BibTex RIS Cite

Yoğun Bakım Hastalarında Fekal İnkontinans Yönetim Sistemlerinin Etkinliği: Hemşirelik Açısından Anlamı

Year 2009, Volume: 17 Issue: 2, 137 - 143, 17.09.2014

Abstract

Fekal inkontinans yoğun bakım ünitelerinde %17-68 arasında gözlenmektedir. Literatürde, yoğun bakım hastalarında sıvı-elektrolit kaybına, hijyen gereksiniminde artışa, perineal dermatite, basınç ülserlerinin oluşmasına, infeksiyonların gelişmesine ve cerrahi yaraların kontaminasyonuna, hemşirelerin işyüklerinde artışa, hastanede kalış süresinde uzama ve hasta bakım maliyetlerinde artışa neden olduğu bildirilmiştir. Avrupa ve Amerika’da fekal inkontinansın olumsuz etkilerini azaltmak amacıyla fekal inkontinans yönetim sistemlerinin kullanımı oldukça yaygındır. Türkiye’de ise, son yıllarda kullanılmaya başlanmıştır. Makale, fekal inkontinans yönetim sistemlerinin etkilerini incelemek, hemşirelik uygulamaları açısından bu sistemlerin önemini ortaya koymak amacıyla yazılmıştır.

