Araştırma Makalesi
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Kolorektal Kanser Hastalarında Cerrahi Alan Enfeksiyonunu Önleyen Hemşirelik Bakımının Omaha Sistemi ile Raporlandırılması

Yıl 2019, Cilt: 27 Sayı: 1, 38 - 47, 01.02.2019

Öz

DOI: 10.26650/FNJN423269


Amaç: Kolorektal Kanser hastalarında
Cerrahi Alan Enfeksiyonu (CAE) kontrolü ile ilgili hemşirelik bakım sürecini,
Türkçe-Nightingale Notes (T-NN)” programı kullanarak yönetmek / belgelemek ve
programın kullanılabilirliğini sınamaktır.

Yöntem: Araştırmanın örneklemini 1 Mart- 31
Ekim 2015 tarihleri arasında bir üniversite hastanesinde kolorektal ameliyatı
geçiren 30 hasta oluşturdu. Hastanede ve taburculuk sürecinde verilen hemşirelik
bakımı verileri, Omaha Sistemi’ne dayalı T-NN programına kodlandı. Tanımlayıcı
istatistikler SPSS 22 programı kullanılarak yapıldı.

Bulgular: Örneklemin %56.7’si kadın ve
%43.3’ü erkekti. Otuz hastanın dördünde CAE gelişti (%13.3). Türkçe Nightingale
Notes (T-NN) programından seçilen dokuz hemşirelik probleminin %51.1’i “Deri”,
%13.2’si “Bulaşıcı/Enfeksiyon Durumu”, %9.4’ü “Beslenme” ve %0.2’si “Cinsellik”
ile ilgili idi. Problemlerin çözümünde, sistemde dört kategoride tanımlanan “Eğitim,
Rehberlik ve Danışmanlık; Tedavi ve İşlem; Vaka Yönetimi ve Sürveyans girişimleri
kullanıldı. Hemşirelik bakımı/hasta sonuçları “Bilgi,” “Davranış
ve “Durum” düzeyinde değerlendirildi. Cerrahi Alan Enfeksiyonu gelişen
hastalarda her üç düzeyde, potansiyel problemler için girişim uygulanan
hastalarda “Bilgi” ve “Davranış
düzeyinde anlamlı iyileşme görüldü
(p<0.001).







Sonuç: Türkçe-Nightingale Notları-T-NN”
programı, kolorektal cerrahi hastalarda CAE’ye yönelik hemşirelik bakım
sürecini tanımlamada yeterli oldu. T-NN programının enfeksiyon kontrol hemşireleri
tarafından kullanılabileceğini gösterdi. Programın farklı birimlerde ve farklı
problem ve örneklem ile kullanılması önerildi. Bu çabalar hemşirelikte ortak
dil kullanmak, hemşirelik uygulamalarını kanıta dayandırmak ve hemşirelik bakımının
değerini ortaya koymak için fırsat sağlayabilir.

