COVID-19 Salgınında Cerrahi: Cerrahi Sürece Genel Bir Bakış ve Hemşirelik Bakımı/Yönetimi

Year 2020, Volume: 5 Issue: 2, 221 - 227, 30.06.2020

Gülay Oyur Çelik , Nagehan Evkaya , Sinem Eskidemir , Büşra Dalfidan , Arzu Tuna

Abstract

Özet

Çin’in Hubei Eyaleti, Wuhan’da, Aralık 2019’un sonlarında nedeni bilinmeyen bir pnömoni salgını ile başlayan ve bu pnömoninin altta yatan temel etkeni, başlangıçta ciddi akut solunum sendromu korona virüs 2 (SARS-CoV-2) olarak adlandırılan yeni bir koronavirüs tanımlanmıştır. Daha sonra bu virüs tüm dünyada salgın boyutuna ulaşmıştır. Böylesi bir salgın durumunda cerrahi ve acil cerrahi müdahale çok ciddi bir sorundur. Hastaların tedavisi sırasında sağlık çalışanlarının ve diğer hastaların korunması çok önemlidir. Ameliyathane ortamının ve cerrahi aletlerin dezenfeksiyonu, hastaların ve tıbbi personelin korunması için ek önlemlerin alınması ve bir kontrol mekanizması oluşturulması gereklidir. Belirlenen izolasyon önlemlerinin uygulanması, cerrahi ekibin koordinasyonu ve enfeksiyon önleme uygulamaları için cerrahi sürece ilişkin iş akış planı oluşturulmalıdır. Yeni korona pnömoni şüphesi veya tanısı alan hastaların ameliyat öncesi, sırası ve sonrası yönetimlerinin ayrıntılı olarak bilinmesi ve tanımlanması gerekmektedir. Bu da cerrahlar ve hemşireler başta olmak üzere tüm sağlık çalışanlarının ve hastaların bu virüsten korunmasında avantaj sağlayacaktır.

Anahtar Kelimeler: COVID-19, pandemi, cerrahi süreç, hemşirelik bakımı, hemşirelik yönetimi.

Abstract

In Wuhan, China’s Hubei Province, an outbreak of unknown pneumonia occurred at the end of the December 2019, and the underlying factor of this pneumonia was originally identified as a new coronavirus, called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Later, this virus has reached an epidemic size all over the world. In the epidemic, surgery and emergency surgery are very serious problem. It is very important to protect healthcare professionals and other patients during the treatment of patients. It is necessary to take additional measures and establish a control mechanism for disinfection of the operating room environment and surgical instruments, protection of patients and medical personnel. For the implementation of the specified isolation measures, coordination of the surgical team and infection prevention applications, a workflow plan regarding the surgical process should be established. The patients who are suspected or diagnosed with new corona pneumonia should be known and defined in detail before, during the perioperative surgery.

Keywords: COVID-19, pandemic, surgical process, nursing care, nursing management.

Keywords

cerrahi süreç, hemşirelik bakımı, COVID-19, pandemi, hemşirelik yönetimi

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