Hemşirelik Öğrencilerinin Crush Sendromu Bilgi Düzeyleri: Bir Müdahale Araştırması

Öz

Bu araştırma ile (1) hemşirelik öğrencilerinin Crush Sendromu bilgi düzeylerinin saptanması ve (1) bir müdahale programı ile Crush Sendromu bilgi düzeylerinin arttırılması amaçlandı. Yarı deneysel nitelikte yapılan bu araştırma 21 Ekim - 31 Aralık 2021 tarihleri arasında hemşirelik üçüncü sınıfta okuyan, Afet Yönetimi ve Hemşireliği Dersi alan ve araştırmanın ön test ve son test uygulamasına katılan 43 öğrenci ile tamamlandı. Araştırmacıların oluşturdukları bir olgu ve bu olguya temellendirilmiş “Crush Sendromlu Yaralıya Tıbbi Yaklaşım Algoritması” hemşirelik öğrencileri ile paylaşıldı ve algoritma üzerinden yaklaşımları doğru olarak işaretlemeleri istendi. Veriler, araştırmacılar tarafından literatür doğrultusunda oluşturulan “Öğrenci Bilgi Formu” ile toplandı. Verilerin değerlendirilmesinde bağımsız Gruplarda t Testi, OneWayAnova Testi, bağımlı değişkenlerin değerlendirilmesinde ise Bağımlı Guruplarda t testi kullanıldı. Ön testte hemşirelik öğrencilerinin Crush Sendromu bilgi puanı artmetik ortalaması 21.67±3.01, son testte 24.61±.62’idi. Ayrıca ön test ve son test Crush Sendromu bilgi puanları arasında istatistiksel olarak anlamlı fark vardı (p ˂.001). Hemşirelik öğrencilerinin büyük çoğunluğu (%86) daha önce Crush Sendromuyla ilgili ders aldığını belirtti. Crush Sendromuyla ilgili ders alan öğrencilerin bilgi puanları ön testte ve son testte daha yüksekti ve istatistiksel olarak anlamlı fark vardı (˂.001). “Crush Sendromlu Yaralıya Tıbbi Yaklaşım Algoritması”nın özellikle Crush Sendromu bilgi düzeyi, uygulanan müdahaleler ve komplikasyonlara yaklaşım konularında etkili olduğu belirlendi. Yapılan bu araştırma çoğunlukla göz ardı edilen Crush Sendromu bilgi düzeyi ve yaklaşımın uygulanan müdahalelerle iyileştirilebileceğini göstermiştir. Böylece Crush Sendromunda doğru, yeterli ve kaliteli hemşirelik bakımın uygulanmasında da etkili olunabilir.

Anahtar Kelimeler

• Crush Sendromu
• Hemşirelik Öğrencisi
• Algoritma
• Bilgi Düzeyi

Crush Syndrome Knowledge Levels of Nursing Students: An Intervention Study

Öz

This study had two objectives: (1) determining how much nursing students know about Crush syndrome and (2) using an intervention program to increase their knowledge level. This quasi-experimental pretest-posttest research was conducted between October 21 and December 31, 2021. The sample consisted of 43 third-grade nursing students taking the “Disaster Management and Nursing” course. The researchers designed a case and presented participants with an “Algorithm for the Medical Approach to the Wounded with Crush Syndrome” (AMAWCS). They asked all participants to mark the right approaches based on the algorithm. Participants had a significantly higher posttest CSKF score (24.61±.62) than the pretest CSKF score (21.67±3.01) (p ˂.001). Most participants stated that they had taken a course on crush syndrome before (86%). Participants who had taken a course on crush syndrome before had a significantly higher pretest and posttest CSKF score than those who had not (˂.001). The AMAWCS teaches nursing students about crush syndrome, related complications, and medical interventions. Our results show that algorithms can help nursing students learn what crush syndrome is and how to treat it. In this way, we can ensure high-quality nursing care to treat crush syndrome.

