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VENOUS THRO M BO EM BO LISM AND NURSING APPROACHES

Yıl 2015, Cilt: 31 Sayı: 1, 62 - 82, 01.01.2015

Öz

Venous thromboembolism is a majör clinical problem that endangers life. Even though there are well-accepted methods which are routirıely used worldwide to protect against deep venous thrombosis and pulmonary embolism, the protective measures that are available in clinical applications are sometimes overlooked. in this regard, improving the nursing çare quality, knowing and practicing the current initiatives in order to ensure patient security are required. Nurses play an important role and take responsibilities in the prevention o f deep vein thrombosis which usually has an asymptomatic course and its complications, in early diagnosis phase and in the reduction o f treatment and çare expenses. This article has been prepared as a guidance for the nurses and other staff about the clinical applications on the prevention o f deep vein thrombosis and pulmonary embolism

Kaynakça

  • AHRO-Agency For Healthcare Research And Quality (2008). Preventing HospitahAcquired Venous Thromboembolism A Guide For Effective Quality Improvement http://www. ahrg. gov/qual/ vtguide pdf Erişim Tarihi: 25_05_2014.
  • Acun G. Cerrahi Kliniklerde Yatan Hastalarda Derin Ven Trombozu Riski Ve Prevelansının İncelenmesi. Yayınlanmamış Yüksek Lisans Tezi. İzmir: Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü; 2012.
  • Akın S, Horasan E. Venöz Tromboembolizm Ve Hemşirelik Bakımı. Hemşirelikte Eğitim Ve Araştırma Dergisi 2008; 5(1): 7-11.
  • AORN-Association Of Perioperative Registered Nurses (2011). AORN Guideline For Prevention Of Venous Stasis. Perioperative Standards And Recommended Practices. USA. Press, 653-70.
  • Autar R. A Review Of The Evidence For The Efficacy Of Anti-Embolism Stockings (AES) İn Venous Thromboembolism (VTE) Prevention. Journal O f Orthopaedic Nursing 2009; 13: 41-49.
  • Autar R. NICE Guidelines On Reducing The Risk O f Venous Thromboembolism (Deep Vein Thrombosis And Pulmonary Embolism) İn Patients Undergoing Surgery. Journal O f Orthopaedic Nursing 2007; 11: 169-76.
  • Arseven O, Öngen G, Müsellim B ve ark. Pulmoner Tromboembolizm. Metintaş M, Editor. Türkiye'de Temel Akciğer Sağlığı Sorunları Ve Çözüm Önerileri, Türk Toraks Derneği Beyaz Kitap, l.baskı. Ankara: 2010. 11-18
  • Arslan K, Tecimel O, Aksekili A ve ark. Derin Ven Trombozu Ve Ortopedik Cerrahide Önemi. Dirim Tıp Gazetesi 2008; 83: 129-133.
  • Bates SM, Jaeschke R et al. (2012.) Prevention Of Venous Thromboembolism: American College Of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 141(2) (Suppl): 351-418.
  • Beckman M, Hooper WC, Critchley SE et al. Venous Thromboembolism: A Public Health Concern. American Journal Of Preventive Medicine 2010; 38(4 suppl.): 495-501.
  • Caprini JA. Risk Assessment As A Guide For The Prevention Of The Many Faces Of Venous Thromboembolism. The American Journal of Surgery 2010; 199 (1 Suppl.): 3-10.
  • Caprini JA, Tapson VF, Hyers TM et al. Treatment Of Venous Thromboembolism: Adherence To Guidelines And İmpact Of Physician Knowledge, Attitudes And Beliefs. J Vasc Surg 2005; 42(4): 726­ 33.
