Postoperatif Üriner Retansiyon: Risk Faktörleri

Yıl 2021, Cilt: 10 Sayı: 1, 169 - 177, 30.04.2021

Züleyha Şimşek Yaban Süreyya Karaöz

https://doi.org/10.47493/abantmedj.2021.48

Öz

Üriner retansiyon hastanın rahatsızlığını arttırmanın yanı sıra, aşırı genişleme ile mesaneye zarar verebilir ve kronik nefropatiye, sepsise, mesane duvarının atonisin ve üriner sistem enfeksiyonu gelişmesine neden olabilir. Bunların yanı sıra hastanede kalma sürecinin uzamasına, hastaneye tekrarlı yatışlara neden olabilir ve yaşam kalitesini olumsuz etkiler.
Postoperatif üriner retansiyon gelişiminde birçok faktör rol oynamaktadır. Postoperatif üriner retansiyon gelişmesinde etkili olan risk faktörlerini; hastaya, ameliyat ve anesteziye ait çeşitli faktörler ve perioperatif süreçte kullanılan ilaçlar olarak gruplandırabiliriz. Sağlık ekibinin tüm üyeleri (doktor, anestezist, hemşire ve diğ.) bu risk faktörlerinin bazılarına müdahale edebilirken, yaş, cinsiyet, hastada var olan hastalıklar gibi değiştirilemeyen risk faktörlerine müdahale edemezler. Bu nedenle sağlık ekibinin hastada var olan risk faktörlerinin farkında olması çok önemlidir. Postoperatif üriner retansiyonun önlenmesi ve yönetimi ekip üyelerinin işbirliği ile daha mümkündür. Bu çalışma postoperatif üriner retansiyonda risk faktörlerini değerlendirmek amacıyla hazırlanmıştır.

Anahtar Kelimeler

postoperatif komplikasyon;, postoperatif üriner retansiyon;, risk faktörleri

Postoperative Urinary Retention: Risk Factors

Öz

In addition to increasing the discomfort of the patient, urinary retention may harm bladder with extreme expansion and it may cause to develop chronic nephropathy, sepsis, atony in the bladder walls. All of these might increase the time the patient spent in the hospital, lead to repeated lying in hospital and negatively affect the quality of life.
There are various risk factors that play a role in the development of postoperative urinary retention. We can classify the risk factors which are effective in the development of postoperative urinary retention such as; patient, operation and anesthesia related various factors and the medicines utilized in the perioperative period. All disciplines on the health team (doctor, anesthetist, nurse etc.) can intervene in some of these risks whereas, they cannot intervene the other risks such as age, gender, preexisting diseases since these risks cannot be changed. However, it is very important for the health team to be aware of the risk factors in the patient. Prevention and management of postoperative urinary retention is more possible with the cooperation of team members. This study is prepared in order to evaluate the risk factors of postoperative urinary retention.

Anahtar Kelimeler

postoperative complication;, postoperative urinary retention;, risk factors

Kaynakça

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