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Yenidoğanlarda Basınç Ülseri Gelişimini Önlemeye Yönelik Hemşirelik Girişimleri

Yıl 2016, Cilt: 6 Sayı: 1-Ek (Olgu Sunumları), 138 - 147, 12.04.2016
https://doi.org/10.16899/ctd.47677

Öz

Basınç ülseri hastanede yatış süresini uzatan, mortalite ve morbidite riskini arttıran, enfeksiyon gibi çeşitli komplikasyonların gelişmesine neden olup yoğun tedavi gerektiren önemli bir sağlık sorunudur. Basınç ülseri gelişme riski tüm çocukluk dönemlerinde fazla olmasına rağmen özellikle yenidoğan döneminde epidermis ve dermis tabakasında görülen özellikler nedeniyle daha da artmaktadır. Basınç ülserlerinin tedavisi zor olmakla birlikte, gelişimine neden olan risk faktörlerinin belirlenip, ortadan kaldırılması ve etkili hemşirelik bakımıyla önlenebilir bir sorundur. Cilt bütünlüğü bozulması açısından riskli gruplar içerisinde yer alan yenidoğanlara bakım veren hemşirelere, basınç ülseri önleme konusunda önemli görevler düşmektedir. Bu makalenin amacı, yenidoğanlarda basınç ülserlerini önlemeye yönelik hemşirelik girişimlerine bir rehber oluşturmasıdır. Makalede yenidoğanlarda basınç ülserlerinin gelişim nedenleri, bölgeleri, basınç ülserini önlemenin önemi ve basınç ülseri gelişimini önlemeye yönelik hemşirelik girişimlerine yer verilmiştir.

 

Nursery Procedures to Avoid Pressure Ulcer in Newborns

Pressure ulcer is a significant health problem extending hospitalization duration at hospitals and increasing the risk of mortality and morbidity. Though risk of pressure ulcer development is high in all childhood periods, it rather increases due to differences in epidermis and dermis layer especially during neonatal period. No matter how difficult is treatment of pressure ulcer, it is a preventable problem through an effective nursery care by determining risk factors causing its development and removing them. Nurses taking care of newborns, being in risky group on grounds of disruption of skin integrity, have major responsibilities on avoiding pressure ulcer. Nursery procedures to avoid pressure ulcer involve risk evaluation along with determining newborns at risk, daily skin assessment, control of moisture, providing nutrition and hydration and decreasing pressure. The purpose of this study is to form guidance for nursery procedures to avoid pressure ulcer in newborns. The article includes the reasons of pressure ulcer development in newborns, its locals, importance of pressure ulcer avoidance and nursery procedures to avoid pressure ulcer development.

