Acil Servislerde Çalışan Hekim Dışı Sağlık Personellerinin EKG Çekim Uygulamalarının Değerlendirilmesi

Year 2021, Volume: 4 Issue: 4, 125 - 131, 29.12.2021

Azize Aydemir

https://doi.org/10.54996/anatolianjem.978965

Abstract

Amaç: Araştırmanın amacı acil serviste (AS) çalışan hekim dışı sağlık personelinin standart EKG çekme yöntemine ilişkin doğru ve yanlış yaptıkları uygulamaların tanımlanmasıdır.

Gereç ve Yöntemler: Araştırma Yozgat ilinde bulunan iki hastanenin AS’de yapılmıştır. Veriler EKG kaydı yapan sağlık çalışanlarının gözlemlendiği, her EKG kaydını acil tıp uzmanlarının değerlendirdiği ve EKG çekme yöntemine ilişkin anketin uygulandığı üç aşamada toplanmıştır. Çalışmanın tanımlayıcı istatistiklerinde frekans ve yüzde değerleri, değişkenler arasındaki ilişkinin belirlenmesinde Pearson Corelasyon analizi kullanılmıştır.

Bulgular: Sağlık çalışanlarının EKG kaydı yapmaya ilişkin bilgi düzeyleri ile işlemin doğru yapılması arasında istatistiksel açıdan anlamlı ilişki (p>0.05) yoktur. EKG’yi yorumlayan acil tıp uzmanları EKG raporlarının yarıya yakınında yorumlamayı kısıtlayan bir durum olduğunu, %46’sında bu durumun çekim hatasından kaynaklandığını bildirmişlerdir ve EKG çekiminin %22’si tekrar edilmiştir. Göğüs elektrotları hem teorik hem de pratik uygulamada yüksek oranda (%100-%80) yanlış konumlandırılmıştır.

Sonuç: EKG kaydı yapan sağlık çalışanlarının işleme ilişkin bilgisi ile işlem sırasında bu bilgiye uygun davranış yapmaları arasında ilişki olmadığı ve AS’de çekilen EKG’lerin yarısına yakınında en az bir çekim hatası olduğu görüldü.

Keywords

Elektrokardiyografi, sağlık personeli, acil servis, tanı işlemi

Supporting Institution

Yok

Project Number

Proje Değil

Evaluation of ECG Recording Applications of Non-Physician Healthcare Workers Working in Emergency Departments

Abstract

Aim: The aim of the study was to identify the right and wrong applications of non-physician healthcare workers working in the emergency department (ED) on the standard ECG method.

Material and Methods: The study was conducted in the ED of two hospitals in Yozgat province. The data were collected in three stages, in which healthcare workers recording ECGs were observed, emergency medicine specialists evaluated each ECG recording, and the questionnaire on the ECG shooting method was applied. Frequency and percentage values in the descriptive statistics of the study and Pearson Correlation analysis were used to determine the relationship between variables.

Results: There was no statistically significant relationship between healthcare workers' level of knowledge about recording ECG and the correct execution of the procedure (p>0.05). Emergency medicine specialists who interpreted the ECG reported that there was a situation that limited interpretation in nearly half of the ECG reports, which was due to the shooting error in 46% of them, and 22% of the ECG shootings were repeated. Chest electrodes were highly positioned incorrectly (100%-80%) in both theory and in practice.

Conclusion: It was observed that there was no relationship between the knowledge of the healthcare professionals who recorded the ECG about the procedure and their behavior during the procedure, and there was at least one shooting error in almost half of the ECGs taken in the ED.

Keywords

Electrocardiography, healthcare worker, emergency department, diagnosis

Project Number

Proje Değil

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