Ortopedi Hastalarında Planlı Cerrahi İptallerinin Nedenlerinin Değerlendirilmesi

Öz

Amaç: Ameliyat iptali; cerrahi işlemin planlandığı günde ameliyat listesinde yer alan hastaların ameliyatlarının gerçekleştirilememesi olarak tanımlanmaktadır. Ortopedik ameliyatlarda da iptal oranını yüksektir. Bu çalışmanın amacı; hastaların ameliyatlarının iptal nedenlerini belirlemektir. Yöntem: Çalışma tanımlayıcı olarak Aralık 2016 – Mayıs 2017 tarihleri arasında bir üniversite hastanesinin ortopedi kliniğinde yatarak tedavi gören ve ameliyatı iptal edilen 76 hastanın katılımıyla gerçekleştirildi. Veri toplamada Hasta Tanıtım Formu kullanıldı. Veriler SPSS 20.0 paket programında analiz edildi. Bulgular: Hastaların %82,9’ının ameliyatlarının iptal edildiğini doktordan öğrendiği belirlendi. Ameliyat iptallerinin %28,9’unun’ yoğun bakım ünitesinde ya da ameliyat sonrası klinikte yetersiz yatak sayısından ve %28,9’unun acil durumlar nedeniyle ameliyat planlanan hasta sayısındaki artıştan kaynaklandığı belirlendi. Önlenebilir cerrahi iptal oranı %55,3 idi. Hastaların %85,5’inin ameliyatın iptal edildiğini öğrendikten sonra üzüldükleri saptandı. Sonuç: İptallerin nedenlerinin araştırılması önlenebilir nedenleri ortadan kaldıracak stratejiler üretilmesi, önlenebilir nedenleri azaltmak için stratejilerin üretilmesi ve gerekli düzenlemelerin/revizyonların yapılması önerilebilir.

Anahtar Kelimeler

• HASTA
• İSTEĞE BAĞLI CERRAHİ İŞLEM
• ORTOPEDİK CERRAHİ
• ORTOPEDİ HEMŞİRELİĞİ
• SEBEPLER

EVALUATION OF THE REASONS FOR CANCELLATIONS OF SURGICAL AMONG ORTHOPEDIC PATIENTS

Öz

Aim: The cancellation of surgery is defined as the failure to carry out the surgery planned for a patient on the day the procedure is listed on the surgical schedule. Cancellation rates are high in orthopedic surgeries. This study aims to identify of the reasons for scheduled orthopedic surgery cancellations. Method: This was a descriptive study that was conducted between December 2016 and May 2017 with 76 patients who were hospitalized in an orthopedic clinic of a university hospital and whose surgery was canceled. Data were collected using a patient identification form. Data were analyzed using Statistical Package for the Social Sciences 20.0. Results: Of the patients, 82.9% had learned about the cancellation of their surgery from the surgeon. It was determined that 28.9% of the surgery cancellations of the patients stemmed from the were not enough beds in the intensive care unit for postoperative care, 28.9% stemmed from an increase in the number of patients scheduled for surgery due to emergencies (28.9%). The avoidable reasons for cancellation were 55.3%. Of the participants, 85.5% were upset that their surgery had been canceled. Conclusion: This study demonstrated that most of elective orthopedic surgery cancellation causes were stemmed from hospital administration. It might be recommended that the reasons for cancellations are investigated, produce strategies to eliminate avoidable causes and the needed regulations/revisions are made.

Anahtar Kelimeler

• PATİENT
• ELECTİVE SURGİCAL PROCEDURES
• ORTHOPEDICS SURGERY
• ORTHOPEDIC NURSING
• CAUSES

Kaynakça

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