Yenidoğan yoğun bakım ünitesinde çalışan sağlık personelinin ekstravazasyon bilgi birikimi ve yönetimi

Year 2022, Volume: 15 Issue: 3, 465 - 479, 31.12.2022

Ayşen Orman , Yalçın Çelik , Nihan Özel Erçel

https://doi.org/10.26559/mersinsbd.1095468

Abstract

Amaç: Yenidoğan yoğun bakım ünitesinde çalışan hemşire ve doktorların damar yoluna bağlı ekstravazasyon bilgi birikimi ve yönetiminin incelenmesi hedeflenmiştir. Bu çalışma ekstravazasyon bilgisini ve yönetimini değerlendiren ilk anket çalışmasıdır. Yöntem: Kesitsel anket çalışması olarak tasarlanan bu araştırmaya yenidoğan yoğun bakım ünitesinde görev alan 300 sağlık çalışanı dahil edilmiştir. Yenidoğan sağlık çalışanlarına pandemi sürecinin gerekliliği nedeni ile mobil telefonlara, mail adreslerine “Google Forms” aracılığıyla hazırlanan 28 soruluk anketin yer aldığı formun sayfa uzantısı gönderilerek doldurulması sağlanmıştır. Bulgular: Çalışmaya katılan sağlık çalışanları, ekstravazasyon gelişimi ve sağlık bakımı ile ilgili en önemli risk faktörünün yüksek riskli ilaçlar verilirken yetersiz takip yapılması (%51.7, p=0.028) idi. Bebek ile ilgili risk faktörünü ise prematürite (%33.3) ve hipotansiyon/hipoperfüzyon (%34.7) olarak belirledi (p<0.001). Ekstravazasyon tedavisinde ilk yaklaşım infüzyonun durdurulması ve damar yolunun çekilmesi oldu (p<0.001). Sağlık çalışanlarının meslek hayatları boyunca %91.6 oranında ekstravasyon, %58 oranında ise uzuv kaybı veya plastik cerrahi tedavisi gerektirecek kadar ciddi komplikasyonlar ile karşılaştıkları görüldü. Sonuç: Yenidoğan yoğun bakım ünitesinde çalışan tüm sağlık çalışanlarına hizmet içi eğitime devam edilerek bilgilerin güncelliği sağlanmalı, farklı yaklaşımların önüne geçmek için ekstravazasyon tedavi protokolleri geliştirilmelidir.

Keywords

Ekstravazasyon, yenidoğan, sağlık çalışanı

Supporting Institution

Yok

Project Number

yok

Thanks

Mersin Üniversitesi Tıp Fakültesi Biyoistatistik ve Tıbbi Bilişim Bölümünde araştırma görevlisi Nihan Özel Erçel'e değerli katkıları için teşekkür ederiz

The knowledge and management of extravasation of medical personnel working in the neonatal ıntensive care unit

Abstract

Aim: It is aimed to examine the knowledge and management of extravasation related to the vascular pathway among nurses and doctors working in the neonatal intensive care unit in this study. This study was the first survey study to evaluate the knowledge and management of extravasation. Method: This study, which was designed as aprospective cross-sectional survey study, included 300 health professionals working in the neonatal intensive care unit. Due to the conditions imposed by the pandemic, neonatal health workers who were actively engaged in in the neonatal intensive care unit were sent the 28 questions questionnaire form prepared via ”Google Forms" to their mobile phones and e-mail addresses. Results: Health professionals in the study reported that the most important health care related risk factor in the development of extravasation was insufficient follow-up while administering high-risk drugs (p=0.028). Risk factors for the baby were identified as prematurity and hypotension/hypoperfusion (p<0.001). The first approach in the treatment of extravasation was to stop the infusion and withdraw the intravenous cannula (p<0.001). Healthcare workers faced severe conditions requiring extravasation at a rate of 91.6% and limb loss or plastic surgery at a rate of 58% during their professional lives. Conclusion: All health workers working in the neonatal intensive care unit should be provided with up-to-date information by continuing in-service training, and extravasation treatment protocols should be developed to prevent variations approaches.

Keywords

Extravasation, newborn, health worker

Project Number

yok

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