Pandemi yoğun bakım ünitelerinde takip edilen Covid-19 hastalarında basınç ülseri gelişimi ve takibinin değerlendirilmesi

Yıl 2021, Cilt: 6 Sayı: 2, 86 - 91, 05.05.2021

Halit Baykan

https://doi.org/10.22391/fppc.883135

Öz

Giriş: Basınç ülseri basınca maruz kalan kemik çıkıntıların olduğu alanlarda oluşur. Görülme sıklığı %1,6-%49 arasındadır. COVID-19 hastalığına bağlı olarak gelişen akciğer yetmezliği nedeniyle hastalar sıklıkla yoğun bakım ünitelerinde takip edilmektedir. Hastaların bir kısmı solunum yetersizliği nedeniyle entübe edilerek ventilatör ile solunum desteği sağlanmaktadır. Uzun süre ventilatör takibi yapılan hastalarda bası yarası gelişme riski artmaktadır. Bu çalışmada Covid-19 hastalarında basınç ülserlerinin sıklığının araştırılması amaçlanmıştır.

Yöntem: Kayseri Şehir Eğitim ve Araştırma Hastanesinde Mart-Kasım 2020 arasında Covid-19 yoğun bakım (YB) ünitelerinde takip edilen ve bası ülseri gelişen hastalar çalışmaya alındı. Hastaların verileri geriye doğru tarandı, bilgisayar ve dosyalardan elde edilen veriler değerlendirilerek çalışmaya alındı.

: Yoğun bakımlarda toplam 4922 hasta takip edildi, 2010 hasta entübe edildi ve 1332 hasta ex oldu. Sadece 51 hastada çeşitli evrelerde basınç ülseri görüldü.

Sonuç: Çalışmamızdan üç önemli sonuç çıkarılmıştır. Birincisi, basınç ülserleri Covid-19’lu hastalarda, çoğunlukla yaşlı ve altta yatan kronik hastalığı bulunan kişilerde görülmektedir. İkincisi, basınç ülserleri Covid-19 hastalarında, Covid-19 dışı hastalara göre daha az görülmektedir. Üçüncüsü, Yoğun bakım ünitelerinde hemşirelik bakımı oldukça önemlidir.

Anahtar Kelimeler

Yoğun Bakım Ünitesi, Basınç ülseri, Covid

Evaluation of pressure ulcer development and follow-up in Covid-19 patients followed in pandemic intensive care units

Öz

Introduction: Pressure ulcers occur in areas with bony protrusions exposed to pressure. Its incidence is between 1.6% and 49%. Due to respiratory failure in Covid-19, patients are frequently followed up in intensive care units. Some of the patients are intubated, and respiratory support is provided with a ventilator. The risk of developing pressure sores increases in patients followed for a long time on a ventilator. This study was conducted to investigate the frequency of pressure ulcers in Covid-19 patients.

Methods: Patients followed up in Covid-19 intensive care (ICU) units in Kayseri City Training and Research Hospital between March and November 2020 and developed pressure ulcers were included in the study. Patient data were collected retrospectively using electronic health records.

Results: A total of 4922 patients were followed up in intensive care units, 2010 patients were intubated, and 1332 patients died. Only 51 patients had pressure ulcers at various stages.

Conclusion: Pressure ulcers in Covid-19 patients are seen mainly in the elderly and people with underlying chronic diseases. Besides, the probability of pressure ulcers in this group was less than in other patients. Furthermore, nursing care is critical in intensive care units.

Anahtar Kelimeler

Intensive care unit, Pressure ulcer, Covid

Kaynakça

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