  • Caprini JA , Arcelus JI. Venous Thromboembolism Prophylaxis In The General Surgical Patient. Bergan JJ, Editor. The Vein Book. London: Elsevier Academic Press; 2006 (Chapter 42): 369-80.
  • http://www.venousdisease.com/Publications/ VTE% 20prophylaxis% 20 in% 20 general %20 surgery.pdf
  • Erişim tarihi: 25_06_2014. Cook DJ, Mark AC, Maureen OM et al. Prevalance, İncidence, And Risk
  • Factors For Venous Thromboembolism İn Medical-Surgical İntensive Care Unit Patients. Journal of
  • Critical Care 2005; 20(4): 309- 13.
  • Cook DJ, Crowther MA, Geerts WH. On The Need For A Workshop On Venous Thromboembolism İn Critical Care. Journal Of Critical Care 2005;20: 306- 308.
  • Cushman M. Epidemiology And Risk Factors For Venous Thrombosis. Semin Hematol 2007; 44 (2): 62-9.
  • Davis P. Venous Thromboembolism Prevention - An Update. Journal Of Orthopaedic Nursing 2004; 8(1): 50-6.
  • Dirimeşe E, Yavuz M. Cerrahi Kliniklerde Venöz Tromboembolinin Önlenmesi. Maltepe Üniversitesi Hemşirelik Bilim Ve Sanatı Dergisi 2010; 2(3): 98-105.
  • Eryiğit N. Hemşirelerin Derin Ven Trombozu Konusundaki Bilgi Düzeylerinin Saptanması. Yayınlanmamş Yükseklisans Tezi. Afyon: Kocatepe Üniversitesi Sağlık Bilimleri Enstitüsü; 2006.
  • Faik Altıntaş F, Beyan C, Bozkurt K ve ark. Ulusal Venöz Tromboembolizm Profilaksi ve Tedavi Kılavuzu. 1. Baskı İstanbul: Diasan Basım Form Matbaacılık San. Tic. AŞ; 2010.
  • Farley AH, McLafferty E, Hendry C. Pulmonary Embolism: İdentification, Clinical Features And Management. Nursing Standard 2009; 23(28): 49-56.
  • Fowkes FJ, Price JF, Fowkes FG. İncidence Of Diagnosed Deep Vein Thrombosis İn The General Population: Systematic Review. Eur J Vasc Endovasc Surg 2003; 25(1): 1-5.
  • Geerts WH, Bergqvist D, Pineo GF & et al. American College Of Chest Physicians Evidence-Based Clinical Practice Guidelines Prevention O f Venous Thromboembolism. Chest 2008; 133(6 suppl.): 381-453.
  • Geerts WH, Heit JA , Clagett GP & et al. Prevention Of Venous Thromboembolism. Chest 2001; 119(1 suppl.): 132-75.
  • Habeşoğlu MA, Eyüboğlu F. Yoğun Bakım Hastalarında Venöz Tromboembolizm. Tüberküloz Ve Toraks Dergisi 2010; 58 (3): 321-33.
  • Kahn SR, Morrison DR, Cohen JM & et al. Interventions For İmplementation Of Thromboprophylaxis İn Hospitalized Medical And Surgical Patients At Risk For Venous Thromboembolism. Cochrane Database of Systematic Reviews 2013;7.
  • Karaoğlu O. Pulmoner BT Anjiyografi Sonrası Yapılan İndirekt BT Venografi Tetkikinin Pulmoner Tromboemboli Tanısındaki Yeri. Yayınlanmamış Yüksek Lisans Tezi. İzmir: Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü; 2007. 49-50.
  • Kehl-Pruett W. Deep Vein Thrombosis İn Hospitalized Patients A Review Of Evidence-Based Guidelines For Prevention. Dimens Crit Care Nurs 2006; 25 (2): 53-9.
  • Kroegel C, Reissinag A. Principle Mechanism Underlying Venous Thromboembolism: Epidemiology, Risk Factors, Pathophysiology and Pathogenesis. Respiration 2003; 70 (1): 9-30.
  • Larkin BG, Mitchell KM, Petrie K. Translating Evidence to Practice for Mechanical Venous Thromboembolism Prophylaxi. AORN J 2012; 96(5): 513-27.