Anahtar Kelimeler

• Crush Syndrome
• Nursing Student
• Algorithm
• Bilgi Düzeyi

Kaynakça

1. Akdam, H., & Alp, A. (2015). Crush syndrome. The Journal of Tepecik Education and Research Hospital, 25(2),71-77.
2. Alshehri, B. (2016). Emergency nurses’ preparedness for disaster in the Kingdom of Saudi Arabia. Journal of Nursing Education and Practice, 7, 101-114. https://doi.org/10.5430/jnep.v7n3p101
3. Aydın, Y., & Altuntaş, S. (2019). Crush syndrome. (Özüçelik D. N: Editor. Emergency medicine services in disasters).1st Edition. Ankara: Turkey Clinics,6-8.
4. Aygin, D., & Atasoy, I. (2008). Crush syndrome therapy and care. Journal of Atatürk University School of Nursing, 11(1), 93-100.
5. Bitek, D. E., Dilek, F., & Erol, Ö. (2016). Case report: A story of escape: Crush syndrome and nursing care. Journal of Nephrology Nursing,1, 55-59. Bulut, M., Fedakar, R., Akkose, S., Akgoz, S., Ozguc, H., & Tokyay, R. (2005). Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emerg Med J, 22, 494–498. http://dx.doi.org/10.1136/emj.2004.016295
6. Crisis Center of the Turkish Prime Ministry. (2000). Earthquakes 1999. Ankara, Turkey, Press of Prime Ministry, pp 3–15.
7. Deeny, P., & Davies, K. (2019). Nursıng ın dısasters, catastrophes, and complex humanıtarıan emergencıes world wıde. (Tener Goodwın Veenema: Editor. Dısaster nursıng and emergency preparedness for chemical, biological, and radiological terrorism, and otherhazards). Fourth Edition. Springer Publishing Company, LLC. New York. ISBN: 978-0-8261-4417-1.
8. Delnavaz, S., Hassankhani, H., Roshangar, F., Dadashzadeh, A., Sarbakhsh, P., Ghafourifard, M., & Fathiazar, E. (2018). Comparison of scenario based triage education by lecture and role playing on knowledge and practice of nursing students. Nurse Educ Today, 70,54-59. https://doi.org/10.1016/j.nedt.2018.08.006.

