YYBÜ’den Taburcu Olan Bebeğin Ailesine Uygulanan Deformasyonel Plagiosefali Eğitiminin Değerlendirilmesi

Yıl 2023, Cilt: 5 Sayı: 1, 103 - 112, 25.04.2023

Esra Şahin Naime Altay

Öz

Yenidoğan Yoğun Bakım Ünitesinde uzun süre yatan bebeklerde bazı komplikasyonlar görülmektedir. Bu komplikasyonlardan biri de plagiosefalidir. Plagiosefali türlerinden olan deformasyonel plagiosefali uzun süre yatmaya bağlı olarak kafatasında oluşan baskıdan kaynaklanan asimetridir. Prematüre bebeklerde gelişen deformasyonel plagiosefali, hemşirelerin bakım ve değerlendirmeleriyle önlenebilecek yaygın bir sorundur. Bu olgu sunumunda Yenidoğan Yoğun Bakım Ünitesinde tedavi görmüş ve deformasyonel plagiosefli gelişmiş prematüre bir bebeğin ailesine deformasyonel plagiosefalinin düzeltilmesine yönelik uygulanan eğitim, bakım ve izlem uygulanması ve sonuçlarına yer verilmiştir. Deformasyonel plagiosefalinin şiddetini belirlemek için Plagiosefali Skalası kullanılmıştır. Bebek şiddetli deformasyonel plagiosefali ile taburcu edilmiştir. Taburculuk günü deformasyonel plagiosefalinin düzeltilmesine yönelik uygulanan bakım programının ardından bir ve iki ay sonra yapılan ölçümlerde, bakım programının bebek üzerindeki etkisinin olumlu olduğu görülmüştür. Deformasyonel plagiosefalinin önlenmesinde primer sorumluluk prematüre bebeğe bakım veren hemşirelerdedir. Hemşireler taburculuk eğitimlerine deformasyonel plagiosefali eğitimini de entegre etmeli, önerilerini etkili bir şekilde iletmelidir. Deformite olasılığını ve ciddiyetini azaltmak için, Yenidoğan Yoğun Bakım Ünitesinde geçirilen süreçte, taburculukta ve sağlık gözetim ziyaretlerinde fizik muayene, danışmanlık ve iyileşme/ilerlemenin izlenmesi önerilmektedir.

Anahtar Kelimeler

Deformasyonel plagiosefali, Pozisyon verme, Önleme, Prematüre

Evaluation of Deformational Plagiocephaly Education Applied to the Family of the Baby Discharged from the NICU

Öz

Some complications are seen in babies hospitalized in the Neonatal Intensive Care Unit for a long time. One of these complications is plagiocephaly. Deformational plagiocephaly, which is one of the types of plagiocephaly, is an asymmetry resulting from pressure on the skull due to prolonged lying. Deformational plagiocephaly that develops in premature babies is a common problem that can be prevented by nurses' care and evaluation. In this case report, training, care and follow-up for the family of a premature baby with deformational plagiocephaly who was treated in the Neonatal Intensive Care Unit and its results are given. The Plagiocephaly Scale was used to determine the severity of deformational plagiocephaly. The baby was discharged with severe deformational plagiocephaly. In the measurements made one and two months after the care program was applied to the family for the correction of deformational plagiocephaly on the discharge day, it was seen that the effect of the care program on the baby was positive. The primary responsibility for the prevention of deformational plagiocephaly rests with the nurses who care for the premature baby. Since most parents are aware of the verbal information coming from their nurses in the first months of their babies, nurses should integrate deformational plagiocephaly education into their discharge education and communicate their recommendations effectively. In order to reduce the possibility and severity of deformity, physical examination, counseling and monitoring of recovery progress are recommended during the period spent in the Neonatal Intensive Care Unit, discharge and health surveillance visits.

Anahtar Kelimeler

Deformational Plagiocephaly, Positioning, Prevention, Premature, Deformational Plagiocephaly

Kaynakça

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