GÖĞÜS TÜPÜ OLAN HASTANIN HEMŞİRELİK BAKIMI

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

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

Kaynakça

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