Kaynakça

  • European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: quick reference guide. Washington DC: National Pressure Ulcer Advisory Panel; 2009.
  • Chan W, Pang S, Kwong E. Assessing predictive validity of the modified Braden scale for prediction of pressure ulcer risk of orthopaedic patients in an acute care setting. J Clin Nurs 2009;18:1565-1573.
  • Karaböcüoğlu M. Çocuk Yoğun Bakım. 1. Baskı. İstanbul Medikal Yayıncılık: İstanbul; 2008.
  • McCord S, McElvain V, Sachdeva R, Schwartz P, Jefferson LS. Risk factors associated with pressure ulcers in the pediatric intensive care unit. J Wound Ostomy Continence Nurs 2004;31:179-83.
  • Van den Heede K, Clarke SP, Sermeus W, Vleugels A, Aiken LH. International experts’ perspectives on the state of the nurse staffing and patient outcomes literature. J Nurs Scholarship 2007;39(4):290–297.
  • Willock J, Baharestani MM, Anthony D. The development of the Glamorgan paediatric pressure ulcer risk assessment scale. J Wound Care.2009;18(1):17-21.
  • NoonanC, Quigley S, Curley MA. Using the Braden Q Scale to Predict Pressure Ulcer Risk in Pediatric Patients. J Pediatr Nurs. 2011;26:566–575.
  • Willock J, Maylor M. Pressure ulcers in infants and children. Nurs Stand 2004; 18(24):56–62.
  • Suddaby EC, Barnett S, Facteau L. Skin breakdown in acute care pediatrics. Pediatr Nurs. 2005;31(2):132–148.
  • NoonanC, Quigley S, Curley MA. Skin integrity in hospitalized infants and children: a prevalence survey. J Pediatr Nurs. 2006; 21(6):445–453.
  • Schlüer AB, Cignacco E, Müller M, Halfens RJ. The prevalence of pressure ulcers in four paediatric institutions. J Clin Nurs 2009;18(23): 3244–3252.
  • Fujii K, Sugama J, Okuwa M, Sanada H, MizokamiY.Incidence and risk factors of pressure ulcers in seven neonatal intensive care units in Japan: a multisite prospective cohort study. Int Wound J 2010;7(5):323–328.
  • Schindler CA, Mikhailov TA, Fischer K, Lukasiewicz G, Kuhn EM, Duncan L. Skin integrity in critically ill and injured children. Am J Crit Care 2007;16(6):568-574.
  • Pasek TA, Geyser A, Sidoni M et al. Skin care team in the pediatric ıntensive care unit: A model for excellence. Crit Care Nurse 2008;28(2):125-135.
  • Törüner E, Büyükgönenç L, Altay N. Çocuklarda Basınç Ülserleri. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi 2011;4:182-188.
  • Dağoğlu T, Ovalı F. Neonataloji. 2. Baskı. Nobel Tıp Kitapevi: İstanbul;2007.
  • Marcellus L. Determination of positional skin-surface pressures in premature infants. Neonatal Netw 2004;23(1):25-30.
  • Verger JT, Lebet RM. AACN Procedure Manual for Pediatric Acute and Critical Care. 2 nd ed. St Louis, MO: Saunders Elsevier; 2008.
  • Akyol AD. Intervention Studies for Prevention of Ulcer in Turkey: A Literature Review. Int Nurs Rev 2006; 53: 308-316.
  • Ligresti C, Bo F. Wound Bed Preparation of Difficult Wounds: An Evolution of the Principles of Tıme. Int Wound J 2007; 4(1): 21-29.
  • Brem H, Maggi J, Nierman D. High cost of stage IV pressure ulcers. Am J Surg 2010; 200(4):473–7.
  • Reddy M, Gill SS, Rochon PA. Preventing pressure ulcers: A systematic review. JAMA 2006;296(8):974.
  • McCannon CJ, Hackbarth AD, Griffin FA. Miles togo: An introduction to the 5 million lives campaign. Jt Comm J Qual Patient Saf. 2007;33(8):477-484.
  • National Pressure Ulcer Advisory Panel. Pressure ulcer definition.(2007). Available from: http://www.npuap.org/pr2.htm/15.09.2014.
  • Hastane Hizmet Kalite Standartları. İndikatör Yönetimi (2011). Available from: http://www.performans.saglik.gov.tr/index.php?lang=tr&page=46&newsCat=1&newsID=586/ 15.09.2014.
  • Karadağ A. Basınç Ülserleri: Değerlendirme, önleme ve tedavi. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi 2003;7(2):41-47.
  • Uzun Ö, Tan MA. Prospective, Descriptive Pressure Ulcer Risk Factors and Prevalence Study at a University Hospital in Turkey. Ostomy Wound Manage 2007;53(2):44-56.
  • Australian Wound Management Association . Pan Pacific Clinical Practice Guideline for the Prevention and Management of Pressure Injury. Osborne Park: AustralianWound Management Association, Cambridge Media; 2012.
  • Baharestani MM, Ratliff CR. Pressure ulcers in neonates and children: an NPUAP white paper. Adv Skin Wound Care. 2007; 20(4): 208–220.
  • Irshintago A, Sekine T, Suzuki K. Changes in skin and subcutaneous perfusion in very-low-birth-weight infantsduring the transitional period. Neonatalogy. 2011;100:162–168.
  • Irving V, Bethell E, Burton F. Neonatal wound care: minimizing trauma and pain. Wounds UK 2006;2:33-41.
  • Lund CH, Kuller J, Lane AT, Lott JW, Raines DA. Neonatal skin care: the scientific basis for practice. J Obstet Gynecol Neonatal Nurs 1999;28(3):241–254.
  • Lund CH, Osborne JW. Validity and reliability of the neonatal skin conditio nscore. J Obstet Gynecol Neonatal Nurs 2 004;33(3):320–327.
