AN EXAMINATION OF THE KNOWLEDGE, ATTITUDES AND PRACTICE OF NURSES REGARDING THE NUTRITION OF SURGERY PATIENTS

Year 2019, Volume: 5 Issue: 1, 1191 - 1205, 15.04.2019

Esma Özşaker , Melike Karasu

https://doi.org/10.30569/adiyamansaglik.485998

Abstract

Objective:
The aim of this study was to determine the knowledge, attitudes and practice of
nurses working in surgery units regarding the nutrition of surgery patients.

Methods:
This descriptive study was conducted on 252 nurses working in the surgical
clinics of two university hospitals in İzmir during June and October 2014. The
questionnaire used to collect data was developed by the researchers, and
consisted of 48 questions on the nurses’ sociodemographic characteristics and
their knowledge, attitudes and practice with regard to nutrititon. Number,
percentage, mean and standard deviation, Mann Whitney U and Kruskal Wallis
tests, and Cronbach’s α and Spearman rank correlation were used for data
analysis.

Results:
The mean knowledge score of surgical nurses for the feeding of surgical patient
was 75.75% and the mean attitude score was 82.57%, and 63.9% of them had a
knowledge level of “good”.

Conclusion:
As a result of the study, it was found that the knowledge and attitude scores
of the nurses about nutrition were high, and the scores of surgery nurses on
knowledge of nutrition increased, their attitude scores also increased. 

Keywords

surgery, nursing, nutrition, knowledge, attitudes, practice

HEMŞİRELERİN CERRAHİ HASTASININ BESLENMESİ KONUSUNDA BİLGİ, TUTUM VE UYGULAMALARININ İNCELENMESİ

Abstract

Amaç: Bu araştırma, cerrahi birimlerde çalışan hemşirelerin
cerrahi hastalarının beslenmesine ilişkin bilgi, tutum ve uygulamalarını
belirlemek amacıyla yapıldı.

Yöntem: Tanımlayıcı tipteki bu araştırma, İzmir ilinde iki
üniversite hastanesinin cerrahi birimlerinde çalışan 252 hemşire ile Haziran-Ekim
2014 tarihleri arasında yapıldı. Araştırmada veri toplama aracı olarak
araştırmacılar tarafından geliştirilen ve cerrahi hemşirelerinin
sosyodemografik özellikleri ile beslenmeye ilişkin bilgi, tutum ve
uygulamalarını değerlendiren 48 sorudan oluşan anket formu kullanıldı. Veri
analizinde, sayı, yüzde, ortalama, Mann Whitney U, Kruskal Wallis testleri,
Cronbach’s α ve Spearman rank korelasyon analizleri kullanıldı.

Bulgular: Cerrahi hemşirelerin,
cerrahi hastasının beslenmesine ilişkin ortalama bilgi skorunun %75.75 olduğu,
ortalama tutum skorunun %82.57 olduğu ve %63.9’unun cerrahi hastasının beslenmesine
ilişkin bilgi puanlarının iyi düzeyde olduğu saptandı.

Sonuç: Araştırma sonucunda cerrahi hemşirelerinin beslenmeye
ilişkin bilgi ve tutum skorlarının yüksek olduğu, bilgi düzeyi puanları
arttıkça tutum puanlarının da arttığı saptandı.

