Yenidoğan Yoğun Bakım Ünitelerinde Çalışan Hemşirelerin Preterm Bebeklerde Orogastrik Tüp Değiştirme Nedenleri ve Sıklığı

Abstract

Giriş ve Amaç: Prematüre bebeklerin beslenme destek yöntemlerinden orogastrik tüple enteral beslenme klinikte yaygın olarak kullanılmaktadır. Bu çalışmanın amacı prematüre bebeklerde orogastrik tüp değiştirilme nedenlerini ve sıklığını belirlemektir. Gereç ve Yöntemler: Tanımlayıcı tipteki çalışma YYBÜ'lerde çalışan 154 hemşire ile yürütüldü. Verilerin toplanmasında hemşirelere yönelik 'Tanıtıcı Bilgi Formu' ve uzman görüşü alınarak geliştirilen 'Orogastrik Tüp Değerlendirme Formu' kullanıldı. Verilerin analizinde tanımlayıcı istatistiklerden yararlanıldı. Bulgular: Araştırmaya katılan hemşirelerin yaş ortalaması 30,97±5,79, meslekte çalıştıkları yıl ortalaması 8,57±6,21 ve YYBÜ'de çalıştıkları yıl ortalaması 5,94±4,63 yıldı. Hemşirelerin %95,5'inin kadın olduğu, %73,4'ünün lisans mezunu olduğu, %90,9'unun 3. basamak YYBÜ'de çalıştığı ve %82,5'inin YYBÜ eğitimi aldığı belirlendi. En sık orogastrik tüp değişimi nedeni bebeğin orogastrik tüpü çıkarması (%98,1) idi. Orogastrik tüp değiştirme sıklığı gece vardiyasında daha fazlaydı. Ancak özellikle CPAP ile takip edilen bebeklerde orogastrik tüp değişimi sıklığının 2 kat (%71,4) fazla olduğu görüldü. Yüzüstü pozisyonda orogastrik tüp değiştirme sıklığının (%27,9) ve 12*1 ile beslenen pretermlerde orogastrik tüp değiştirme sıklığının (%73,4) daha fazla olduğu görüldü. Sonuç: Orogastrik tüp değişiminin en sık nedeninin orogastrik tüpün sabitlenmesine bağlı problemler olduğu sonucuna varıldı.

Keywords

• bebek
• premature
• orogastrik tüp
• yenidoğan
• hemşireler

Reasons and Frequency of Orogastric Tube Change in Preterm Infants by Nurses Working in Neonatal Intensive Care Units

Abstract

Objective: Among nutritional support methods for preterm infants, enteral feeding via orogastric tube is widely used clinically. This study aims to determine the causes and frequency of orogastric tube replacement in preterm infants. Materials and Methods: The descriptive study was conducted with 154 nurses working in NICUs. 'Descriptive Information Form' for nurses and an 'Orogastric Tube Evaluation Form' developed with expert opinion were used to collect data. Descriptive statistics were used to analyze the data. Results: The mean age of the nurses in the study was 30.97±5.79, the mean number of years working in the profession was 8.57±6.21, and the mean number of years working in the NICU was 5.94±4.63 years. It was found that 95.5% of the nurses were female, 73.4% had an undergraduate degree, 90.9% worked in a 3rd level NICU and 82.5% had NICU training. The most common reason for orogastric tube replacement was the infant pulling out the orogastric tube (98.1%). The frequency of orogastric tube replacement was higher in the night shift. However, the frequency of orogastric tube replacement was 2 or more times (71.4%) especially in infants followed up with CPAP. It was observed that the frequency of changing the orogastric tube was higher in the prone position (27.9%) and the frequency of changing the orogastric tube (73.4%) was higher in preterm infants fed 12*1. Conclusion: It was concluded that problems related to OGT fixation were the most common reasons for orogastric tube replacement.

Keywords

• Infant
• preterm
• orogastric tube
• neonatal
• nurses

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