References

  • Beitz, J. M. (2006). Fecal incontinence in acutely and crit- ically ill patients: Options in management. Ostomy Wound Management, 52(12): 56-8,60,62-6.
  • Benoit, R. A., Watts, C. (2007). The effect of a pressure ulcer prevention program and the bowel management sys- tem in reducing pressure ulcer prevalence in an ICU set- ting. JWOCN, 34(2): 163-175.
  • Bliss, D. Z., Johnson, S., Savik, K., Clabots, C. R., Gerding, D. N. (2000). Fecal incontinence in hospitalized patients who are acutely ill. Nursing Research, 49(2): 101- 108.
  • Bliss, D. Z. ve ark. (2001). Supplementation with dietary fiber improves fecal incontinence. Nursing Research, 50 (4): 203-213.
  • Bliss, D. Z., Norton, C. A., Miller, J., Krissovich, M. (2004). Directions for future nursing research on fecal incontinence. Nursing Research, 53(6): 15-21
  • Cooper, Z. R., Rose, S. (2000). Fecal incontinence: A clin- ical approach. The Mount Sinai Journal of Medicine, 67(2): 96-105.
  • Deutekom, M., Dobben, A. (2005). Plugs for containing faecal incontinence. Cochrane Database Syst Rev., 20(3): CD005086.
  • Deutekom, M. ve ark. (2005). Costs of outpatients with fecal incontinence. Scand J Gastroenterol, 40(5): 552-8.
  • Driver, D. S. (2007). Perineal dermatitis in critical care patients. Critical Care Nurse, 27(4): 42-46.
  • Fife, C. ve ark. (2001). Incidence of pressure ulcers in a neurologic intensive care unit. Critical Care Med, 29(2): 283-90.
  • Friedman, B. ve ark. (2007). Clinical utility and econom- ic impact of adopting a bowel management system. Touchbriefing, www.touchbriefing.com (5.12.2007)
  • Gallagher, J., Wishin, J. (2006). Managing diarrheaa and fecal incontinence: results of a prospective clinical study in the intensive care unit. American Journal of Critical Care,15(3): 325-26.
  • Giamundo, P. ve ark. (2002). The procon incontinence device: A new nonsurgical approach to preventing episodes of fecal incontinence. Am J Gastroenterol, 97(9): 2328-32. Gray, M. (2004). Preventing and managing perineal der- matitis: A shared goal for wound and continence care. JWOCN, 31(1): 2-9.
  • Harari, D., Coshall, C., Rudd, A. G., Wolfe, C. D. A. (2003). New-Onset fecal incontinence after stroke: Prevalence, natural history, risk factors, and impact. Stroke, 34: 144-150.
  • Hughes, M. (2007). Using a catheter-based bowel system to promote skin health: 1201. JWOCN, 34(3): 6.
  • Johnstone, A. (2005). Evaluating Flexi-Seal FMS a fecal management system. Wounds UK, 1.
  • Junkin, J., Selekof, J. L. (2007). Prevalence of incontinence and associated skin injury in the acute care inpatient. JWOCN, 34(3): 260-69.
  • Keshava, A., Renwick, A., Stewart, P., Pilley, A. (2007). A nonsurgical means of fecal diversions: The Zassi Bowel Management System. Dis Colon Rectum, 50(7): 1017-22. Kouraklis, G., Andromanakos, N. (2004). Anorectal incon- tinence: A etiology, pathophysiology and evaluation. Acta Chir Belg, 104(1): 81-91.
  • Leary, S. M. (2006). Incontinence after brain injury: preva- lence, outcome and multidisciplinary management on a neu- rological rehabilitation unit. Clinical Rehabilitation, 20: 1094-1099.
  • Maslekar, S., Gardiner, A., Maklin, C., Duthie, G. S. (2006). Investigation and treatment of faecal incontinence. Postgrad Med J, 82: 363-71.
  • Orenstein, F. ve ark. (2003). Incidence, risk factors, and outcomes of fecal incontinence after acute brain injury: Findings from the Traumatic Brain Injury Model Systems national database. Arch Phys Med Rehabil., 84(2): 231-7. Padmanabhan, A. ve ark. (2007). Clinical evaluation of a flexible fecal incontinence management system. American Journal of Critical Care, 16(4): 384-393.
  • Palmieri, B., Benuzzi, G., Bellini, N. (2005). The anal bag: A modern approach to fecal incontinence management. Ostomy Wound Management, 51(12): 44-52.
  • Rao, S. S. C. (2004). Diagnosis and management of fecal incontinence. American Journal of Gastroenterology, 1585- 1604.
  • Reilly, E. F, Karakousis, G. C., SChrag, S. P., Stawicki, S. P. (2007). Pressure ulsers in the intensive care unit: The forgotten enemy. OPUS 12 Scientist, 1(2): 17-30.
  • Suriadi Sanada, H. ve ark. (2007). Risk factors in the development of pressure ulcers in an intensive care unit in Pontianak, Indonesia. Int Wound J, 4(3): 208-15.
  • External incontinence devices, h t t p : / / w w w . a d a m . c o m / d e m o c o n t e n t / h i e / e n c y / a r t i c - le/003974.htm. (Erişim Tarihi: 29.11.2007)
  • Fecal Management System.
  • www.unchealthcare.org/site/Nursing/nurspractice (Erişim Ta- rihi: 29.11.2007)
  • http://www.sanitasmed.com/convatec5.html (Erişim Tarihi: 29.11.2007)
  • http://www.hollister.com/us/files/pdfs/907852.pdf (Erişim Ta- rihi: 29.11.2007)
  • http://www.rehabmart.com/category/Incontinence_Pro- ducts.htm (Erişim Tarihi: 29.11.2007)
  • http://www.ajronline.org (Erişim Tarihi: 29.11.2007)
Year 2009, Volume: 17 Issue: 2, 137 - 143, 17.09.2014

