TY - JOUR T1 - Total Kalça Protezi Takılan Meme Kanserli Yaşlı Kadının Evde Bakımı TT - Home Care of Elderly Women with Total Hip Prosthesis AU - Gürler, Hesna AU - Erturhan Türk, Kübra PY - 2020 DA - April DO - 10.37989/gumussagbil.476347 JF - Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi JO - Gümüşhane Sağlık Bilimleri Dergisi PB - Gümüşhane Üniversitesi WT - DergiPark SN - 2146-9954 SP - 58 EP - 66 VL - 9 IS - 1 LA - tr AB - Bu çalışmadafemur kırığı nedeniyle total kalça protezi takılan yaşlı bir kadının Roper Logan Tierney Günlük Yaşam Aktiviteleri Modeline göre evdebakım gereksinimlerinin değerlendirilmesi ve bu gereksinimlere yönelik uygungirişimlerin planlanması amaçlandı. Bu çalışma bir olgu sunumudur. Total kalçaprotezi ameliyatı sonrası günlük yaşam aktivitelerinde yarı bağımlı olan bireyyalnız yaşamakta ve evde bakım gereksinimlerini karşılayamamaktadır. Yapılandeğerlendirmede bireye, günlük yaşam aktivitelerini yerine getirmedeyetersizlik, konstipasyon, bilgi eksikliği, akut ağrı, uyku örüntüsünde bozulma,aktivite intoleransı, beden gereksiniminden az beslenme, sosyal izolasyon,beden imajında bozulma, rol performansında değişim, düşme ve venöz tromboemboliriski hemşirelik tanıları konuldu ve bu tanılara yönelik hemşirelik girişimleriuygulandı. Olgudan elde edilen veriler doğrultusunda Roper Logan Tierney GünlükYaşam Aktiviteleri Modeli’nin günlük yaşam aktivitelerinde zorlanan yaşlıbireyin ameliyat sonrası evde bakım gereksinimlerinin belirlenmesi vekarşılanmasında yararlı bir model olduğu belirlendi. KW - Yaşlı KW - Evde Bakım KW - Total Kalça Protezi N2 - The aim of this study was to evaluate the home care needs of an elderlywoman with total hip replacement for femur fracture according to Roper LoganTierney Daily Living Activities Model and to plan appropriate interventions forthese requirements. This is a case report. After total hip replacement surgery,the individual who is half dependent on daily living activities lives alone andcan’t meet home care needs. During the assessment, knowledge deficit, bodyimage disturbance, acute pain, disturbed sleep pattern, activity intolerance,nutrition less than body requirements, social isolation, constipation,inability to maintain daily living activities, risk of fall and risk of venousthromboembolism were identified as nursing diagnoses and nursing interventionsfor these diagnoses were performed. Roper Logan Tierney Daily Living ActivitiesModel was found to be a useful model in determining and meeting thepostoperative home care needs of elderly people who have difficulty in dailylife activities. CR - World Health Organization (WHO) (2015) http://apps.who.int/iris/bitstream/handle/10665/186463/9789240694811_eng.pdf;jsessionid=C4C5EBE22DD183174AE1B1FF2AD869A5?sequence=1 Erişim Tarihi: 11.09.2018 CR - Gürler, H., Bayraktar, N. & Erdil, F. (2017). Cerrahi Girişim Uygulanan Yaşlı Bireylerde Düşmelerin Önlenmesi, Türkiye Klinikleri J Surg Nurs-Special Topics, 3(2): 124-129. CR - Centers for Disease Control (CDC) and Prevention. National Center for Injury Prevention and Control (2015). Preventing Falls: A Guide to Implementing Effective Community-Based Fall Prevention Programs, 2nd Edition. CR - Cockayne, S., Pighills, A., Adamson, J., Fairhurst, C., Drummond, A., Hewitt, C, … & Torgerson, D.J. (2018). Can occupational therapist-led home environmental assessment prevent falls in older people? A modified cohort randomised controlled trial protocol. Send to BMJ Open, 8(9): e022488. CR - Sotoudeh, G.R., Mohammadi, R., Mosallanezhad, Z., Viitasara, E. & Soares, J.J.F. (2018). The Prevalence, Circumstances and Consequences of Unintentional Falls among Elderly Iranians: A Population Study. Arch Gerontol Geriatr. 