  • Lassen MR, Borris LC, Christiansen H M & et al. Prevention Of Thromboembolism İn 190 Hip Arthroplasties. Comparison of LMW Heparin And Placebo. Acta Orthop Scand 1991; 62 (1): 33-8.
  • Lewis SL, Heitkomper ML, Dirksen SR & et al. Medical Surgical Nursing: Assessment and Management O f Clinical Problems. 7 nd ed. St. Louis: Eksevier/ Mosby; 2007. McCaffrey R, Blum C.
  • Venothrombotic Events: Evidence- Based Risk Assessment, Prophylaxis
  • Diagnosis, And Treatment. The JournalFor Practitioners 2009; 5(5): 325-333.
  • NICE-National Institute For Health And Clinical Excellence (2007). Venous Thromboembolism: Reducing The Risk Of Venous Collaborating Thromboembolism (Deep Vein Thrombosis And Pulmonary Embolism) İn Inpatients Undergoing Surgery. Developed By The National Centre For Acute Care. Retrieved May 23, 2014, from http:// www. spitalmures. ro/ _files/ protocoale_terapeutice/ chirurgie/reducerea_riscului_de_embolie_la_pacientii_chirurgicali. pdf
  • Öztürk C, Özalp B, İpeksoy Ü, ve ark. Derin Ven Trombozu Tedavisinde Yeni Bir Yöntem: Kateter Aracılı Ultrasonla Hızlandırılmış Tromboliz. Türk Gögüs Kalp Damar 2014; 22(4): 755-760.
  • Pastores SM. Management Of Venous Thromboembolism İn The İntensive Care Unit. Journal Of Critical Care 2009; 24(2): 185-91.
  • Sage S, McGee M, Emed JD . Knowledge Of Venous Thromboembolism (VTE) Prevention Among Hospitalized Patients. Journal Of Vascular Nursing 2008; 26(4): 109-17.
  • Sarıkaya AD. Total Parentral Beslenmede Geliştirilen İzlem Protokolünün Komplikasyonların Görülme Durumuna Etkisi. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi 2010: 26(ek); 25-36.
  • Sen S ve Kavlak O. Overyen Hiperstimulasyon Sendromu (OHSS) ve Hemşirelik Yaklaşımı. Ege Universitesi Hemsirelik Yuksek Okulu Dergisi 2007: 23 (2) : 223-232.
  • Songwathana P, Promlek K, Naka K. Evaluation Of A Clinical Nursing Practice Guideline For Preventing Deep Vein Thrombosis İn Critically İll Trauma Patients. Australasian Emergency Nursing Journal 2011; 14: 232-9.
  • Torbicki A, Perrier A, Konstantinides S & et al. Guidelines On The Diagnosis And Management O f Acute Pulmonary Embolism: The Task Force For The Diagnosis And Management Of Acute Pulmonary Embolism Of The European Society of Cardiology (ESC). European Heart Journal 2008; 29(18): 2276-315.
  • Urden LD, Stacy K, Lough ME. Critical Care Nursing: Diagnosis And Management. 6 nd ed. St. Louis, Mo: Saunders/Elsevier; 2010: 488- 491.
  • Uzun Ş, Sarıcaoğlu F, Çeliker V. Derin Ven Trombozu Derleme. Türkiye Klinikleri J Med Sci 2007; 27(6): 853-61.
  • Van Wıcklın SA. Implementing AORN Recommended Practices For Prevention O f Deep Vein Thrombosis. AORN J 2011: 94(5): 443-51.
  • Welch E. The Assessment And Management Of Venous Thromboembolism. Nursing Standard 2006: 20(28); 58-64.
  • Wells PS, Anderson DR, Bormanis J & et al. Value Of Assessment Of Pretest Probability Of Deep Vein Thrombosis İn Clinical Management. Lancet 1997: 350(9094); 1795-8.
  • White RH, Zhou H, Gage BF. Effect O f Age On The İncidence Of Venous Thromboembolism After Major Surgery, Journal Of Thrombosis And Haemostasis 2004: 2(8); 1327-33