Kaynakça

  • American Nurses Association (ANA, 2008). Nursing informatics: Scope and standards of practice. Silver Spring, Washington, Erişim 18.12.2015, http://www.nursesbooks.org/ebooks/download/NursingScopeStandards.pdf
  • Araghizadeh, F.Y., Bands, A.M., Dietert, J.B., Novick, T.K., Olsan, C.H. (2014). Incisional Negative Pressure Wound Therapy Significantly Reduces Surgical Site Infection in Open Colorectal Surgery, Diseases of the Colon &Rectum Volume, 56(12): 1403-1407.
  • Bayar, B., Akıncı, M., Kulaçoğlu, H., Şahin, A., Yılmaz, K.B. (2015). Acil ve Elektif Şartlarda Ameliyat Edilen Kolorektal Kanserli Hastaların Tedavi Sonuçlarının Değerlendirilmesi, Ulusal Cerrahi Dergisi, 32(1): 11-17.
  • Breen, J., Lutfiyya, W., Porsans, D. (2012). A Colorectal “Care Bundle” to Reduce Surgical Site Infections in Colorectal Surgeries: A Single-Center Experience, The Permanente Journal, 16(3): 10-16
  • Broad, J., Doll, H., Gladman, J., Horris, R., Ilıffe, S., Longhorne, P., Martin, F., Richards, S., Shepperd, S. (2014). Hospital at Home Early Discharge, Cochrane Database Syst Rev (1): doi: 10.1002/14651858.CD000356.pub3.
  • Bowles, K.H. (2000). Application of the Omaha System in Acute Care. Research in Nursing & Health, 23, 93-105.
  • Cheng, S.J., Chu, C.H., Lin, C.J., Shih, S.C., Tjung, J.J. (2012). Discharge Planning, International Journal of Gerontology, 6: 237-240
  • CDC (2017). Surgical Site Infection (SSI) Event. Erişim 04.12.2017, https://www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf
  • Çalışkan, K., Ezer, A., Manay, G., Noyan, T., Nursal, T.Z., Törer, N., Yıldırım, S. (2005). Genel Cerrahi Hastalarında Yara Enfeksiyonu ve Mortaliteyi Etkileyen Risk Faktörlerinin Değerlendirilmesi, Ulusal Cerrahi Dergisi, 21 (2), 77-84.
  • Doğancı, L., Fışgın, N.T., Sarıkaya, H., Tanyel, E., Topgül, K., Tülek, N. (2008). Kolon Cerrahisi Uygulanan Hastalarda Gelişen Cerrahi Alan İnfeksiyonları ve Risk Faktörleri, İnfeksiyon Dergisi, 22 (3), 141-145.
  • Dündar, H.Z., Işık, O., Kaya, E., Sarkut, P. (2015). Surgical Site Infection: Re-assessment of the Risk Factors, Chirurgia 110 (5), 457-461.
  • Erdoğan, S., Nahcivan, N., Esin, N., Seçginli, S., Coşansu, G., Ardıç, A. (2017). Omaha Sistemi Hemşirelikte Bilgi Yönetimi, İstanbul: Nobel Tıp Kitabevleri, Tic. Ltd. Şti.
  • Erdoğan, S., Esin, N. (2006). The Turkish version of the Omaha System: Its use in practice-based family nursing education. Nurse Education Today, 26 (5), 396-402.
  • Erdoğan, S., Seçginli, S., Coşansu, G., Nahcivan, N., Esin, M.N., Aktaş, E., Monsen, K., (2013). Using the Omaha System to describes health problems, interventions and outcomes in home care in İstanbul, Turkey: A student informatics research experience CIN): Computers, Informatics, Nursing, Jun, 31(6), 290-98.
  • Ertürk, S. (2015). Kolorektal Kanserler: Epidemiyoloji, Etiyolojide Rol Oynayan Etkenler, Tarama ve Kemoprevansiyon, Erişim 20.12.2015, http://docplayer.biz.tr/8284088-Kolorektal-kanserler-epidemiyoloji-etiyolojide-rol-oynayan-etkenler-tarama-ve-kemoprevansiyon.html
  • Eskicioğlu, Ç., Fenech, D.S., Forbes, S.S., Gagliardi, A.R., Mckenzie, M., Mcleod, R.S., Nathens, A.B. (2012). Surgical Site Infection Prevention: A Survey to Identify the Gap Between Evidence and Practice in University of Toronto Teaching Hospital, Can J Surg, 55(4): 234-237
  • Furukawa, H., Hosakawa, M., Ishikowa, K., Kusumi, T., Nıshida, Y., Surmikowa, S. (2014). Incisional Surgical Site Infection After Elective Open Surgery for Colorectal Cancer, International Journal of Surgical Oncology, Article ID: 419712: 1-5
  • Kishimoto, J., Konishi, T., Nagawa, H., Watonabe, T. (2006). Elective Colon and Rectal Surgery Differ in Risk Factors for Wound Infection Results of Prospective Surveillance, Annals of Surgery, 244 (5), 758-762.
  • Martin, K.S. (2005). The Omaha System: A Key practice, documentation, and information management. Reprinted 2nd ed. Omaha, NE: Health Connections Press.
  • Seçginli, S., Erdoğan, S., Monsen, K. (2013). Attitudes of Health Professionals Towards Electronic Health recording in Primary Health Care Settings: A Questionnaire Survey. Inform Health Soc Care, 39 (1), 15-32.
  • THSK (2014). Türkiye Halk Sağlığı Kurumu, 2014 Yılı Türkiye Kanser İstatistikleri, Erişim Tarihi: 02.12.2017, http://kanser.gov.tr/daire-faaliyetleri/kanser-istatistikleri/2106-2014-yılı-türkiye-kanser-istatistikleri.html
  • Topaz, M., Golfenshtein, N., Bowles, K.H. (2013). The Omaha System: a systematic review of the recent literature. J Am Med Inform Assoc, 21(1): 163-70.
  • Turan, H. (2015). Cerrahi Antimikrobiyal Profilakside Güncel Öneriler, Klimik Dergisi, 28 (1), 2-10
  • Uluslararası Kanser Ajansı (IARC). (2012). Colorectal Cancer Estimated Incidence, Mortality and Prevalence Worldwide in 2012. Erişim 05.12.2017. http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx?cancer=colorectal
  • Westra, B., Delaney, C.W., Konicek, D., Keenan, G. (2008). Nursing standards to support the electronic health record. Nursing Outlook, 56 (5), 258-62.

