Araştırma Makalesi
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Yoğun Bakım Ünitelerinde Çalışan Hemşirelerin Kaf Basıncı Eğitim Yeterliliği

Yıl 2022, , 301 - 307, 27.09.2022
https://doi.org/10.18663/tjcl.972511

Öz

Amaç: Endotrakeal tüpün uygun kaf basıncı, tüpü doğru pozisyonda sabitler, yeterli havalandırma sağlar ve komplikasyonları önler.
Bu çalışmada entübasyon ve trakeostomili hastalarda yoğun bakım ünitelerinde çalışan hemşirelerin kaf bakımı konusunda eğitim ve deneyimlerinin yeterliliğini değerlendirmeyi amaçladık.
Gereç/Yöntemler: Hastanemizde yoğun bakım ünitelerinde çalışan 50 hemşire çalışmaya katılmayı kabul etti. 10 soruluk anket formu yüz yüze görüşme yoluyla sorulmuş ve istatistiksel olarak değerlendirilmiştir.
Bulgular: Ankete katılan yirmi üç hemşire (%46) 5 yıldan fazla yoğun bakım deneyimine sahipti. Otuz beş hemşire (%70) lisans mezunuydu.
Ankete katılan hemşirelerin %72'si “kafın işlevi nedir?” sorusuna tüp sabitleme, %64'ü hava kaçağını önleme ve %44'ü akciğerleri mide salgılarından koruma yanıtını vermiştir.
Yoğun bakım ünitesi çalışma süresine göre 5 yıl ve üzeri çalışmış kişilerde kaf basıncı eğitimi alma oranı 5 yıldan az çalışmış olanlara göre istatistiksel olarak anlamlı derecede yüksektir.
Tüm sorular açısından eğitim düzeyine göre istatistiksel olarak anlamlı bir farklılık yoktur.
Sonuç: Yoğun bakım ünitemizde çalışan hemşirelerin kaf basıncı takibi ve kaf egzersizleri konusunda bilgi ve eğitim eksiklikleri vardı. Yoğun bakım ünitelerinde çalışan hemşirelere manşet basıncı ve manşet egzersizleri konusunda hizmet içi eğitim verilmelidir.

Kaynakça

  • Saracoglu A, Dal D, Pehlivan G, Yılmaz F. The Professional Experience of Anaesthesiologists in Proper Inflation of Laryngeal Mask and Endotracheal Tube Cuff .Turk J Anaesth Reanim 2014; 42: 234-38.
  • Seyed Siamdoust SA, Mohseni M, Memarian A.Endotracheal Tube Cuff Pressure Assessment: Education May Improve but not Guarantee the Safety of Palpation Technique. Anesthesiol Pain Med. 2015 Jun;5(3):e16163.
  • Ozcan ATD, Doger C, But A, Kutlu I, Aksoy SM. Comparison of endotracheal tube cuff pressure values before and after training seminar. J Clin Monit Comput. 2018 Jun;32(3):527–31.
  • Stewart SL, Secrest JA, Norwood BR, Zachary R. A comparison of endotracheal tube cuff pressures using estimation techniques and direct intracuff measurement. AANA J. 2003 Dec;71(6):443–47.
  • Fernandez R, Blanch L, Mancebo J, Bonsoms N, Artigas A. Endotracheal tube cuff pressure assessment: pitfalls of finger estimation and need for objective measurement. Crit Care Med. 1990 Dec;18(12):1423–26.
  • Ozer AB, Demirel I, Gunduz G, Erhan OL. Effects of user experience and method in the inflation of endotracheal tube pilot balloon on cuff pressure. Niger J Clin Pract. 2013;16(2):253–57.
  • Danielis M, Benatti S, Celotti P, De Monte A, Trombini O. Continuous monitoring of endotracheal tube cuff pressure: best practice in intensive care unit Crit Care 2014 Sep 6;18(5):512.
  • Totonchi Z, Jalili F, Hashemian SM, Jabardarjani HR.Tracheal Stenosis and Cuff Pressure: Comparison of Minimal Occlusive Volume and Palpation Techniques. Tanaffos 2015; 14(4): 252-56.
  • Tekin YE, İyigün E. Investigation of the Nurses Tracheostomy/Endotracheal Tube Cuff Pressure Practices in Intensive Care Units. Turkiye Klinikleri J Nurs Sci 2016;8(1):26-33.

Cuff pressure training competence of nurses working in intensive care units

Yıl 2022, , 301 - 307, 27.09.2022
https://doi.org/10.18663/tjcl.972511

Öz

Aim: The convenient cuff pressure of the endotracheal tube, fixes the tube in the correct position , provides sufficient ventilation, and prevents complications.
In this study, we aimed to evaluate the adequacy of the training and experience of nurses working in the intensive care units on cuff care in patients with intubation and tracheostomy.
Material and Methods: Fifty nurses working in intensive care units in chest diseases hospital agreed to participate in the study. The 10-question questionnaire was asked face-to-face to the participating nurses and their answers were recorded.
Results: Twenty three nurses (46%) surveyed had more than 5 years of intensive care experience. Thirty five nurses (70%) had bachelor's degree.
To the question of ‘what is the cuff function?’, 72% of the nurses who participated in the survey answered as fixing the tube, 64% as preventing air leakage, and 44% as protecting the lungs from gastric secretions.
According to intensive care unit working time, the rate of training on cuff pressure is statistically significantly higher in people who have worked for 5 years or more than those who have worked for less than 5 years.
In terms of all questions, there is no statistically significant difference according to education level.
Conclusion: The nurses working in our intensive care unit had lack of knowledge and lack of training about cuff pressure monitoring and cuff exercises. Nurses working in intensive care units should be given in-service training on cuff pressure and cuff exercises.