  • McLane KM, Bookout K, McCord S, McCain J, Jefferson LS. The 2003 National pediatric pressure ulcer and skin breakdown prevalence survey: a multisite study. J Wound Ostomy Continence Nurs 2004;31(4):168-178.
  • Razmus I, Lewis L, Wilson D. Pressure ulcer development in infants: state of the science. J. Healthc. Qual 2008;30:36-42.
  • Squires AJ, Hyndman M. Prevention of nasal injuries secondary to NCPAP application in the ELBW infant. Neonatal. Netw. 2009;28(1):13-27.
  • Waterlow J. Pressure sores in children: risk assessment. Paediatric Nursing 1998;10(4): 22-23.
  • Ayello EA, Baranoski S, Lyder CH, Cudigan, “Pressure ulcers”. Baranoski S, Ayello EA, eds. Wound Care Essentials: Practice Principles. 1st Edition. Philadelphia: Lipincott Williams and Wilkins; 2004. p. 240-270.
  • McCaskey M, Kirk L, Gerdes C. Preventing skin breakdown in the immobile child in the home care setting. Home Healthc Nurse 2011;29(4): 248-255.
  • Perry AG, Potter PA. Clinical Nursing Skills &Techniques. 6th ed. Mosby: USA;2006.
  • Quigley S, Curley M. Skin integrity in the pediatric population; preventing and managing pressure ulcers. J Soc Pediatr. Nurs 1996;1:7-18.
  • Huffines B, Logsdon MC. The neonatal skin risk assessment scale for predicting skin breakdown in neonates. Issues Compr Pediatr Nurs1997;20:103-114.
  • Sarı Ç, Altay N. (2014). Yenidoğan cilt risk değerlendirme ölçeğinin Türkçe geçerlik ve güvenirlik çalışması (Yayınlanmamış yüksek lisans tezi). Gazi Üniversitesi, Ankara.
  • Hockenberry MJ, Wilson D. Wong’s Essentials of Pediatric Nursing. 9th ed. Elsevier-Mosby: Missouri; 2011.
  • Ayello E, Lyder CH. A new era of pressure ulcer account ability in acute care. Adv Skin Wound Care2008;21:134-40.
  • Walton-Geer, P. “Prevention of pressure ulcers in the surgical patient”, AORN Journal 2009;89(3):538-548.
  • Association of Women’sHealth, Obstetrics and neonatal Nurses (AWHONN) & National Association of Neonatal Nurses (NANN). Evidenced-Based Clinical Practice Guideline: Neonatal Skin Care. Washington, DC: AWHONN; 2001.
  • Gibbons W, Shanks HT, Kleinhelter P, Jones P. Eliminating facility acquired pressure ulcers at Ascension Health. Jt Comm J Qual Patient Saf 2006;32:488-496.
  • Prentice J. “Pressure ulcers”. Templeton S, eds. Wound Care Nursing: A Guide to Practice. Ausmed Publications: Melbourne-Seattle; 2005.p.189-209.
  • Curley MAQ, Quigley SM, Lin M. Pressure ulcers in pediatric intensive care: incidence and associated factors. Pediatr Crit Care Med 2003;4(3):284–290.
  • Willock J, Harris C, Harrison J, Poole C. Identifying the characteristics of children with pressure ulcers. Nurs Times 2005;101:40-43.
  • Ball JW, Bindler RC. Child Health Nursing: Partnering with Children and Families.Upper Saddle River: New Jersey; 2006.
  • Kottner J, Wilborn D, Dassen T.Frequency of pressure ulcers in the paediatric population: A literature review and new empirical data. Int J Nurs Stud 2010;47:1330-1340.
  • Fujioka M, Oka K, Kitamura R, Yakabe A. Upper lip pressure ulcers in very low birth weight infants due to fixation of the endotracheal tube. J Neonatal Nurs 2008;14(6): 207-210.
  • National Pressure Ulcer Advisory Panel, & European Pressure Ulcer Advisory Panel. International review: Pressure ulcer prevention. Pressure, shear, friction and microclimate in context. A consensus document. London: Wounds International; 2010.
  • National Institue forHealth and Care Excellence. Pressure ulcers: prevention and management of pressure ulcers. London: NICE clinical guideline (179); 2014. ISBN: 978-1-4731-0525-6, Available from: http://www.nice.org.uk/guidance/cg179/resources/guidance-pressure-ulcers-prevention-and-management-of-pressure-ulcers-pdf,15.11.2014.
  • McInnes E, Dumville JC, Jammali-Blasi A, Bell-Syer SE. Support surfaces for treating pressure ulcers.Cochrane Database Syst Rev 2011;12 [DOI:10.1002/14651858.CD009490].
  • McInnes E, Cullum NA, Bell-Syer SEM, Dumville JC, Jammali-Blasi A. Support surfaces for pressure ulcer prevention. Cochrane Database Syst Rev2010; 4 [DOI: 10.1002/14651858.CD001735.pub3].
  • Bernabe KQ. Pressure ulcers in the pediatric patient. Curr Opin Pediatr 2012;24:352-356.
  • Butler CT. Pediatric skin care: guidelines for assessment, prevention, and treatment. Pediatr Nurs 2006;32(5):443-450.
  • García-Molina P, Balaguer-López, E, Torra i Bou JE, Alvarez-Ordiales A, Quesada-Ramos C, Verdú-Soriano J.A. prospective, longitudinal study to assess use of continuous and reactive low-pressure mattreses to reduce pressure ulcer incidence in a pediatric intensive care unit. Ostomy Wound Manag 2012;58(7):32-39.
  • Kuller JM. Skin breakdown: risk factors, prevention, and treatment. Newborn Infant Nurs Rev 2001;1(1):35-42.
  • Turnage-Carrier C, McLane KM, Gregurich MA. Interface Pressure Comparison of Healthy Premature Infants with Various Neonatal Bed Surfaces. Adv Neonatal Care 2008;8:176-184.
Toplam 63 adet kaynakça vardır.