VENÖZ TROMBOEMBOLİZM VE HEMŞİRELİK BAKIMI

Yıl 2015, Cilt: 31 Sayı: 1, 62 - 82, 01.01.2015

Öz

Venöz tromboembolizm hayatı tehdit eden önemli bir klinik problemdir. Venöz tromboembolizmde kabul gören ve rutin kullanıma girmiş yöntemler olmasına rağmen, klinik uygulamalarda var olan koruyucu önlemler gözardı edilebilmektedir. Bu doğrultuda hemşirelik bakım kalitesinin gelişmesi, hasta güvenliğinin sağlanması için güncel girişimlerin bilinmesi ve uygulamaya aktarılması gerekmektedir. Çoğunlukla asemptomatik seyreden derin ven trombozu ve komplikasyonların önlenmesinde, erken tanı sürecinde ve tedavi ile bakım harcamalarının azaltılmasında hemşireler önemli rol ve sorumluluklar üstlenmektedir. Bu makale hemşire ve diğer tüm ekibin derin ventrobozu ve pulmoner emboliyi önleme konusundaki klinik uygulamalarına rehberlik etmesi amacıyla hazırlanmıştır

Kaynakça

  • AHRO-Agency For Healthcare Research And Quality (2008). Preventing HospitahAcquired Venous Thromboembolism A Guide For Effective Quality Improvement http://www. ahrg. gov/qual/ vtguide pdf Erişim Tarihi: 25_05_2014.
  • Acun G. Cerrahi Kliniklerde Yatan Hastalarda Derin Ven Trombozu Riski Ve Prevelansının İncelenmesi. Yayınlanmamış Yüksek Lisans Tezi. İzmir: Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü; 2012.
  • Akın S, Horasan E. Venöz Tromboembolizm Ve Hemşirelik Bakımı. Hemşirelikte Eğitim Ve Araştırma Dergisi 2008; 5(1): 7-11.
  • AORN-Association Of Perioperative Registered Nurses (2011). AORN Guideline For Prevention Of Venous Stasis. Perioperative Standards And Recommended Practices. USA. Press, 653-70.
  • Autar R. A Review Of The Evidence For The Efficacy Of Anti-Embolism Stockings (AES) İn Venous Thromboembolism (VTE) Prevention. Journal O f Orthopaedic Nursing 2009; 13: 41-49.
  • Autar R. NICE Guidelines On Reducing The Risk O f Venous Thromboembolism (Deep Vein Thrombosis And Pulmonary Embolism) İn Patients Undergoing Surgery. Journal O f Orthopaedic Nursing 2007; 11: 169-76.
  • Arseven O, Öngen G, Müsellim B ve ark. Pulmoner Tromboembolizm. Metintaş M, Editor. Türkiye'de Temel Akciğer Sağlığı Sorunları Ve Çözüm Önerileri, Türk Toraks Derneği Beyaz Kitap, l.baskı. Ankara: 2010. 11-18
  • Arslan K, Tecimel O, Aksekili A ve ark. Derin Ven Trombozu Ve Ortopedik Cerrahide Önemi. Dirim Tıp Gazetesi 2008; 83: 129-133.
  • Bates SM, Jaeschke R et al. (2012.) Prevention Of Venous Thromboembolism: American College Of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 141(2) (Suppl): 351-418.
  • Beckman M, Hooper WC, Critchley SE et al. Venous Thromboembolism: A Public Health Concern. American Journal Of Preventive Medicine 2010; 38(4 suppl.): 495-501.
  • Caprini JA. Risk Assessment As A Guide For The Prevention Of The Many Faces Of Venous Thromboembolism. The American Journal of Surgery 2010; 199 (1 Suppl.): 3-10.
  • Caprini JA, Tapson VF, Hyers TM et al. Treatment Of Venous Thromboembolism: Adherence To Guidelines And İmpact Of Physician Knowledge, Attitudes And Beliefs. J Vasc Surg 2005; 42(4): 726­ 33.
  • Caprini JA , Arcelus JI. Venous Thromboembolism Prophylaxis In The General Surgical Patient. Bergan JJ, Editor. The Vein Book. London: Elsevier Academic Press; 2006 (Chapter 42): 369-80.
