Yanıklarda Akut Dönem ve Hemşirelik Bakımı

Year 2018, Volume: 5 Issue: 3, 485 - 493, 14.10.2018

Aylin Aydın Sayılan , Ezgi Seyhan Ak , Nevin Kanan

https://doi.org/10.17681/hsp.377452

Abstract

Yanık;
özel, yoğun ve uzun süreli tedavi gerektiren cerrahi bir travmadır. Yanıkta akut
dönem ise, yanığın olumsuz etkilerine karşı organizmayı hazırlıklı hale getirmek
amacıyla, oluşan bir dizi reaksiyonlar bütünü olarak tanımlanmaktadır. Yanık
hastasında, cilt bariyeri bozulduğu için ciddi sıvı, elektrolit, protein,
mineral kayıpları olmakta; yoğun katabolik durum, infeksiyonlar ve yara
iyileşmesi sonucunda artan gereksinimler nedeni ile protein, enerji ve
mikrobesin ögesi eksiklikleri gelişebilmektedir. Bu nedenle, yanığın akut dönem
tedavi ve bakımında; yara bakımı, infeksiyon kontrolü, ağrı yönetimi, fizik
tedavi ve beslenme önemli rol oynamaktadır. Sağlık bakım ekibi içinde yer alan
hemşirelerin yanıklı hastanın bakımındaki rol ve sorumlulukları büyüktür. Bu
derlemede; yanıklarda akut dönem ve hemşirelik bakımına yer verilmiştir.

Keywords

yanık, akut dönem, hemşirelik bakımı

Acute Period in Burns and Nursing Care

Abstract

Burn is a surgical trauma that requires special, intensive and long-term
treatment. The acute phase of ambustion is defined as a set of reactions that
are occurred in order to prepare the organism against the adverse effects of
the burn. In an ambustion patient, there is serious fluid, electrolyte,
protein, mineral loss as a result of the deterioraton of the skin barrier.
Protein, energy and micronutrient deficiencies may develop due to increased
needs as a result of high catabolic status, infections and wound healing.
Therefore, wound care, infection control, pain management, physical therapy and
nutrition play important roles in the acute phase of treatment and care. The
roles and responsibilities of the nurses in the health care team are important
in the care of the burn patient. In this review, acute period in burns and
nursing care were included. 

Keywords

Burn, acute period

References

• Knighton JA. Burns. Medical surgical nursing assessment and management of clinical problems 8th ed. International Edition Inc; 2010.p.486-488.
• Korkmaz HI, Krijnen PAJ, Ulrich MMW, de Jong E, van Zuijlen PPM, Niessen HWM. The role of complement in the acute phase response after burns. Burns 2017; 43: 1390-1399.
• Kuyumcu M, Şen H, Özkan S. Anesthesia in burn injury patients. TAF Preventive Medicine Bulletin 2011; 10(3): 351-360.
• Greenwood JE. The evolution of acute burn care - retiring the split skin graft. Annals of the Royal College of Surgeons of England 2017;1-7. doi: 10.1308/rcsann.2017.0110.
• Lemone P, Burke K, Bauldoff G, Gubrud P (Eds.). Nursing care of patients with burns. In:Medical surgical nursing clinical reasoning in patient care 6th ed. New Jersey: Pearson Education Inc; 2015.p.432-450.
• Connolly S. Clinical practice guidelines: burn patient management. Clinical Guidelines. NSW: Agency for Clinical Innovation 2011. https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0009/250020/Burn_Patient_Management_-_Clinical_Practice_Guidelines.pdf. [Erişim Tarihi: 29.05.2017].
• Burke KM, Mohn Brown EL, Eby L. Caring for clients with burns. In: Medical Surgical Nusing Care 3th ed. Pearson education, Inc; 2011. p.1160-1173.
• Bolek Trofino R. Nursing care of patients with burns. In:Understanding Medical Surgical Nursing. Williams LS, Hopper PD, eds. 5 th ed. F.A Davis Company Philedelphia; 2015 p.1320-1336.
• Kanan N. Yanıkta hemşirelik bakımı. Aksoy G, Kanan N, Akyolcu N, editör. Cerrahi Hemşireliği I. İstanbul: Nobel Tıp Kitabevleri; 2012.p. 115-152.
• Smeltzer SC, Bare BG, Hinkle JL, Cheever KH.Management of patients with burn injury. In: Brunner & Suddarth’s Textbook of Medical Surgical Nursing. 11th ed. Lippincot Williams&Wilkins; 2008.p. 1994-2037.
• Gore MA, Akolekar D. Evaluation of banana leaf dressing for partial thickness burn wounds. Burns 2003; 29: 487-492.
• Shores JT, Gabriel A, Gupta S. Skin substitutes and alternatives: a review. Adv Skin Wound Care 2007; 20(9):493-508.
• Altan S, Oğurtan Z. Termal yanıklarda pansuman uygulamaları. Dicle Üniv Vet Fak Derg. 2016; 2(11):118-126.
• Yorgancı K, Geyik SG. Ciddi yanık hastasının izlem ve tedavisi. Hacettepe Tıp Dergisi 2007; 38:135-140.
• Bittner EA, Shank E, Woodson L, Martyn JJ. Acute and perioperative care of the burn-injured patient. The Journal of the American Society of Anesthesiologists 2015; 122(2), 448-464.
• Duke JM, Randall SM, Wood FM, Boyd JH, Fear MW. Burns and long-term infectious disease morbidity: A population-based study. Burns 2017; 43(2):273-281. doi: 10.1016/j.burns.2016.10.020.
• Shek K, Patidar R, Kohja Z, Liu S, Gawaziuk JP, Gawthrop M, et al. Rate of contamination of hospital privacy curtains on a burns and plastic surgery ward: a cross-sectional study. The Journal of Hospital Infection 2017; 96(1):54-58. doi: 10.1016/j.jhin.2017.03.012.
• Belba MK, Petrela EY, Belba A.G. Epidemiology and outcome analysis of sepsis and organ dysfunction/failure after burns. Burns 2017; 43:1335-347. doi: 10.1016/j.burns.2017.02.017.
• da Silva IR, Frontera JA. Neurologic complications of acute environmental injuries. Handbook of Clinical Neurology 2017; 141:685-704. doi: 10.1016/B978-0-444-63599-0.00037-5.
• Porter C, Herndon DN, Sidossis LS, Børsheim E. The impact of severe burns on skeletal muscle mitochondrial function. Burns 2013; 39(6):1039-47. doi: 10.1016/j.burns.2013.03.018.
• Rrecaj S, Hysenaj H, Martinaj M, Murtezani A, Ibrahimi-Kacuri D, Haxhiu B, et al. Outcome of physical therapy and splinting in hand burns injury. Our last four years' experience. Materia Sociomedica 2015; 27(6):380-2. doi: 10.5455/msm.2015.27.380-382.
• Koltka K. Yanık Yaralanmaları: yanık derinliği, fizyopatolojisi ve yanık çeşitleri. Türk Yoğun Bakım Derneği Dergisi 2011; ISSN: 2146-6416.
• Belba MK, Petrela E, Belba A, Mano V, Belba G. Statistical and clinical analysis of alterations in glucose values after burns. Annals of Burns Fire Disasters 2016; 29(3):163-171.