Hemşirelik Bakımı İle Modelin Buluşması: Total Diz Protezi Uygulanan Hastalarda Roy Uyum Modeline Göre Yapılandırılmış Sürekli Bakım

Öz

Günümüzde total diz protezi ameliyatının artması ve sağlık sistemindeki değişimler; hastalara akut bakımın ötesinde çok yönlü bir bakım sağlamayı gerektirmektedir. Hastalar farklı süreçlerde birçok sorunla karşılaşmakta ve multidisipliner ekibin yürüttüğü sürekli bakıma gereksinim duymaktadırlar. Total diz protezi hastaları için proteze uyum sağlama bakımın temelini oluşturduğundan, hastalara uygulanacak sürekli bakımın Roy Uyum Modeli’ne göre yapılandırılması; hemşirelik sürecinin sistematize edilmesini sağlayarak hasta sonuçlarını geliştirecek, bu hasta grubunda modelin test edilmesi hemşirelik bilimine katkı sağlayacaktır. Bu makalede total diz protezi hastalarının Roy Uyum Modeli rehberliğinde sürekli bakımı analiz edilmiştir. Anahtar Sözcükler: Diz protezi, Sürekli bakım, Roy Uyum Modeli.

Anahtar Kelimeler

• Diz protezi, Sürekli bakım, Roy Uyum Modeli

Integration Of The Model Into The Nursing Care: Continuous Care Structured According To The Roy Adaptation Model in The Patients With Total Knee Replacement

Öz

Patients With Total Knee Replacement Recently the increase in the surgeries of the total knee prothesis and the changes in the health systems require a multidimensional care for the patients beyond an acute care. Patients encounter with many problems in various processes and need a continuity of care provided by a multidisciplinary team. As adaptation to the prothesis composes the basis of the care for the patients who underwent a total knee replacement, structuring the care that will be provided to the patients according to the Roy Adaptation Model will improve the patient results by systematizing the nursing process and testing this model in this patient group will contribute to the nursing science. In this paper, continuous care provided to the patients with total knee replacements through Roy Adaptation Model was analyzed

Anahtar Kelimeler

• Knee prosthesis, Continuity of care, Roy Adaptation Model

Kaynakça

1. Adler R, Vasiliadis A, Bickell N. (2010). The relationship between continuity and patient satisfaction: a systmatic review. Family Practice, (27): 171-8.
2. Almada P, Archer R. (2009). Planning Ahead for Better Outcomes Preparation for Joint Replacement Surgery Begins at Home. Orhopaedic Nursing, January/February. 28(1): 3-8.
3. Akyol Ö, Karyurt Ö, Salmond S. (2009). Experiences of Pain and Satisfaction With Pain Management in Patients Undergoing Total Knee Replacement. Orthopaedic Nursing, Mar/Apr. 28(2):79-85.
4. Barbay K. (2009). Research evidence fort he use of preoperatif exercise in patients preparing for total hip or total knee arthroplasty. Orthopaedic Nursing, 28(3): 127-133.
5. Barksdale P, Backer J. (2005). Health-Related Stressors Experienced by Patients Who Underwent Total Knee Replacement Seven Days After Being Discharged Home. Orhopaedic Nursing, Sep/Oct. 24(5): 336-343.
6. Ben-Morderchai B, Herman A, Kerzman H, Irony A. (2010). Structured discharge education improves early outcome in orthopedic patients. International Journal of Orthopaedic Nursing, 14:66-74.
7. Birol L. (2011). Hemşirelik Süreci Hemşirelik Bakımında Sistematik Yaklaşım.10. Baskı; Etki Matbaacılık Yayıncılık Ltd. Şti. İzmir. p.283-416.
8. Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KD. (2010). Patient satisfaction after total knee arthroplasty. Clinical Orthopaedics and Related Research, 468: 57-63.