  • http://www.venousdisease.com/Publications/ VTE% 20prophylaxis% 20 in% 20 general %20 surgery.pdf
  • Erişim tarihi: 25_06_2014. Cook DJ, Mark AC, Maureen OM et al. Prevalance, İncidence, And Risk
  • Factors For Venous Thromboembolism İn Medical-Surgical İntensive Care Unit Patients. Journal of
  • Critical Care 2005; 20(4): 309- 13.
  • Cook DJ, Crowther MA, Geerts WH. On The Need For A Workshop On Venous Thromboembolism İn Critical Care. Journal Of Critical Care 2005;20: 306- 308.
  • Cushman M. Epidemiology And Risk Factors For Venous Thrombosis. Semin Hematol 2007; 44 (2): 62-9.
  • Davis P. Venous Thromboembolism Prevention - An Update. Journal Of Orthopaedic Nursing 2004; 8(1): 50-6.
  • Dirimeşe E, Yavuz M. Cerrahi Kliniklerde Venöz Tromboembolinin Önlenmesi. Maltepe Üniversitesi Hemşirelik Bilim Ve Sanatı Dergisi 2010; 2(3): 98-105.
  • Eryiğit N. Hemşirelerin Derin Ven Trombozu Konusundaki Bilgi Düzeylerinin Saptanması. Yayınlanmamş Yükseklisans Tezi. Afyon: Kocatepe Üniversitesi Sağlık Bilimleri Enstitüsü; 2006.
  • Faik Altıntaş F, Beyan C, Bozkurt K ve ark. Ulusal Venöz Tromboembolizm Profilaksi ve Tedavi Kılavuzu. 1. Baskı İstanbul: Diasan Basım Form Matbaacılık San. Tic. AŞ; 2010.
  • Farley AH, McLafferty E, Hendry C. Pulmonary Embolism: İdentification, Clinical Features And Management. Nursing Standard 2009; 23(28): 49-56.
  • Fowkes FJ, Price JF, Fowkes FG. İncidence Of Diagnosed Deep Vein Thrombosis İn The General Population: Systematic Review. Eur J Vasc Endovasc Surg 2003; 25(1): 1-5.
  • Geerts WH, Bergqvist D, Pineo GF & et al. American College Of Chest Physicians Evidence-Based Clinical Practice Guidelines Prevention O f Venous Thromboembolism. Chest 2008; 133(6 suppl.): 381-453.
  • Geerts WH, Heit JA , Clagett GP & et al. Prevention Of Venous Thromboembolism. Chest 2001; 119(1 suppl.): 132-75.
  • Habeşoğlu MA, Eyüboğlu F. Yoğun Bakım Hastalarında Venöz Tromboembolizm. Tüberküloz Ve Toraks Dergisi 2010; 58 (3): 321-33.
  • Kahn SR, Morrison DR, Cohen JM & et al. Interventions For İmplementation Of Thromboprophylaxis İn Hospitalized Medical And Surgical Patients At Risk For Venous Thromboembolism. Cochrane Database of Systematic Reviews 2013;7.
  • Karaoğlu O. Pulmoner BT Anjiyografi Sonrası Yapılan İndirekt BT Venografi Tetkikinin Pulmoner Tromboemboli Tanısındaki Yeri. Yayınlanmamış Yüksek Lisans Tezi. İzmir: Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü; 2007. 49-50.
  • Kehl-Pruett W. Deep Vein Thrombosis İn Hospitalized Patients A Review Of Evidence-Based Guidelines For Prevention. Dimens Crit Care Nurs 2006; 25 (2): 53-9.
  • Kroegel C, Reissinag A. Principle Mechanism Underlying Venous Thromboembolism: Epidemiology, Risk Factors, Pathophysiology and Pathogenesis. Respiration 2003; 70 (1): 9-30.
  • Larkin BG, Mitchell KM, Petrie K. Translating Evidence to Practice for Mechanical Venous Thromboembolism Prophylaxi. AORN J 2012; 96(5): 513-27.
  • Lassen MR, Borris LC, Christiansen H M & et al. Prevention Of Thromboembolism İn 190 Hip Arthroplasties. Comparison of LMW Heparin And Placebo. Acta Orthop Scand 1991; 62 (1): 33-8.
  • Lewis SL, Heitkomper ML, Dirksen SR & et al. Medical Surgical Nursing: Assessment and Management O f Clinical Problems. 7 nd ed. St. Louis: Eksevier/ Mosby; 2007. McCaffrey R, Blum C.