Keywords

cerrahi, hemşire, beslenme, bilgi, tutum, uygulama

References

• 1. Kahokehr AA., Sammour T., Wang K., Sahakian V., Plank LD., Hill AG. Prevelance of Malnutrition on Admission to Hospital- Acute and Elective General Surgical Patients. e-SPEN, The European e-Journal of Clinical Nutrition and Metabolism 2010; 5(1): 21-25. https://doi.org/10.1016/j.eclnm.2009.11.001
• 2. Shpata V., Prendushi X., Kreka M., Kola I., Kurti F., Ohri I. Malnutrition at the Time of Surgery Affects Negatively the Clinical Outcome of Critically Ill Patients with Gastrointestinal Cancer. Medical Archives 2014; 68(4): 263-267. https://doi.org/10.5455/medarh.2014.68.263-267
• 3. Salman B, Oğuz M. Beslenme Desteğinin Moniterizasyonu. Yoğun Bakım Dergisi 2006; 6(1): 22-27.
• 4. Barker L., Gout B., Crowe T. Hospital Malnutrition: Prevalence, Identification and Impact on Patients and the Healthcare System. International Journal of Environ-mental Research and Public Health 2011; 8: 514-527. https://doi.org/10.3390/ijerph8020514
• 5. Dal Ü. Malnutrisyona Bağlı Postperatif Komplikasyonlar ve Hemşirelik Bakımı. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2008; 11(1): 85-92.
• 6. Mignini EV., Scarpellini E., Rinninella E., Lattanzi E., Valeri MV., Clementi N.…..Santori P. Impact of patients nutritional status on major surgery outcome. European Review for Medical and Pharmacological Sciences 2018; 22(11): 3524-3533. https://doi.org/10.26355/eurrev_201806_15179
• 7. Daniels L. Good Nutrition for Good Surgery: Clinical And Quality of Life Outcomes. Australian Prescriber 2003; 26(6): 136-140.
• 8. Mahakalkar CC., Modi S., Yeola M., Kaple MN., Patwardhan MA, Laddha P. Malnutrition in hospitalised patients; a real concern in surgical outcomes. International Journal of Research in Medical Sciences 2014; 2(1): 250-257. https://doi.org/10.5455/2320-6012.ijrms20140248
• 9. Schindler K., Pernicka E., Laviano A., Howard P., Schütz T., Bauer P….. Hiesmayr M. How Nutritional Risk is Assesed and Managed in European Hospitals: A Survey of 21,007 Patients Findings From The 2007-2008 Cross-Sectional Nutritionday Survey. Clinical Nutrition 2010; 29(5): 552-559.
• 10. Yalcin N., Cihan A., Gundogdu H., Ocakci A. Nutrition Knowledge Level of Nurses. Health Science Journal 2013; 7(1): 99-108.
• 11. O’Regan P. Nutrition For Patients in Hospital. Nursing Standard 2009; 23(23): 35-41. https://doi.org/10.7748/ns2009.02.23.23.35.c6799
• 12. Mowe M., Bosaeus I., Rasmussen HH., Kondrup J., Unosso, M., Irtun Ø. Nutritional Routines and Attitudes Among Doctors and Nurses İn Scandinavia: A Questionnaire Based Survey. Clinical Nutrition 2006; 25(3): 524-532. https://doi.org/10.1016/j.clnu.2005.11.011
• 13. Bjerrum M., Tewes M., Pedersen P. Nurses’ Self-Reported Knowledge About and Attitude to Nutrition-Before and After A Training Programme. Scandinavian Journal of Caring Sciences 2012; 26(1): 81-89. https://doi.org/10.1111/j.1471-6712.2011.00906.x
• 14. Fletcher A., Carey E. Knowledge, attitudes and practices in the provision of nutritional care. British Journal of Nursing 2011; 20(10): 570-574. https://doi.org/10.12968/bjon.2011.20.10.615
• 15. Kim H., Choue R. Nurses’ Positive Attitudes to Nutritional Management but Limited Knowledge of Nutritional Assessment in Korea. International Nursing Review 2009; 56: 333-339. https://doi.org/10.1111/j.1466-7657.2009.00717.x
• 16. Pederson PU., Tewes M., Bjerrum M. Implementing Nutritional Guidelines- The Effect of Systematic Training for Nurse Nutrition Practitioners. Scandinavian Journal of Caring Sciences 2012; 26: 178-185. https://doi.org/10.1111/j.1471-6712.2011.00912.x
• 17. Kuyumcu A., Polat-Düzgün A., Uzun S., Özmen M.M., Coşkun F., Besler H.T. Major Abdominal Cerrahi Geçiren Hastalarda Preoperatif Nutrisyonel Değerlendirme: İleri Yaş Radikal Cerrahiye Engel Midir? Geriatri 2003; 6(4): 128-134.
• 18. Celia Laur C., Marcus H., Ray S., Keller H. Quality Nutrition Care: Measuring Hospital Staff’s Knowledge, Attitudes, and Practices. Healthcare 2016; 4(4): 79. https://dx.doi.org/10.3390%2Fhealthcare4040079
• 19. Nice Guideline Development Group. Nice Guideline. Nutrition Support in Adults: Oral Nutrition Support, Enteral Tube Feeding and Parenteral Nutrition. 2006. Erişim adresi: http://www.nice.org.uk/guidance/cg32/resources/guidance-nutrition-support-in-adults-pdf
• 20. Kobe JA. Aspects of Nutritional Knowledge, Attitudes and Practices of Nurses Working in the Surgical Division at the Kenyatta National Hospital, 2006, Kenya. Erişim adresi: http://scholar.sun.ac.za/handle/10019.1/1514
• 21. Gündoğdu H. Malnütrisyon. İç Hastalıkları Dergisi 2010; 17: 189-202.
• 22. Yılmaz E. Cerrahi hastalarda ameliyat öncesi açlık sürecinde yeni yaklaşımlar. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi 2009; 25(3): 105-118.
• 23. Dolgun E., Taşdemir N., Ter N., Yavuz M. Cerrahi Hastalarının Ameliyat Öncesi Aç Kalma Sürelerinin İncelenmesi. Fırat Üniversitesi Sağlık Bilimleri Dergisi 2011; 25(1): 11–15.
• 24. Karaveli Çakır S., Yavuz van Giersbergen M., Çakır Umar D. Cerrahi Hemşirelerinin Ameliyat Öncesi Aç Kalma İle İlgili Uygulama ve Bilgi Düzeyi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi 2018; 34 (1): 26-35. Erişim adresi: http://dergipark.gov.tr/egehemsire/issue/36787/301646
• 25. Yavuz M. Ameliyat Öncesi Bakım. Karadakovan, A., Eti Aslan, F. (Ed.) Dahili ve Cerrahi Hastalıklarda Bakım Kitabı içinde (s.261-276). 2011. Adana: Nobel Kitabevi.
• 26. Royal Collage of Nursing. Clinical Practice Guideline-Perioperative Fasting in Adults and Children. 2005. Erişim adresi: https://www.rcn.org.uk/__data/assets/pdf_file/0009/78678/002800.pdf
• 27. Özçelik AÖ., Sürücüoğlu MS., Akan LS. Nutrition Knowledge Level of Nurses in Turkey: Ankara as an Example. Pakistan Journal of Social Sciences 2007; 4(3): 485-489.
• 28. Holst M., Rasmussen H.H., Unosson M. Well-established nutritional structure in Scandinavian hospitals is accompanied by increased quality of nutritional care. e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism 2009; 4(1): e22-e29. https://doi.org/10.1016/j.clnu.2010.04.001
• 29. Yentur E. Beslenme Durumunun Değerlendirilmesi. Klinik Gelişim 2011; 24: 1-4.