neuroscience Nursing 2017;49(4):198-202.
• 17. Trotter M, Morgan D. Continuous lumbar drainage. Ann R Coll Surg Engl 2002;84(1):64–5.
• 18. Muralidharan R. External ventricular drains: management and complications. Surgical neurology international, 2015;6(6):271-4.
• 19. Tarhan M, Gökduman SA, Ayan A, Dalar L. Nurses’ Knowledge Levels of Chest Drain Management: A Descriptive Study. Eurasian Journal of Pulmonology 2016;18(3):153-9.
• 20. Briggs D. Nursing care and management of patients with intrapleural drains. Nursing Standard (through 2013) 2010;24(21):47-55.
• 21. Charnock Y, Evans D. Nursing management of chest drains: a systematic review. Aust Crit Care 2001;14(4):156-60.
• 22. Bruce EA. Chest drain removal pain and its management: a literature review. Blackwell Publishing Ltd, Journal of Clinical Nursing 2006;(15):145–54.
• 23. Patel SB, Griffiths-Jones W, Jones CS, Samartzis D, Clarke AJ, Khan S, Stokes OM. The current state of the evidence for the use of drains in spinal surgery: systematic review. European Spine Journal 2017;26(11):2729-38.
• 24. Puleo FJ, Mishra N, Hall JF. Use of intra-abdominal drains. Clinics in colon and rectal surgery 2013;26(3):174-7.
• 25. Walker J. Patient preparation for safe removal of surgical drains. Nursing standard 2007;21(49):39-41.
• 26. Liu Y, Li Y, Miao J. Wound drains in posterior spinal surgery: a meta-analysis. Journal of orthopaedic surgery and research, 2016;11(16): DOI 10.1186/s13018-016-0351-8
• 27. Mirzai H, Eminoglu M, Orguc S. Are drains useful for lumbar disc surgery? A prospective, randomized clinical study. Clinical Spine Surgery 2006;19(3):171-7.
• 28. Melnyk BM, Fineout‐Overholt E, Feinstein NF, Li H, Small L, Wilcox L, Kraus R. Nurses' Perceived Knowledge, Beliefs, Skills, and Needs Regarding Evidence‐Based Practice: Implications for Accelerating the Paradigm Shift. Worldviews on Evidence-Based Nursing 2004;1(3):185–93.
• 29. Hatlevik IKR. The theory-practice relationship: reflective skills and theoretical knowledge as key factors in bridging the gap between theory and practice in initial nursing education. Journal of Advanced Nursing 2011;68(4):868–77.
• 30. Angel BF, Duffey M, Belyea M. An evidence-based project for evaluating strategies to improve knowledge acquisition and critical-thinking performance in nursing students. Journal of Nursing Education 2000;39(5):219-28.