  • Venothrombotic Events: Evidence- Based Risk Assessment, Prophylaxis
  • Diagnosis, And Treatment. The JournalFor Practitioners 2009; 5(5): 325-333.
  • NICE-National Institute For Health And Clinical Excellence (2007). Venous Thromboembolism: Reducing The Risk Of Venous Collaborating Thromboembolism (Deep Vein Thrombosis And Pulmonary Embolism) İn Inpatients Undergoing Surgery. Developed By The National Centre For Acute Care. Retrieved May 23, 2014, from http:// www. spitalmures. ro/ _files/ protocoale_terapeutice/ chirurgie/reducerea_riscului_de_embolie_la_pacientii_chirurgicali. pdf
  • Öztürk C, Özalp B, İpeksoy Ü, ve ark. Derin Ven Trombozu Tedavisinde Yeni Bir Yöntem: Kateter Aracılı Ultrasonla Hızlandırılmış Tromboliz. Türk Gögüs Kalp Damar 2014; 22(4): 755-760.
  • Pastores SM. Management Of Venous Thromboembolism İn The İntensive Care Unit. Journal Of Critical Care 2009; 24(2): 185-91.
  • Sage S, McGee M, Emed JD . Knowledge Of Venous Thromboembolism (VTE) Prevention Among Hospitalized Patients. Journal Of Vascular Nursing 2008; 26(4): 109-17.
  • Sarıkaya AD. Total Parentral Beslenmede Geliştirilen İzlem Protokolünün Komplikasyonların Görülme Durumuna Etkisi. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi 2010: 26(ek); 25-36.
  • Sen S ve Kavlak O. Overyen Hiperstimulasyon Sendromu (OHSS) ve Hemşirelik Yaklaşımı. Ege Universitesi Hemsirelik Yuksek Okulu Dergisi 2007: 23 (2) : 223-232.
  • Songwathana P, Promlek K, Naka K. Evaluation Of A Clinical Nursing Practice Guideline For Preventing Deep Vein Thrombosis İn Critically İll Trauma Patients. Australasian Emergency Nursing Journal 2011; 14: 232-9.
  • Torbicki A, Perrier A, Konstantinides S & et al. Guidelines On The Diagnosis And Management O f Acute Pulmonary Embolism: The Task Force For The Diagnosis And Management Of Acute Pulmonary Embolism Of The European Society of Cardiology (ESC). European Heart Journal 2008; 29(18): 2276-315.
  • Urden LD, Stacy K, Lough ME. Critical Care Nursing: Diagnosis And Management. 6 nd ed. St. Louis, Mo: Saunders/Elsevier; 2010: 488- 491.
  • Uzun Ş, Sarıcaoğlu F, Çeliker V. Derin Ven Trombozu Derleme. Türkiye Klinikleri J Med Sci 2007; 27(6): 853-61.
  • Van Wıcklın SA. Implementing AORN Recommended Practices For Prevention O f Deep Vein Thrombosis. AORN J 2011: 94(5): 443-51.
  • Welch E. The Assessment And Management Of Venous Thromboembolism. Nursing Standard 2006: 20(28); 58-64.
  • Wells PS, Anderson DR, Bormanis J & et al. Value Of Assessment Of Pretest Probability Of Deep Vein Thrombosis İn Clinical Management. Lancet 1997: 350(9094); 1795-8.
  • White RH, Zhou H, Gage BF. Effect O f Age On The İncidence Of Venous Thromboembolism After Major Surgery, Journal Of Thrombosis And Haemostasis 2004: 2(8); 1327-33
Toplam 51 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Özgün Araştırma
Yazarlar

Fatma Demir Korkmaz Bu kişi benim

Mehtap Çullu Bu kişi benim

Yayımlanma Tarihi 1 Ocak 2015
Yayımlandığı Sayı Yıl 2015 Cilt: 31 Sayı: 1

Kaynak Göster

APA Demir Korkmaz, F., & Çullu, M. (2015). VENÖZ TROMBOEMBOLİZM VE HEMŞİRELİK BAKIMI. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 31(1), 62-82.