Ayrıntılar

Bölüm Derleme
Yazarlar

Çiğdem Sarı

Naime Altay

Yayımlanma Tarihi 12 Nisan 2016
Yayımlandığı Sayı Yıl 2016 Cilt: 6 Sayı: 1-Ek (Olgu Sunumları)

Kaynak Göster

APA Sarı, Ç., & Altay, N. (2016). Yenidoğanlarda Basınç Ülseri Gelişimini Önlemeye Yönelik Hemşirelik Girişimleri. Çağdaş Tıp Dergisi, 6(1-Ek (Olgu Sunumları), 138-147. https://doi.org/10.16899/ctd.47677
AMA Sarı Ç, Altay N. Yenidoğanlarda Basınç Ülseri Gelişimini Önlemeye Yönelik Hemşirelik Girişimleri. J Contemp Med. Aralık 2016;6(1-Ek (Olgu Sunumları):138-147. doi:10.16899/ctd.47677
Chicago Sarı, Çiğdem, ve Naime Altay. “Yenidoğanlarda Basınç Ülseri Gelişimini Önlemeye Yönelik Hemşirelik Girişimleri”. Çağdaş Tıp Dergisi 6, sy. 1-Ek (Olgu Sunumları) (Aralık 2016): 138-47. https://doi.org/10.16899/ctd.47677.
EndNote Sarı Ç, Altay N (01 Aralık 2016) Yenidoğanlarda Basınç Ülseri Gelişimini Önlemeye Yönelik Hemşirelik Girişimleri. Çağdaş Tıp Dergisi 6 1-Ek (Olgu Sunumları) 138–147.
IEEE Ç. Sarı ve N. Altay, “Yenidoğanlarda Basınç Ülseri Gelişimini Önlemeye Yönelik Hemşirelik Girişimleri”, J Contemp Med, c. 6, sy. 1-Ek (Olgu Sunumları), ss. 138–147, 2016, doi: 10.16899/ctd.47677.
ISNAD Sarı, Çiğdem - Altay, Naime. “Yenidoğanlarda Basınç Ülseri Gelişimini Önlemeye Yönelik Hemşirelik Girişimleri”. Çağdaş Tıp Dergisi 6/1-Ek (Olgu Sunumları) (Aralık 2016), 138-147. https://doi.org/10.16899/ctd.47677.
JAMA Sarı Ç, Altay N. Yenidoğanlarda Basınç Ülseri Gelişimini Önlemeye Yönelik Hemşirelik Girişimleri. J Contemp Med. 2016;6:138–147.
MLA Sarı, Çiğdem ve Naime Altay. “Yenidoğanlarda Basınç Ülseri Gelişimini Önlemeye Yönelik Hemşirelik Girişimleri”. Çağdaş Tıp Dergisi, c. 6, sy. 1-Ek (Olgu Sunumları), 2016, ss. 138-47, doi:10.16899/ctd.47677.
Vancouver Sarı Ç, Altay N. Yenidoğanlarda Basınç Ülseri Gelişimini Önlemeye Yönelik Hemşirelik Girişimleri. J Contemp Med. 2016;6(1-Ek (Olgu Sunumları):138-47.