Abstract

References

  • Beitz, J. M. (2006). Fecal incontinence in acutely and crit- ically ill patients: Options in management. Ostomy Wound Management, 52(12): 56-8,60,62-6.
  • Benoit, R. A., Watts, C. (2007). The effect of a pressure ulcer prevention program and the bowel management sys- tem in reducing pressure ulcer prevalence in an ICU set- ting. JWOCN, 34(2): 163-175.
  • Bliss, D. Z., Johnson, S., Savik, K., Clabots, C. R., Gerding, D. N. (2000). Fecal incontinence in hospitalized patients who are acutely ill. Nursing Research, 49(2): 101- 108.
  • Bliss, D. Z. ve ark. (2001). Supplementation with dietary fiber improves fecal incontinence. Nursing Research, 50 (4): 203-213.
  • Bliss, D. Z., Norton, C. A., Miller, J., Krissovich, M. (2004). Directions for future nursing research on fecal incontinence. Nursing Research, 53(6): 15-21
  • Cooper, Z. R., Rose, S. (2000). Fecal incontinence: A clin- ical approach. The Mount Sinai Journal of Medicine, 67(2): 96-105.
  • Deutekom, M., Dobben, A. (2005). Plugs for containing faecal incontinence. Cochrane Database Syst Rev., 20(3): CD005086.
  • Deutekom, M. ve ark. (2005). Costs of outpatients with fecal incontinence. Scand J Gastroenterol, 40(5): 552-8.
  • Driver, D. S. (2007). Perineal dermatitis in critical care patients. Critical Care Nurse, 27(4): 42-46.
  • Fife, C. ve ark. (2001). Incidence of pressure ulcers in a neurologic intensive care unit. Critical Care Med, 29(2): 283-90.
  • Friedman, B. ve ark. (2007). Clinical utility and econom- ic impact of adopting a bowel management system. Touchbriefing, www.touchbriefing.com (5.12.2007)
  • Gallagher, J., Wishin, J. (2006). Managing diarrheaa and fecal incontinence: results of a prospective clinical study in the intensive care unit. American Journal of Critical Care,15(3): 325-26.
  • Giamundo, P. ve ark. (2002). The procon incontinence device: A new nonsurgical approach to preventing episodes of fecal incontinence. Am J Gastroenterol, 97(9): 2328-32. Gray, M. (2004). Preventing and managing perineal der- matitis: A shared goal for wound and continence care. JWOCN, 31(1): 2-9.
  • Harari, D., Coshall, C., Rudd, A. G., Wolfe, C. D. A. (2003). New-Onset fecal incontinence after stroke: Prevalence, natural history, risk factors, and impact. Stroke, 34: 144-150.
  • Hughes, M. (2007). Using a catheter-based bowel system to promote skin health: 1201. JWOCN, 34(3): 6.
  • Johnstone, A. (2005). Evaluating Flexi-Seal FMS a fecal management system. Wounds UK, 1.
  • Junkin, J., Selekof, J. L. (2007). Prevalence of incontinence and associated skin injury in the acute care inpatient. JWOCN, 34(3): 260-69.
  • Keshava, A., Renwick, A., Stewart, P., Pilley, A. (2007). A nonsurgical means of fecal diversions: The Zassi Bowel Management System. Dis Colon Rectum, 50(7): 1017-22. Kouraklis, G., Andromanakos, N. (2004). Anorectal incon- tinence: A etiology, pathophysiology and evaluation. Acta Chir Belg, 104(1): 81-91.
  • Leary, S. M. (2006). Incontinence after brain injury: preva- lence, outcome and multidisciplinary management on a neu- rological rehabilitation unit. Clinical Rehabilitation, 20: 1094-1099.
  • Maslekar, S., Gardiner, A., Maklin, C., Duthie, G. S. (2006). Investigation and treatment of faecal incontinence. Postgrad Med J, 82: 363-71.
  • Orenstein, F. ve ark. (2003). Incidence, risk factors, and outcomes of fecal incontinence after acute brain injury: Findings from the Traumatic Brain Injury Model Systems national database. Arch Phys Med Rehabil., 84(2): 231-7. Padmanabhan, A. ve ark. (2007). Clinical evaluation of a flexible fecal incontinence management system. American Journal of Critical Care, 16(4): 384-393.
  • Palmieri, B., Benuzzi, G., Bellini, N. (2005). The anal bag: A modern approach to fecal incontinence management. Ostomy Wound Management, 51(12): 44-52.
  • Rao, S. S. C. (2004). Diagnosis and management of fecal incontinence. American Journal of Gastroenterology, 1585- 1604.
  • Reilly, E. F, Karakousis, G. C., SChrag, S. P., Stawicki, S. P. (2007). Pressure ulsers in the intensive care unit: The forgotten enemy. OPUS 12 Scientist, 1(2): 17-30.
  • Suriadi Sanada, H. ve ark. (2007). Risk factors in the development of pressure ulcers in an intensive care unit in Pontianak, Indonesia. Int Wound J, 4(3): 208-15.
  • External incontinence devices, h t t p : / / w w w . a d a m . c o m / d e m o c o n t e n t / h i e / e n c y / a r t i c - le/003974.htm. (Erişim Tarihi: 29.11.2007)
  • Fecal Management System.
  • www.unchealthcare.org/site/Nursing/nurspractice (Erişim Ta- rihi: 29.11.2007)
  • http://www.sanitasmed.com/convatec5.html (Erişim Tarihi: 29.11.2007)
  • http://www.hollister.com/us/files/pdfs/907852.pdf (Erişim Ta- rihi: 29.11.2007)
  • http://www.rehabmart.com/category/Incontinence_Pro- ducts.htm (Erişim Tarihi: 29.11.2007)
  • http://www.ajronline.org (Erişim Tarihi: 29.11.2007)
There are 32 citations in total.

