GÖĞÜS TÜPÜ OLAN HASTANIN HEMŞİRELİK BAKIMI

Yıl 2026, Cilt: 2 Sayı: 1, 41 - 48, 29.01.2026

Kader Çinar , Neriman Zengin

Öz

Cerrahi girişim sonrası göğüs tüpü uygulaması; mediastinal veya plevral boşluklarda hava, sıvı ve kan birikimini önlemek, hemodinamik dengeyi ve kardiyopulmoner fonksiyonu korumak amacıyla toraks boşluğuna yerleştirilen invaziv bir drenaj sistemidir. Bu sistem; hemotoraks, pnömotoraks, plevral efüzyon ve ampiyem gibi durumlarda sıklıkla kullanılmaktadır. Tüp aracılığıyla kan, sıvı ve hava steril koşullarda drene edilmektedir. Hemşirenin temel sorumluluklarından biri de göğüs tüpü takılan hastalarda komplikasyonları önlemek, tüpün etkin çalışmasını sağlamak ve hastanın konforunu artırmaktır. Klinik alanda yaygın olarak kullanılan göğüs tüpü olan hastaların hemşireler tarafından yakından takip edilmesi gerekmektedir. Hemşirenin; göğüs tüpü drenaj sisteminin seviyesini izlemesi, drenajın özelliklerini ve miktarını kaydetmesi, içerik ve hava kaçağını değerlendirmesi, sistemin çalışma durumunu kontrol etmesi, enfeksiyonu önlemesi, ağrı yönetimi sağlaması, hasta ve ailesine süreç hakkında eğitim vermesi ve olası komplikasyonları erken tanılaması bakımın temel unsurları arasındadır. Bu derlemenin amacı, göğüs tüpü olan hastalarda hemşirelik bakımının önemini vurgulayarak, güncel uygulamaları literatür ışığında kapsamlı bir şekilde incelemek ve kanıta dayalı bakım sunmaktır.

Anahtar Kelimeler

Göğüs Tüpü , Plevral Drenaj , Komplikasyon Yönetimi , Hemşirelik bakımı , Hasta Güvenliği

Etik Beyan

yok

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

yok

A Nursing Care of a Patient with a Chest Tube

Öz

Chest tube application after surgical intervention is an invasive drainage system placed into the thoracic cavity to prevent the accumulation of air, fluid, and blood in the mediastinal or pleural spaces, and to maintain hemodynamic balance and cardiopulmonary function. This drainage system is frequently used in conditions such as hemothorax, pneumothorax, pleural effusion, and empyema. The tube ensures the drainage of blood, fluid, and air under sterile conditions. One of the nurse's primary responsibilities is to prevent complications in patients with a chest tube, ensure the tube functions effectively, and enhance patient comfort. Patients with a chest tube, which is commonly used in clinical practice, require close monitoring by nurses. Key elements of nursing care include monitoring the water level in the chest tube drainage system, observing drainage characteristics, recording the amount of drainage, monitoring the content of the drainage and checking for air leaks, ensuring the drainage system is functioning properly, preventing infection, managing pain, educating the patient and their family about the care process, and preventing and early detecting potential complications. The aim of this review is to comprehensively examine current practices in the care of patients with a chest tube in light of the literature, emphasizing the importance of nursing care and providing evidence-based care.

Anahtar Kelimeler

Chest Tube, , Pleural Drainage , Complication Management , Nursing Care , Patient Safety