9. Edwards C. (2003). Exploration of the orthopaedic patient’s ‘need to know’. Journal of Orthopaedic Nursing; 7:18-25
10. Fawcett, J. (2005). Contemporary nursing knowledge analysis and evaluation of nursing models and theories. İn Roy's adaptation model. (ed 2. pp. 364-437). Philadelphia, F. A.
11. Davis Company, Godley MD, Cowger VH, Titus JC, Funk RR., Orndorff MG. (2010). A randomized controlled trial of telephone January,38(1):74-82. J Subst Abuse Treat
12. Hadjistavropoulos H. D, Garrat S, Janzen A. J, Bourgault M. D, Spice K. (2009). Development and evaluation of a continuity of care checklist for improving orthopaedic patient discharge from hospital. Journal of Orthopaedic Nursing, 13:183-193.
13. Haggerty J, Reid R, Freeman G, Starfield H. Adair CE, McKandry R. (2003). Continuity of care: multidisiplinary rewiew. BMJ, 327:1219-1221.
14. Hawkey B, Williams J. (2001). Rehabilitation: the nurse’s role. Orthopaedic Nursing, 5:81-8.
15. Kaya N, Babadağ K, Kaçar KY, Uygur E. (2010). Hemşirelerin hemşirelik model/kuramlarını, hemşirelik sürecini ve sınıflama sistemlerini bilme ve uygulama durumları. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 3(3):24-33.
16. Kaupilla A. M, Kyllönen E, Ohtonen P. (2010). Multidisciplinary rehabilitation after primary total knee arthroplasty: a randomized controlled study of its effects on functional capacity and quality of life. Clinical Rehabilitation, 24:398- 411.
17. Kearney M, Jennirch MK, Lyons S, Robinson R, Berger B. (2011). Effects of Preoperatif Education On Patient Outcomes After Joint Replacement Surgery. Orthopaedic Nursing, Nov/ Dec, 30(6):391-6.
18. Lin P, Wang J, Chang S,Yang F. (2005). Effectiveness of a discharge-planning pilot program for orthopedic patients in Taiwan. International Journal of Nursing Studies, 42:723- 731.
19. Lucas B. (2002). Developing the role of the nurse in the orthopaedic outpatient and pre-admission assessment settings: a change management Project. Journal of Orthopaedic Nursing, 6:153-160.
20. McDonald S, Hetrick SE, Green S. (2008). Pre-operative education for hip or knee replacement (Review). The Cochrane Collaboratıon, Issue 4. Erişim tarihi:12.12.2014
21. O’Brien S. (2002). An outcome study on average lenght of stay following total hip and knee replacement. Journal of Orthopaedic Nursing, 6:161-9.
22. Ouellet L. L, Hodgins M. H, Pond S, Knorr S, Geldart G. (2003). Post-discharge telephone follow-up for orthopaedic surgical patients: a pilot study. Journal of Orthopaedic Nursing, 7:87- 93.
23. Özer N, Hacıalioğlu N, Akyıl RÇ, Akpınar R. (2006). Hastaların kendilerini bakım veren yakınlarına yük olarak hissetme durumları. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi, 9(4):31-7.
24. Rogers C, Keller C. (2009). Roy’s adaptation model to promote physical activity among sedentary older adults. Geriartric Nursing, 30(25):21-6.
25. Roy S. C. (2009). The Roy Adaptation Model. Pearson Education. Inc,Upper Saddle River, New Jersey.07458.
26. Santy J. (2001). An investigation of the reality of nursing work with orthopaedic patients. Journal of Orthopaedic Nursing, 5:22-9.
27. Su HH, Tsai YF, Chen WJ, Chen MC. (2010). Health care needs of patients during early recovery after total knee-replacement surgery. Journal of Clinical Nursing, 19:673-681.
28. Turhan Damar H, Bilik Ö. (2014). Roy Uyum Modeli’ne Temellendirilmiş Total Diz Protezi Ameliyatına Hazırlık Programı. DEU HYOED 7(4): 321-329.
29. Watts R, Pierson J, Gardner H. (2006). Critical care nurses’ beliefs about the discharge planning process: a qusetonnaire survey. Int J Nurs Stud, 43(3):269-79.
30. Woodward C.A, Abelson J, Tedfoerd S, Hutchison B. (2004). What is important to continuity in home care? Perspectives of key stakeholders. Social Science&Medicine, 58: 177-192.
31. Wright JG, Santaguida PL, Young N, Hawker GA, Shemitsch E, Oven JL. (2010). Patient preferences before and after total knee arthroplasty. Jornal of Clinical Epidemiology, 63: 774- 782.
32. Yıldırım M, Bayraktar N. (2010). Cerrahi kliniklerinde çalışan hemşirelerin taburculuk planlaması sürecindeki rolleri ve bunu etkileyen faktörler. Türkiye Klinikleri J Nurs Sci;2(2):73-81.