9. Dilek, A., & Atasoy, I. (2008). Crush syndrome treatment and care. Journal of Atatürk University School of Nursing, 11(1), 1:93-100.
10. Erdoğan, Ö. (2018). Disaster nursing education. (Öztekin S. D: Editor. Disaster nursing). 1st Edition. Ankara: Turkey Clinics,115-120.
11. Najafi Ghezeljeh, T., Mohammad Aliha, J., Haghani, H., & Javadi, N. (2019). Effect of education using the virtual social network on the knowledge and attitude of emergency nurses of disaster preparedness: A quasi-experiment study. Nurse Educ Today, 73, 88–93. https://doi.org/10.1016/j.nedt.2018.12.001.
12. Grimes, A., Sparke, V., Rouen, C., & West, C. (2020). Preparedness and resilience of student nurses in Northern Queensl and Australia for disasters. International Journal of Disaster Risk Reduction, 48, 101585.https://doi.org/10.1016/j.ijdrr.2020.101585.
13. Hindriyastuti, S., Ranse, J., Kako, M., & Hutton, A. (2019). Nursing students’ roles and experiences of disasters in a nursing school. Jurnal Keperawatan Padjadjaran, 7(1), 38-48.https://doi.org/10.24198/jkp.v7i1.997.
14. Inkaew, W., & Chompunud, S. (2018). Effects of an interactive teaching method on perceived disaster nursing competencies of undergraduate nursing students. Health Emergency and Disaster, 5(1),25-31. https://doi.org/10.24298/hedn.2016-0008.
15. Ismail, A., Ghazi, H., Ismail, M.S., & Ahayalimudin, N. (2016). Disaster management: identifying knowledge of emergency nurses and community health nurses and its predictors in Malaysia. Malaysian Journal of Public Health Medicine, 16(3), 66-74.
16. Jiang, L., He, H. G., Zhou, W. G., Shi, S. H., Yin, T. T., & Kong, Y. (2015). Knowledge, attitudes and competence in nursing practice of typhoon disaster relief work among Chinese nurses: a questionnaire survey. International Journal of Nursing Practice, 21(1), 60–69. https://doi.org/10.1111/ijn.12214.
17. Kalanlar, B. (2018). Effects of disaster nursing education on nursing students’ knowledge and preparedness for disasters. International Journal of Disaster Risk Reduction, 28,475-480.https://doi.org/10.1016/j.ijdrr.2017.12.008.
18. Khan, S., Kausar, S, & Ghanı, M.(2017). Knowledge of dısaster preparedness among nurses at two tertıary care hospıtals ın Lahore. Biomedica, 33(1),29-38.
19. Nash T. J. (2017). A guide to emergency preparedness and disaster nursing education resources. Health Emergency and Disaster Nursing, 4, 12–25. https://doi.org/10.24298/hedn.2015-0017.
20. Özpulat, F., & Kabasakal, E. (2018). Knowledge levels of nursing students on disaster nursing and their state of disaster preparedness. International Journal of Medical Research & Health Sciences,7(8), 165-174.
21. Öztekin, S. D., Larson, E. E., Yüksel, S., & Altun Uğraş, G. (2015). Undergraduate nursing students' perceptions about disaster preparedness and response in Istanbul, Turkey, and Miyazaki, Japan: a cross-sectional study. Japan journal of Nursing Science: JJNS, 12(2), 145–153. https://doi.org/10.1111/jjns.12058.
22. Park, H. Y., & Kim, J. S. (2017). Factors influencing disaster nursing core competencies of emergency nurses. Applied nursing research: ANR, 37, 1–5. https://doi.org/10.1016/j.apnr.2017.06.004.
23. Powers, R. (2010). Introductıon to dısasters and dısaster nursıng. (Edıtors: Robert, Powers., & Daıly E. Internatıonal dısaster nursıng). Cambrıdge Unıversıty Press. ISBN: 978-0-521-16800-7. Said, N. B., & Chiang, V. (2020). The knowledge, skill competencies, and psychological preparedness of nurses for disasters: A systematic review. International Emergency Nursing, 48, 100806. https://doi.org/10.1016/j.ienj.2019.100806.
24. Sakashıta R. (2014). Development in disaster nursing: The challenges of various research designs. Health Emergency and Disaster Nursing, 1, 19–24. https://doi.org/10.24298/hedn.2014-1.19.
25. Sever, M. S., Yazıcı, H., & Ecder, T. (2021). Internal-surgery-forensic emergency handbook. Nobel medical publication. Sixth edition, İstanbul.
26. Sever, M. S. (2021). Crush syndrome. https://cdn.istanbul.edu.tr/statics/istanbultip.istanbul.edu.tr/wp-content/uploads/attachments/021_ezilme.sendromu.ders.notlari.pdf.
27. Sever, M. S., Erek, E., Vanholder, R., Akoğlu, E., Yavuz, M., Ergin, H., Tekçe, M., Korular, D., Tülbek, M. Y., Keven, K., van Vlem, B., Lameire, N., & Marmara Earthquake Study Group (2001). The Marmara earthquake: epidemiological analysis of the victims with nephrological problems. Kidney international, 60(3), 1114–1123. https://doi.org/10.1046/j.1523-1755.2001.0600031114.x.
28. Tzeng, W. C., Feng, H. P., Cheng, W. T., Lin, C. H., Chiang, L. C., Pai, L., & Lee, C. L. (2016). Readiness of hospital nurses for disaster responses in Taiwan: A cross-sectional study. Nurse education today, 47, 37–42. https://doi.org/10.1016/j.nedt.2016.02.025.