Details

Primary Language English
Journal Section Reviews
Authors

Sevim Çelik

Publication Date September 17, 2014
Published in Issue Year 2009 Volume: 17 Issue: 2

Cite

APA Çelik, S. (2014). Yoğun Bakım Hastalarında Fekal İnkontinans Yönetim Sistemlerinin Etkinliği: Hemşirelik Açısından Anlamı. Florence Nightingale Journal of Nursing, 17(2), 137-143.
AMA Çelik S. Yoğun Bakım Hastalarında Fekal İnkontinans Yönetim Sistemlerinin Etkinliği: Hemşirelik Açısından Anlamı. Florence Nightingale Journal of Nursing. September 2014;17(2):137-143.
Chicago Çelik, Sevim. “Yoğun Bakım Hastalarında Fekal İnkontinans Yönetim Sistemlerinin Etkinliği: Hemşirelik Açısından Anlamı”. Florence Nightingale Journal of Nursing 17, no. 2 (September 2014): 137-43.
EndNote Çelik S (September 1, 2014) Yoğun Bakım Hastalarında Fekal İnkontinans Yönetim Sistemlerinin Etkinliği: Hemşirelik Açısından Anlamı. Florence Nightingale Journal of Nursing 17 2 137–143.
IEEE S. Çelik, “Yoğun Bakım Hastalarında Fekal İnkontinans Yönetim Sistemlerinin Etkinliği: Hemşirelik Açısından Anlamı”, Florence Nightingale Journal of Nursing, vol. 17, no. 2, pp. 137–143, 2014.
ISNAD Çelik, Sevim. “Yoğun Bakım Hastalarında Fekal İnkontinans Yönetim Sistemlerinin Etkinliği: Hemşirelik Açısından Anlamı”. Florence Nightingale Journal of Nursing 17/2 (September 2014), 137-143.
JAMA Çelik S. Yoğun Bakım Hastalarında Fekal İnkontinans Yönetim Sistemlerinin Etkinliği: Hemşirelik Açısından Anlamı. Florence Nightingale Journal of Nursing. 2014;17:137–143.
MLA Çelik, Sevim. “Yoğun Bakım Hastalarında Fekal İnkontinans Yönetim Sistemlerinin Etkinliği: Hemşirelik Açısından Anlamı”. Florence Nightingale Journal of Nursing, vol. 17, no. 2, 2014, pp. 137-43.
Vancouver Çelik S. Yoğun Bakım Hastalarında Fekal İnkontinans Yönetim Sistemlerinin Etkinliği: Hemşirelik Açısından Anlamı. Florence Nightingale Journal of Nursing. 2014;17(2):137-43.