Etik Beyan

yok

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

yok

Kaynakça

• Akyolcu, N., Seyhan Ak, E. (2018). Surgical diseases and care of the respiratory system. In N. Akyolcu G. Aksoy (Eds.), Surgical Nursing II (pp. 1-61). İstanbul Tıp Kitabevi.
• Baribeau, Y., Westbrook, B., Maltais, S., Boyle, E. M., Perrault, L.P. (2019). Active clearance of chest tubes is associated with reduced postoperative complications and costs after cardiac surgery: A propensity matched analysis. Journal of Cardiac Surgery, 14(1),1-9. https://doi.org/10.1186/s13019-019-0854-6
• Bates, K.E., Madsen, N.L., Khadr, L., Gao, Z., Crawford, K., Gaies, M. (2020). Center variation in chest tube duration and length of stay after congenital heart surgery. The Annals of Thoracic Surgery, 110(1), 221-227. https://doi.org/10.1016/j.athoracsur.2019.10.079
• Belhan, Z., Karabulut, E. H., Arıtürk, C., Ökten, E. M., Toraman, F., Görmez, S., Orhan, P. (2015). The effect of drainage tube types and application sites on pain and effusion in the postoperative period in patients undergoing coronary artery surgery. Balkan Medical Journal, 11, 154-158.
• Binici, S., Bilen, T., Enis, O., Dağtekin, E., İliklerden, D. (2023). Evaluation of clinical characteristics of patients with gastric cancer who underwent surgery and developed pleural effusion treated with tube in the postoperative period. Journal of Ağrı Faculty of Medicine, 1(2), 53-56.
• Briggs, D. (2010). Nursing care and management of patients with intrapleural drains. Nursing Standard, 24(21), 47-55.
• Brookes, J. D., Williams, M., Mathew, M., Yan, T., Bannon, P. (2021). Pleural effusion post coronary artery bypass surgery: Associations and complications. Journal of Thoracic Disease, 13(2), 1083-1092.
• Brunelli, A., Blackmon, S.H., Sentürk, M., Cavalheri, V., Pompili, C. (2022). Patient-centred care in thoracic surgery: A holistic approach--A review of the subjects of enhanced recovery after surgery, rehabilitation, pain management and patient-reported outcome measures in thoracic surgery. Journal of Thoracic Disease, 14(2), 546-560.
• Burgaz Kınas, S. (2021). The effect of respiratory exercises on respiratory functions and exercise tolerance in patients undergoing open heart surgery [Unpublished master's thesis]. Trakya University.
• Candemir, M.M. (2023). Risk factors affecting postoperative pulmonary complication development after lung resection: Retrospective evaluation [Specialization thesis]. Bursa Uludağ University.
• Crawford, D. (2011). Care and nursing management of a child with a chest drain. Nursing Children and Young People, 23(10), 18-20.
• Çamaş, H.E., Akın, S.E. (2023). Nurses' knowledge levels about thoracic surgery practices. Süleyman Demirel University Medical Faculty Journal, 30(2), 203-210.
• Durai, R., Hoque, H., Davies, T.W. (2010). Managing a chest tube and drainage system. AORN Journal, 91(2), 275-283.
• Erdil, F., Erbaş, N. (2016). Surgical Nursing (7th ed.). Aydoğdu Ofset.
• Ertürk, E., Karadağ, M. (2020). Pharmacological methods used in controlling pain and anxiety caused by chest tube removal. Turkish Nurses Association Journal, 1(1), 53-68.
• Hıdır, E. (2023). The effectiveness of thoracic trauma scores in predicting pulmonary morbidity in multiple rib fractures. Journal of Surgery and Medicine, 16(2), 25-29.
• Jones, C.W., Rodriguez, R.D., Griffin, R.L., McGwin, G., Jansen, J.O., Kerby, J.D., Bosarge, P.L. (2019). Complications associated with placement of chest tubes: A trauma system perspective. Journal of Surgical Research, 239, 98-102.
• Kasap, T., Aylan, H., Yavuz, K. (2023). Treatment-resistant pneumonia, parapneumonic abscess or foreign body? Troia Medical Journal, 4(2), 64-67.
• Kesieme, E.B., Essu, I.S., Arekhandia, B.J., Welcker, K., Prisadov, G. (2016). Nurses' knowledge of care of chest drain: A survey in a Nigerian Semiurban University Hospital. Annals of African Medicine, 15(1), 28-33.
• Lewis, S.L., Bucher, L., Heitkemper, M.M., Harding, M. M. (2020). Medical-surgical nursing: Assessment and management of clinical problems (11th ed.). Elsevier.
• Magner, C., Houghton, C., Craig, M., Cowman, S. (2013). Nurses' knowledge of chest drain management in an Irish Children's Hospital. Journal of Clinical Nursing, 22(19-20), 2912-2922.
• Mohammad, S.Y., Ahmed, E.A., Abdelatief, D.A., Ali, A.S. (2022). Effect of cryotherapy on pain quality and intensity among patients with thoracotomy after chest tube removal. Journal of Holistic Nursing, 13(3), 1236-1251.
• Özden, D., Karagözoğlu, Ş. (2018). Chest tube care and nursing approach. Journal of Education and Research in Nursing, 15(3), 205-212.
• Özek, N. (2023). Evaluation of the hepatoprotective role of hispidulin in terms of changes in liver biomolecular composition in an acute lung injury model. Black Sea Journal of Engineering and Science, 6(3), 394-400.
• Özveren, H., Faydalı, S., Özdemir, S. (2016). Nurses' knowledge and practices regarding non-pharmacological pain control. Turkish Journal of Clinics and Laboratory, 7(4), 99-105.
• Quinte Health Care. (2020). Chest tube insertion, maintenance and removal: Resource manual. Quality, Patient Safety & Interprofessional Practice.
• Republic of Türkiye Ministry of Health. (2021). Nursing regulation and chest tube care guide.
• Shrestha, M., Sapkota, S., Thakur, B. (2025). Nurses' Knowledge Regarding Chest Tube Management in Tertiary Level Hospital of Chitwan, Nepal. Nepalese Journal of Cancer, 9(2), 104-109.
• Smeltzer, S. C., Bare, B. G., Hinkle, J. L., Cheever, K. H. (2018). Brunner Suddarth's textbook of medical-surgical nursing (14th ed.). Lippincott Williams Wilkins.
• Tarhan, M., Gökduman, S. A., Ayan, A., Dalar, L. (2016). Nurses' knowledge levels of chest drain management: A descriptive study. Eurasian Journal of Pulmonology, 18(3), 153-159.
• Tufan, A., Rızalar, S. (2021). Enhanced recovery protocol in thoracic surgery and the role of the nurse. Samsun Health Sciences Journal, 6(3), 449-462.
• Yağcıl, Ü., Saygın, M. (2019). Pathophysiology of pain. Süleyman Demirel University Medical Faculty Journal, 26(2), 209-220.