Yoğun Bakım Sonrası Sendromu ve Hemşirelik Yönetimi

Öz

Tüm dünyada uzayan yaşam süresi ve artan kronik hastalık insidansı yoğun bakım hasta popülasyonunda önemli bir artışa sebep olmaktadır. Bunun yanı sıra bilim dünyasındaki hızlı gelişmeler ve tıbbi teknolojilerdeki yenilikler tedavi ve bakım süreçlerine olumlu yönde etki etmekte ve buna paralel olarak yoğun bakım ünitelerinden (YBÜ) taburculuk oranları da artmaktadır. Ancak uzun vadede taburculuk sonrası süreçlerde bireylerin yaşadığı sağlık sorunları da yadsınamaz düzeydedir. Yoğun bakım sonrası sendromu (YBSS), YBÜ’de yatış sırasında, YBÜ’den veya hastaneden taburcu olduktan sonra ortaya çıkan fiziksel, bilişsel ve mental bozuklukları ifade eden, aynı zamanda hasta bireyin ailesi veya yakınlarını etkileyen bir fenomendir. YBSS’nin önlenmesindeki en önemli faktörlerden biri YBÜ’deki hemşirelik bakımıdır. Bu sebeple derlememizde, YBSS etiyopatogenezi, risk faktörleri, belirti ve bulguları, önlenmesi ve hemşirelik yönetiminin açıklanması amaçlanmıştır.

Anahtar Kelimeler

• kritik bakım
• yoğun bakım sonrası sendromu
• hemşirelik yönetimi

Post Intensive Care Syndrome and Nursing Management

Abstract

Prolonged life expectancy and increasing incidence of chronic diseases all over the world cause a significant increase in the intensive care patient population. In addition, rapid developments in the scientific world and innovative processes in medical technologies have a positive effect on treatment and care processes, and in parallel, discharge rates from intensive care units increase. However, in the long term, it is obvious that individuals experience some health problems during the post-discharge period. Post-intensive care syndrome (PICS) is a phenomenon that refers to physical, cognitive and mental disorders that occur during ICU stay, after discharge from ICU or hospital, and also affects the family or relatives of the patient. One of the most important factors in this process is nursing management. For this reason, our review aimed to explain PICS in all its aspect such as pathophysiology, risk factors, prevention and nursing management.

Keywords

• critical care
• post intensive care syndrome
• nursing management

Kaynakça

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