Reporting of Nursing Care Preventing Surgical Site Infection in Colorectal Cancer Patients with Omaha System

Yıl 2019, Cilt: 27 Sayı: 1, 38 - 47, 01.02.2019

Öz

DOI: 10.26650/FNJN423269


Aim: To manage and document the nursing
care process related to Surgical Site Infection and control in colorectal
cancer patient using the Turkish-Nightingale Notes (T-NN) program and test the
usability of the program.

Method: The sample of the study consisted
of 30 patients who underwent colorectal surgery in a university hospital
between 1 March and 31 October 2015. All nursing care data provided at hospital
and during discharge are coded into the NN program based on the Omaha System.
Analyzes were performed using descriptive statistical tests in the SPSS 22
program. 

Results: The 56.7% of patients were women
and 43.3% were men. Four patients in thirty were diagnosed by surgical site
infection (13.3%). The nine nursing problems were chosen from the T-NN program
were 51.1% “Skin”, 13,2% “Communicable/infectious Condition
, 9.4% “Nutrition” and 0.2% “Sexuality”. In the solution of the
problems, “Teaching Guidance, and Counseling; Treatments and Procedures; Case
Management and Surveillance initiatives were used. Nursing care/ patient
outcomes were assessed at the level of “Knowledge”, “Behavior” and “Status”.
Significant improvement was observed at the level of “Knowledge” and “Behavior”
in the patients who underwent surgery for potential problems at all levels in patients
who developed Surgical Site Infection (CAE) (p<0.001).







Conclusion: Turkish-Nightingale Notes
(T-NN) program was sufficient to describe the nursing care process for CAE in
colorectal surgery patients. T-NN program could be used by infection control nurses.
It was suggested that the program be used in different units and with different
problems and samples. These efforts can provide the opportunity to use common
language in nursing, to base evidence of nursing practices and to reveal the
value of nursing care.

