KADIN DOĞUM KLİNİĞİNDE ÇALIŞAN SAĞLIK PERSONELLERİNİN CERRAHİ SONRASI HIZLANDIRILMIŞ İYİLEŞME PROTOKOLLERİNİ UYGULAMA DURUMU

Yıl 2023, Cilt: 6 Sayı: 1, 131 - 148, 26.05.2023

Tuğçe Çetin Hande Yağcan

https://doi.org/10.52538/iduhes.1242971

Öz

Bu çalışma, kadın doğum kliniğinde çalışan sağlık personellerinin ERAS protokollerini ameliyat öncesi ve sonrası süreçte uygulama durumlarını belirlemek amacıyla yapılmıştır. Tanımlayıcı tipte olan bu çalışma Aralık 2020-Ocak 2021 tarihleri arasında, iki üniversite hastanesinde kadın doğum kliniğinde çalışan 151 sağlık personeline uygulanmıştır. Çalışmanın verileri “Kadın Doğum Kliniği Sağlık Personellerinin ERAS Protokollerini Uygulama Durumu Anketi” kullanılarak toplanmıştır. Sağlık personellerinin %86.8’i ERAS kriterlerini bilmediğini belirtmiştir. ERAS’ı bilenlerin %65’i erkek, %75’i 20-30 yaş aralığında, %65’i lisansüstü eğitim almış ve hekim, %60’ı 5 yıllık çalışan , %70’i yararlılığına inanıyor, %33.3’ü ekip içi çatışmadan ötürü uygulamada zorluk yaşadıklarını belirtmiştir. Katılımcıların cinsiyetleri, protokolle ilgili makale okuma, yararlılığına inanma ve öğrenme kaynakları ile ERAS bilme durumları arasında istatistiksel olarak anlamlı bir fark bulunmuştur (p<0.005). Preop dönemde sağlık personeli tarafından en sık uygulanan protokol maddeleri; %94.4 operasyon için hastayı hazırlama, %90.7 profilaktik antibiyotik uygulama ve %86.1 operasyon hakkında yazılı veya sözlü bilgilendirmedir. Postoperatif dönemde sağlık personeli tarafından en sık uygulanan protokol maddeleri; %100 yaşam bulguları takibi, %89.4 cerrahi sonrası ilk 24 saat içerisinde normal diyete geçme ve %78.1 parasetamol uygulamasıdır. Sağlık personelinde ERAS protokolleri farkındalığının yeterli olmadığı saptanmıştır.

Anahtar Kelimeler

Health Personnel, Enhanced Recovery After Surgery, Perioperative Care, Obstetrics and Gynecology

THE ENHANCED RECOVERY AFTER SURGERY PROTOCOL IMPLEMENTATION STATUS OF THE HEALTH STAFF WORKING IN THE GYNECOLOGY-OBSTETRIC CLINICS

Öz

This study was performed to determine Enhanced Recovery After Surgery Protocols (ERAS) protocols implementation status before and after surgery by the health personnel working in gynecology and obstetrics clinics. This descriptive quantitative study was performed in gynecology and obstetrics clinics of two university hospital and applied to 151 health personnel in between December 2020 and January 2021. Data of study were collected by “ERAS Protocols Implemantation Status of Health Personnel Working in Gynecology and Obstetric Clinics Questionnaire”. The health personnel’s 86.8% didn’t know the protocol. Those who know it was 65% men, 75% in 20-30 age range, 65% had undergraduate education and doctors, 33.3% have experienced difficulties in practice. Significant association was found between participants' gender, reading articles about the protocol, believing in usefulness, learning resources and knowing it (p<0.005). The items with the protocol most frequently applied by health personnel in the preoperative period were 86.1% taking informed consent from patients, 90.7% giving prophylactic antibiotics and 94.4% preparing the patient for operation. In post-op period, most frequently applied items were 100% checking vital signs, 89.4% starting normal diet within first 24 hours after surgery and 78.1% giving paracetamol. ERAS protocols awareness were found not enough in health personnels.

Anahtar Kelimeler

Health Personnel, Enhanced Recovery After Surgery, Perioperative Care, Obstetrics and Gynecology

Kaynakça

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