İstenmeyen perioperatif hipotermi bakım algoritması

Year 2021, Volume: 11 Issue: 3, 431 - 440, 20.09.2021

Aylin Güçlü Mevlüde Karadağ

https://doi.org/10.33631/duzcesbed.801281

Cited By: 2

Abstract

Çalışmanın amacı kanıta dayalı bilgiler doğrultusunda, hemşirelerin kliniklerde İstenmeyen Perioperatif Hipotermi (İPH) bakımına yönelik karar vermesi için, yol gösterici bir araç olarak İPH bakım algoritmasının oluşturulmasıdır.
Türkçe ve İngilizce olarak 2010-2020 yılları arasını kapsayacak şekilde Pubmed, Cohrane, Google Akademi, CIHNAL, Science Direct, Clinical Key veri tabanlarında: Hipotermi (hypothermia), istenmeyen (inadvertent, unplanned, not planned, unintended), perioperatif (perioperative), rehber (guideline), protokol (protocol), algoritma (algorithm) anahtar kelimeleri ile tarama yapılmıştır. Kanıt düzeyi yüksek rehberler, sistematik derlemeler ve meta analizler değerlendirme kapsamına alınmıştır. Dahil edilme kriterlerine uyan, 6 rehber ve 2 sistematik derlemeden elde edilen bilgiler doğrultusunda, girişimler ameliyat öncesi, ameliyat sırası ve ameliyat sonrası şeklinde gruplandırılmış ve İPH’nin önlenmesi ve bakımına yönelik algoritma oluşturulmuştur. İPH’nin bakımına yönelik algoritma kullanımı hemşirelerin hızlı ve doğru karar vererek ameliyat öncesinde, sırasında ve sonrasında gelişebilecek komplikasyonların engellenmesi açısından önemlidir. Bu anlamda algoritma kullanımı klinik karar vermeyi kolaylaştırıp kanıt düzeyinde girişimlerle bakım sağlamada hemşireler için önemli bir araçtır. Geliştirilen İPH bakım algoritmasının kliniklerde uygulanarak geçerlik güvenirliğinin yapılması ve hemşirelik girişimlerine yönelik algoritmaların arttırılması önerilmektedir.

Keywords

Hipotermi, Perioperatif, Algoritma, Hemşirelik

Inadvertent perioperative hypothermia care algorithm

Abstract

The aim of the study was to develop an Inadvertent Perioperative Hypothermia (IPH) care algorith in line with evidence-based information as a guiding tool for nurses to make decisions about IPH care in clinics. To cover the period 2010-2020, in Pubmed, Cohrane, Google Academy, CIHNAL, Science Direct, Clinical Key databases: Hypothermia, unwanted (inadvertent, unplanned, not planned, unintended), perioperative, guideline, protocol, algorithm key words were searched in Turkish and English. Guidelines with a high level of evidence, systematic reviews and meta-analyzes were included in the evaluation. In accordance with the inclusion criteria, in line with the information obtained from 6 guides and 2 systematic reviews, the interventions were grouped as preoperative, intraoperative and postoperative, and an algorithm was developed for the prevention and care of IPH. The use of algorithms for the care of IPH is important for nurses to make fast and correct decisions to prevent complications that may occur before, during and after surgery. In this context, the use of algorithms is an important tool for nurses in facilitating clinical decision making and providing care with evidence-based interventions. It is recommended to apply this IPH care algorithm in clinics, to make the validity and reliability and to increase the algorithms for nursing interventions.

Keywords

Hypothermia, Perioperative, Algorithm, Nursing

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