Evaluation of patients with brain tumors according to ınternational NANDA nursing diagnoses: Care suggestions
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Dosyalar
Tarih
2010
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu araştırma beyin tümörlü hastaların ameliyat sonrası erken ve geç dönem hemşirelik tanılarını belirlemek amacıyla kesitsel tipte planlanmıştır. Hemşirenin ameliyat sonrası dönemde ortaya çıkabilecek hemşirelik tanılarını bilmesi ve buna göre bakımını yönlendirmesi ameliyat sonrası oluşabilecek bazı komplikasyonların önlenmesini sağlar. Gereç ve Yöntem: Araştırma Ege Üniversitesi Tıp Fakültesi Hastanesi beyin cerrahisi yoğun bakım ünitesinde ve kliniğinde ocak 2009- nisan 2009 tarihleri arasında yatan hastaların uluslar arası platformda yaygın olarak kullanılan hemşirelik tanılama terminolojisi NANDA (The North American Nursing Diagnosis Association) ile ameliyat sonrası erken ve geç dönem hemşirelik tanıları değerlendirildi. Bulgular: WHO (World Health Organization) santral sinir sistemi sınıflamasına göre hastaların %68.1 nöroepitelyal doku tümörü tanısı aldığı, ilk 24 saatten sonra %47.7 yarı bağımlı ve %43.2 bağımsız olduğu; ortalama 11.89 gün klinikte, ortalama 11.0 gün yoğun bakım ünitesinde kaldığı belirlendi. Araştırma kapsamında değerlendirilen 44 hasta için 25 farklı tanı ve toplamda 123 hemşirelik tanısı belirlendi. Hemşirelik tanıları ve tanı günleri incelendiğinde; %9.8 (0.-6. gün) konstipasyon, %8.9 bulantı (0.-4.gün), %8.1 yetersiz sıvı volümü (0.-4.gün), %7.7 akut ağrı (0.-4. gün), %6.5 hipertermi (0.-4.gün), %5.7 yetersiz solunum (0.-11.günler), %4.0 sıvı volüm fazlalığı (3.-7.günler), %4.0 duyusal algılamada bozulma (0.-11.günler), %4.0 üriner boşaltımda bozulma (0-5. günler) ve %4.0 konfüzyon (4.-11.gün), %3.3 enfeksiyon riski (3-6. günler) tanılanmıştır. Sonuç: Beyin cerrahi hastaları için önlenmesi beklenilen kafa içi basınç artışına yol açabilecek bulantı, konstipasyon, sıvı volüm fazlalığı, hipertermi tanılarının özellikle ameliyat sonrası erken dönemde (0-3 gün); ameliyat sonrası geç dönemde ise duyusal algılamada bozulma ve konfüzyon tanılandı.
Aim: This research is designed to be cross-sectional with the purpose of identifying post operative early and late nursing diagnoses of the patients with brain tumor. Nurses' knowledge about the possible post-operative nursing diagnoses and directing the care accordingly ensure prevention of some possible post-operative complications. Methods: The research was carried out with the patients hospitalized at Brain Surgery intensive care unit and clinic in Ege University School of Medicine between January 2009 and April 2009. In the research, post-operative early and late nursing diagnoses of the patients were evaluated through NANDA nursing diagnosis terminology which is widely used internationally. Results: It was found out that 68.1% of the patients were diagnosed with neuroepithelial tumor according to WHO central nervous system classification, and 47.7% were semi-dependent and 43.2% were independent following the first 24 hours and hospitalized in the clinic for 11.89 days in average and in the intensive-care unit for 11.0 days in average. 25 different diagnoses and 123 nursing diagnoses in total were identified for the 44 patients evaluated in the research. Analyses of the nursing diagnoses and diagnose days revealed 9.8% constipation (0.-6. days), 8.9% nausea (0.-4.days), 8.1% insufficient liquid volume (0. - 4. days), 7.7% acute pain (0.- 4. days), 6.5% hyperthermia (0. – 4. days), 5.7 % insufficient respiration (0. -11. days), 4.0% excessive liquid volume (3. – 7. days), 4.0% impairment in sensory perception (0. -11. days), 4.0 % impairment in urinary excretion ( 0. – 5. days), 4.0 % confusion (4. – 11. days) and risk of infection (3. – 6. days) diagnosis. Conclusion: Hyperthermia, excessive liquid volume, constipation, nausea which could lead to increased intracranial pressure that is supposed to be prevented for the patients in neurosurgical units were diagnosed especially in the post-operative early period (0. -3. days) and Confusion and impairment in sensory perception were diagnosed in the post-operative late period.
Aim: This research is designed to be cross-sectional with the purpose of identifying post operative early and late nursing diagnoses of the patients with brain tumor. Nurses' knowledge about the possible post-operative nursing diagnoses and directing the care accordingly ensure prevention of some possible post-operative complications. Methods: The research was carried out with the patients hospitalized at Brain Surgery intensive care unit and clinic in Ege University School of Medicine between January 2009 and April 2009. In the research, post-operative early and late nursing diagnoses of the patients were evaluated through NANDA nursing diagnosis terminology which is widely used internationally. Results: It was found out that 68.1% of the patients were diagnosed with neuroepithelial tumor according to WHO central nervous system classification, and 47.7% were semi-dependent and 43.2% were independent following the first 24 hours and hospitalized in the clinic for 11.89 days in average and in the intensive-care unit for 11.0 days in average. 25 different diagnoses and 123 nursing diagnoses in total were identified for the 44 patients evaluated in the research. Analyses of the nursing diagnoses and diagnose days revealed 9.8% constipation (0.-6. days), 8.9% nausea (0.-4.days), 8.1% insufficient liquid volume (0. - 4. days), 7.7% acute pain (0.- 4. days), 6.5% hyperthermia (0. – 4. days), 5.7 % insufficient respiration (0. -11. days), 4.0% excessive liquid volume (3. – 7. days), 4.0% impairment in sensory perception (0. -11. days), 4.0 % impairment in urinary excretion ( 0. – 5. days), 4.0 % confusion (4. – 11. days) and risk of infection (3. – 6. days) diagnosis. Conclusion: Hyperthermia, excessive liquid volume, constipation, nausea which could lead to increased intracranial pressure that is supposed to be prevented for the patients in neurosurgical units were diagnosed especially in the post-operative early period (0. -3. days) and Confusion and impairment in sensory perception were diagnosed in the post-operative late period.
Açıklama
Anahtar Kelimeler
Beyin Tümörü, NANDA, Hemşire, Brain Tumor, Nurse
Kaynak
Journal of Neurological Sciences (Turkish)
WoS Q Değeri
Q4
Scopus Q Değeri
N/A
Cilt
27
Sayı
2