Kaynakça

  • American Nurses Association (ANA, 2008). Nursing informatics: Scope and standards of practice. Silver Spring, Washington, Erişim 18.12.2015, http://www.nursesbooks.org/ebooks/download/NursingScopeStandards.pdf
  • Araghizadeh, F.Y., Bands, A.M., Dietert, J.B., Novick, T.K., Olsan, C.H. (2014). Incisional Negative Pressure Wound Therapy Significantly Reduces Surgical Site Infection in Open Colorectal Surgery, Diseases of the Colon &Rectum Volume, 56(12): 1403-1407.
  • Bayar, B., Akıncı, M., Kulaçoğlu, H., Şahin, A., Yılmaz, K.B. (2015). Acil ve Elektif Şartlarda Ameliyat Edilen Kolorektal Kanserli Hastaların Tedavi Sonuçlarının Değerlendirilmesi, Ulusal Cerrahi Dergisi, 32(1): 11-17.
  • Breen, J., Lutfiyya, W., Porsans, D. (2012). A Colorectal “Care Bundle” to Reduce Surgical Site Infections in Colorectal Surgeries: A Single-Center Experience, The Permanente Journal, 16(3): 10-16
  • Broad, J., Doll, H., Gladman, J., Horris, R., Ilıffe, S., Longhorne, P., Martin, F., Richards, S., Shepperd, S. (2014). Hospital at Home Early Discharge, Cochrane Database Syst Rev (1): doi: 10.1002/14651858.CD000356.pub3.
  • Bowles, K.H. (2000). Application of the Omaha System in Acute Care. Research in Nursing & Health, 23, 93-105.
  • Cheng, S.J., Chu, C.H., Lin, C.J., Shih, S.C., Tjung, J.J. (2012). Discharge Planning, International Journal of Gerontology, 6: 237-240
  • CDC (2017). Surgical Site Infection (SSI) Event. Erişim 04.12.2017, https://www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf
  • Çalışkan, K., Ezer, A., Manay, G., Noyan, T., Nursal, T.Z., Törer, N., Yıldırım, S. (2005). Genel Cerrahi Hastalarında Yara Enfeksiyonu ve Mortaliteyi Etkileyen Risk Faktörlerinin Değerlendirilmesi, Ulusal Cerrahi Dergisi, 21 (2), 77-84.
  • Doğancı, L., Fışgın, N.T., Sarıkaya, H., Tanyel, E., Topgül, K., Tülek, N. (2008). Kolon Cerrahisi Uygulanan Hastalarda Gelişen Cerrahi Alan İnfeksiyonları ve Risk Faktörleri, İnfeksiyon Dergisi, 22 (3), 141-145.
  • Dündar, H.Z., Işık, O., Kaya, E., Sarkut, P. (2015). Surgical Site Infection: Re-assessment of the Risk Factors, Chirurgia 110 (5), 457-461.
  • Erdoğan, S., Nahcivan, N., Esin, N., Seçginli, S., Coşansu, G., Ardıç, A. (2017). Omaha Sistemi Hemşirelikte Bilgi Yönetimi, İstanbul: Nobel Tıp Kitabevleri, Tic. Ltd. Şti.
  • Erdoğan, S., Esin, N. (2006). The Turkish version of the Omaha System: Its use in practice-based family nursing education. Nurse Education Today, 26 (5), 396-402.
  • Erdoğan, S., Seçginli, S., Coşansu, G., Nahcivan, N., Esin, M.N., Aktaş, E., Monsen, K., (2013). Using the Omaha System to describes health problems, interventions and outcomes in home care in İstanbul, Turkey: A student informatics research experience CIN): Computers, Informatics, Nursing, Jun, 31(6), 290-98.
  • Ertürk, S. (2015). Kolorektal Kanserler: Epidemiyoloji, Etiyolojide Rol Oynayan Etkenler, Tarama ve Kemoprevansiyon, Erişim 20.12.2015, http://docplayer.biz.tr/8284088-Kolorektal-kanserler-epidemiyoloji-etiyolojide-rol-oynayan-etkenler-tarama-ve-kemoprevansiyon.html
  • Eskicioğlu, Ç., Fenech, D.S., Forbes, S.S., Gagliardi, A.R., Mckenzie, M., Mcleod, R.S., Nathens, A.B. (2012). Surgical Site Infection Prevention: A Survey to Identify the Gap Between Evidence and Practice in University of Toronto Teaching Hospital, Can J Surg, 55(4): 234-237
  • Furukawa, H., Hosakawa, M., Ishikowa, K., Kusumi, T., Nıshida, Y., Surmikowa, S. (2014). Incisional Surgical Site Infection After Elective Open Surgery for Colorectal Cancer, International Journal of Surgical Oncology, Article ID: 419712: 1-5
  • Kishimoto, J., Konishi, T., Nagawa, H., Watonabe, T. (2006). Elective Colon and Rectal Surgery Differ in Risk Factors for Wound Infection Results of Prospective Surveillance, Annals of Surgery, 244 (5), 758-762.
  • Martin, K.S. (2005). The Omaha System: A Key practice, documentation, and information management. Reprinted 2nd ed. Omaha, NE: Health Connections Press.
  • Seçginli, S., Erdoğan, S., Monsen, K. (2013). Attitudes of Health Professionals Towards Electronic Health recording in Primary Health Care Settings: A Questionnaire Survey. Inform Health Soc Care, 39 (1), 15-32.
  • THSK (2014). Türkiye Halk Sağlığı Kurumu, 2014 Yılı Türkiye Kanser İstatistikleri, Erişim Tarihi: 02.12.2017, http://kanser.gov.tr/daire-faaliyetleri/kanser-istatistikleri/2106-2014-yılı-türkiye-kanser-istatistikleri.html
  • Topaz, M., Golfenshtein, N., Bowles, K.H. (2013). The Omaha System: a systematic review of the recent literature. J Am Med Inform Assoc, 21(1): 163-70.
  • Turan, H. (2015). Cerrahi Antimikrobiyal Profilakside Güncel Öneriler, Klimik Dergisi, 28 (1), 2-10
  • Uluslararası Kanser Ajansı (IARC). (2012). Colorectal Cancer Estimated Incidence, Mortality and Prevalence Worldwide in 2012. Erişim 05.12.2017. http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx?cancer=colorectal
  • Westra, B., Delaney, C.W., Konicek, D., Keenan, G. (2008). Nursing standards to support the electronic health record. Nursing Outlook, 56 (5), 258-62.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Azize Karahan 0000-0002-7649-1454