79: 123-130. CR - Jagnoor, J., Keay, L., Jaswal, N., Kaur, M. & Ivers, R. (2014). A Qualitative Study on The Perceptions of Preventing Falls As A Health Priority Among Older People in Northern India, Injury Prevention, 20(1): 29–34. CR - Özkan, S. & Adanaş, C. (2018). Femur Boyun Kırıklarında Güncel Yaklaşımlar Current Approaches in Femoral Neck Fractures. Van Tıp Derg 25(1): 76-81. CR - Autar, R. (2011). Evidence Based Venous Thromboprophylaxis in Patients Undergoing Total Hip Replacement (THR), Total Knee Replacement (TKR) and Hip Fracture Surgery (HFS), International Journal of Orthopaedic and Trauma Nursing, 15(3), 145–154 CR - Açıksöz, S. & Uzun, Ş. (2007). Total Kalça Protezi Uygulanan Bireylerin Günlük Yaşam Aktivitelerine Yönelik Evde Bakımda Karşılaşılan Güçlükler. C.Ü. Hemşirelik Yüksekokulu Dergisi, 11(1): 8-16. CR - Reay, P. A., Horner, B., & Duggan, R. (2015). The Patient's Experience of Early Discharge Following Total Hip Replacement. International journal of orthopaedic and trauma nursing, 19(3), 131-139. CR - Bilik, Ö. (2017). Klinikten Eve Uzanan Yolculuk: Ameliyat Olan Hastaların Evde Bakımı, Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 33(1): 114-127 CR - Bobay, K.L., Jerokfe, T.A., Weiss, M.C. & Yakusheva, O. (2010). Age Related Differences in Perception of Quality of Discharge Teaching and Readiness for Hospital Discharge. Geriatric Nursing, 31(3): 178-187. CR - Roper, N., Logan, W. W, & Tierney, A. J. (2000). The Roper-Logan-Tierney Model of Nursing: Based on Activities of Living. Edinburgh: Churchill Livingstone. CR - Alligood, M.R. (2014). Nursing Theorists and Their Work, 8. Edition, Elsevier Inc., Riverport Lane St. Louis, Missouri CR - Bulut, H. & Güler Demir, S. (2017). Hemşirelik Teorileri ve Modelleri, Akademi Basın, İstanbul. Ed: Karadağ, A., Çalışkan, N., Göçmen Baykara, Z. ss: 532-573 CR - Yao, D.H., Keswani, A., Shah, C.K., Sher, A., Koenig, K.M. & Moucha, C.S. (2017). Home Discharge After Primary Elective Total Joint Arthroplasty: Postdischarge Complication Timing and Risk Factor Analysis. J Arthroplasty, 32(2):375-380. CR - Neighbour, C. (2014). Improving Bowel Care after Surgery for Hip Fracture. Nurs Older People, 26(10):16-22. CR - Suwanpasu, S. & Pongpaew, W. (2016). Predictors of Health-Related to Quality of Life after Hip Surgery in Elderly Patients after Acute Care, Journal of Medical Research & Health Education, 1(1), 1-7. CR - Fielden, J.M., Scott, S. & Horne, J.G. (2003). An Investigation of Patient Satisfaction Following Discharge After Total Hip Replacement Surgery, Orthopaedic Nursing, 22(6): 429-436. CR - Montin, L., Suominen, T. & Leino-Kilpi, H. (2002). The Experiences of Patients Undergoing Total Hip Replacement, Journal of Ortohopedic Nursing,6: 23-29. CR - Saray Kılıç, H. & Taştan, S. (2017). Development of Post Hip Replacement Comfort Scale. Applied Nursing Research,38:169-174. UR - https://doi.org/10.37989/gumussagbil.476347 L1 - https://dergipark.org.tr/tr/download/article-file/1033897 ER -