Kaynakça

  • Saracoglu A, Dal D, Pehlivan G, Yılmaz F. The Professional Experience of Anaesthesiologists in Proper Inflation of Laryngeal Mask and Endotracheal Tube Cuff .Turk J Anaesth Reanim 2014; 42: 234-38.
  • Seyed Siamdoust SA, Mohseni M, Memarian A.Endotracheal Tube Cuff Pressure Assessment: Education May Improve but not Guarantee the Safety of Palpation Technique. Anesthesiol Pain Med. 2015 Jun;5(3):e16163.
  • Ozcan ATD, Doger C, But A, Kutlu I, Aksoy SM. Comparison of endotracheal tube cuff pressure values before and after training seminar. J Clin Monit Comput. 2018 Jun;32(3):527–31.
  • Stewart SL, Secrest JA, Norwood BR, Zachary R. A comparison of endotracheal tube cuff pressures using estimation techniques and direct intracuff measurement. AANA J. 2003 Dec;71(6):443–47.
  • Fernandez R, Blanch L, Mancebo J, Bonsoms N, Artigas A. Endotracheal tube cuff pressure assessment: pitfalls of finger estimation and need for objective measurement. Crit Care Med. 1990 Dec;18(12):1423–26.
  • Ozer AB, Demirel I, Gunduz G, Erhan OL. Effects of user experience and method in the inflation of endotracheal tube pilot balloon on cuff pressure. Niger J Clin Pract. 2013;16(2):253–57.
  • Danielis M, Benatti S, Celotti P, De Monte A, Trombini O. Continuous monitoring of endotracheal tube cuff pressure: best practice in intensive care unit Crit Care 2014 Sep 6;18(5):512.
  • Totonchi Z, Jalili F, Hashemian SM, Jabardarjani HR.Tracheal Stenosis and Cuff Pressure: Comparison of Minimal Occlusive Volume and Palpation Techniques. Tanaffos 2015; 14(4): 252-56.
  • Tekin YE, İyigün E. Investigation of the Nurses Tracheostomy/Endotracheal Tube Cuff Pressure Practices in Intensive Care Units. Turkiye Klinikleri J Nurs Sci 2016;8(1):26-33.
Toplam 9 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Özgün Makale
Yazarlar

Güler Eraslan Doğanay 0000-0003-2420-7607

Mukaddes Kılınç 0000-0001-7817-2337

Mustafa Özgür Cırık 0000-0002-9449-9302

Gulsah Yurtseven Bu kişi benim 0000-0003-4441-6377

Ebru Bilgin 0000-0003-1598-3882

Esra Arslanoglu 0000-0001-6241-264X

Ali Alagöz

Yayımlanma Tarihi 27 Eylül 2022
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

APA Eraslan Doğanay, G., Kılınç, M., Cırık, M. Ö., Yurtseven, G., vd. (2022). Cuff pressure training competence of nurses working in intensive care units. Turkish Journal of Clinics and Laboratory, 13(3), 301-307. https://doi.org/10.18663/tjcl.972511
AMA Eraslan Doğanay G, Kılınç M, Cırık MÖ, Yurtseven G, Bilgin E, Arslanoglu E, Alagöz A. Cuff pressure training competence of nurses working in intensive care units. TJCL. Eylül 2022;13(3):301-307. doi:10.18663/tjcl.972511
Chicago Eraslan Doğanay, Güler, Mukaddes Kılınç, Mustafa Özgür Cırık, Gulsah Yurtseven, Ebru Bilgin, Esra Arslanoglu, ve Ali Alagöz. “Cuff Pressure Training Competence of Nurses Working in Intensive Care Units”. Turkish Journal of Clinics and Laboratory 13, sy. 3 (Eylül 2022): 301-7. https://doi.org/10.18663/tjcl.972511.
EndNote Eraslan Doğanay G, Kılınç M, Cırık MÖ, Yurtseven G, Bilgin E, Arslanoglu E, Alagöz A (01 Eylül 2022) Cuff pressure training competence of nurses working in intensive care units. Turkish Journal of Clinics and Laboratory 13 3 301–307.
IEEE G. Eraslan Doğanay, M. Kılınç, M. Ö. Cırık, G. Yurtseven, E. Bilgin, E. Arslanoglu, ve A. Alagöz, “Cuff pressure training competence of nurses working in intensive care units”, TJCL, c. 13, sy. 3, ss. 301–307, 2022, doi: 10.18663/tjcl.972511.
ISNAD Eraslan Doğanay, Güler vd. “Cuff Pressure Training Competence of Nurses Working in Intensive Care Units”. Turkish Journal of Clinics and Laboratory 13/3 (Eylül 2022), 301-307. https://doi.org/10.18663/tjcl.972511.
JAMA Eraslan Doğanay G, Kılınç M, Cırık MÖ, Yurtseven G, Bilgin E, Arslanoglu E, Alagöz A. Cuff pressure training competence of nurses working in intensive care units. TJCL. 2022;13:301–307.
MLA Eraslan Doğanay, Güler vd. “Cuff Pressure Training Competence of Nurses Working in Intensive Care Units”. Turkish Journal of Clinics and Laboratory, c. 13, sy. 3, 2022, ss. 301-7, doi:10.18663/tjcl.972511.
Vancouver Eraslan Doğanay G, Kılınç M, Cırık MÖ, Yurtseven G, Bilgin E, Arslanoglu E, Alagöz A. Cuff pressure training competence of nurses working in intensive care units. TJCL. 2022;13(3):301-7.


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