Semra Erdoğan 0000-0002-1445-7656

Yayımlanma Tarihi 1 Şubat 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 27 Sayı: 1

Kaynak Göster

APA Karahan, A., & Erdoğan, S. (2019). Reporting of Nursing Care Preventing Surgical Site Infection in Colorectal Cancer Patients with Omaha System. Florence Nightingale Journal of Nursing, 27(1), 38-47.
AMA Karahan A, Erdoğan S. Reporting of Nursing Care Preventing Surgical Site Infection in Colorectal Cancer Patients with Omaha System. Florence Nightingale Journal of Nursing. Şubat 2019;27(1):38-47.
Chicago Karahan, Azize, ve Semra Erdoğan. “Reporting of Nursing Care Preventing Surgical Site Infection in Colorectal Cancer Patients With Omaha System”. Florence Nightingale Journal of Nursing 27, sy. 1 (Şubat 2019): 38-47.
EndNote Karahan A, Erdoğan S (01 Şubat 2019) Reporting of Nursing Care Preventing Surgical Site Infection in Colorectal Cancer Patients with Omaha System. Florence Nightingale Journal of Nursing 27 1 38–47.
IEEE A. Karahan ve S. Erdoğan, “Reporting of Nursing Care Preventing Surgical Site Infection in Colorectal Cancer Patients with Omaha System”, Florence Nightingale Journal of Nursing, c. 27, sy. 1, ss. 38–47, 2019.
ISNAD Karahan, Azize - Erdoğan, Semra. “Reporting of Nursing Care Preventing Surgical Site Infection in Colorectal Cancer Patients With Omaha System”. Florence Nightingale Journal of Nursing 27/1 (Şubat 2019), 38-47.
JAMA Karahan A, Erdoğan S. Reporting of Nursing Care Preventing Surgical Site Infection in Colorectal Cancer Patients with Omaha System. Florence Nightingale Journal of Nursing. 2019;27:38–47.
MLA Karahan, Azize ve Semra Erdoğan. “Reporting of Nursing Care Preventing Surgical Site Infection in Colorectal Cancer Patients With Omaha System”. Florence Nightingale Journal of Nursing, c. 27, sy. 1, 2019, ss. 38-47.
Vancouver Karahan A, Erdoğan S. Reporting of Nursing Care Preventing Surgical Site Infection in Colorectal Cancer Patients with Omaha System. Florence Nightingale Journal of Nursing. 2019;27(1):38-47.