Cerrahi girişimlerden sonra erken ve hedefe yönelik mobilizasyon

Year 2023, Volume: 7 Issue: 2, 41 - 55, 22.12.2023

İnci Kırtıl , Nevin Kanan

https://doi.org/10.33716/bmedj.1381699

Abstract

Günümüzde hala standart bir tanımı olmayan erken mobilizasyon, tüm cerrahi girişimler sonrasında hızlı iyileşmenin önemli bir bileşenidir. Erken ve hedefli mobilizasyonun sağlanmasıyla, cerrahi girişim sonrası birçok komplikasyon önlenmekte, iyileşme ve hastanede kalış süresi kısalmaktadır. Ancak erken ve hedefli mobilizasyonun sağlanmasının önünde, hem sağlık ekibi üyeleri hem de hastalar tarafından bildirilen birçok engel bulunmaktadır. Aynı zamanda, günümüzde bu konuda klinik uygulamalara rehberlik edecek ölçüde güçlü kanıtlar bulunmamaktadır. Sağlık kurumlarında cerrahi hastalarına özgü mobilizasyon programlarının oluşturulması, hastaların preoperatif dönemde bu konuda bilgilendirilmesi, adım hedeflerinin belirlenmesi, motivasyonlarının sağlanması, adım sayılarının izlenmesi ve mobilizasyon günlüğü tutmaları yönünde cesaretlendirilmesi, erken ve hedefli mobilizasyonun sağlanmasına yönelik atılabilecek adımlardır. Erken mobilizasyonun multidisipliner bir ekip işi olduğunun da altı çizilmektedir. Bir sağlık profesyoneli olarak hemşireler, cerrahi girişim sonrası bakım kalitesini sürdürmek için erken mobilizasyon programlarının uygulanmasında multidisipliner ekibin önemli bir üyesidir. Bu derleme, cerrahi hemşirelerinin ameliyat sonrası erken ve hedefli mobilizasyon uygulamalarındaki rol ve sorumluluklarını, erken ve hedefli mobilizasyonun önemini, erken ve hedefli mobilizasyonun sağlanmasında karşılaşılan engelleri ve güncel rehberlerin bu konudaki önerilerini vurgulamak amacıyla yazılmıştır.

Keywords

Cerrahi sonrası hızlandırılmış iyileşme, erken mobilizasyon, hedefli mobilizasyon

Early and targeted mobilization after surgical interventions

Abstract

Early mobilization, which still has no standard definition, is an important component of enhanced recovery after all surgical interventions. By providing early and targeted mobilization, many postsurgical complications can be prevented, and the recovery period and hospital stay can be shortened. However, there are many obstacles reported by both healthcare team members and patients in the achievement of early and targeted mobilization. In addition, there is currently no strong evidence to guide clinical practice in this context. The establishment of mobilization programs specific to surgical patients in healthcare institutions, informing patients about the mobilization process in the preoperative period, determining step goals, promoting motivation, monitoring the number of steps, and encouraging patients to keep a mobilization diary are among the practices that can be implemented to ensure early and targeted mobilization. It is also underlined that early mobilization involves multidisciplinary teamwork. As healthcare professionals, nurses are an important member of the multidisciplinary team in the implementation of early and targeted mobilization programs to maintain the quality of care after surgery. This review aimed to highlight the roles and responsibilities of surgical nurses in early and targeted mobilization practices after surgery and the importance of early and targeted mobilization and discuss the barriers encountered in achieving early and targeted mobilization and the recommendations of current guidelines on this subject.

Keywords

Early mobilization, enhanced recovery after surgery, targeted mobilization

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