Şermin EMİNOGLU, Seyda Efsun OZGUNAY, Derya KARASU, Ümran KARACA, Buket ÖZYAPRAK

Cerrahi Kliniklerde Çalışan Doktorların Deliryum İle İlgili Bilgileri

Deliryum, hastanede tedavi gören hastaları en çok etkileyen nöropsikiyatrik bozukluktur. Bu çalışmadaki amacımız; cerrahi kliniklerde çalışan doktorların deliryum ile ilgili bilgilerini saptamak ve bu konu hakkında farkındalık oluşturmaktır. Hastanemizdeki cerrahi klinik doktorları çalışmaya dahil edildi. Sosyo-demografik özelliklerini ve deliryum konusunda bilgilerini içeren anket formu katılımcılara e-posta ile gönderildi. Katılan 140 kişi istatistiksel değerlendirmeye alındı. Katılımcıların %60,7’si erkek, %61,4’ü araştırma görevlisi, %62,1’si meslekte 1-5. yılında ve %43,6’sı 20-29 yaş aralığındaydı. Cerrahi klinikleri içinde anesteziyoloji ve reanimasyon ile kadın hastalıkları ve doğum klinikleri doktorları %27,9 oranla en fazlaydı. Deliryumu önlemede destekleyici önlemleri doğru bilenler; anesteziyoloji ve reanimasyon kliniği doktorlarında ve öğretim görevlilerinde anlamlı yüksekti (sırasıyla P = 0,017, P = 0,004). Deliryumu önlemede kullanılan farmakolojik tedavileri doğru bilenler; uzman doktorlar ve kardiyovasküler cerrahi kliniğinde anlamlı yüksekti (sırasıyla P = 0,006, P = 0,003). Deliryum tanısını koyanlar, kardiyovasküler cerrahi kliniğinde diğer kliniklere göre anlamlı yüksekti (P = 0,001). Çalışmamızda, deliryum tanısının anesteziyoloji ve reanimasyon, kardiyovasküler cerrahi, üroloji ve kadın hastalıkları ve doğum kliniği; deliryum tedavisinin ise anesteziyoloji ve reanimasyon, kardiyovasküler cerrahi ve genel cerrahi kliniği doktorları tarafından daha fazla bilindiğini saptadık.

Anahtar Kelimeler:

Deliryum, Davranış, Anestezi, Cerrahi, Yoğun bakım ünitesi

Knowledge of Doctors Working In Surgical Clinics about Delirium

Delirium is the neuropsychiatric disorder that most commonly affects patients treated in hospital. Our aim in this study; to determine the knowledge of doctors working in surgical clinics about delirium and to raise awareness on this issue. Surgical clinic doctors in our hospital were included in the study. The questionnaire containing socio-demographic characteristics and information about delirium was sent to the participants by e-mail. 140 participants were statistically evaluated. 60.7% of the participants were male, 61.4% were research assistants, 62.1% were between in the 1-5 years of profession and 43.6% were between the ages of 20-29. Among surgical clinics, doctors of anesthesiology and reanimation, gynecology and obstetrics clinics were the highest with a rate of 27.9%. Those who know the supportive measures correctly in preventing delirium; It was significantly higher in anesthesiology and reanimation clinic specialist and faculty members (respectively, P = 0.017, P = 0.004). Experts and cardiovascular surgery clinic doctors were the group that knew the pharmacological treatments used to prevent delirium most accurately (respectively, P = 0.006, P = 0.003). Those who diagnosed delirium were significantly higher in cardiovascular surgery clinic compared to other clinics (P = 0.001). In our study, we found that the diagnosis of delirium was more known by the doctors of anesthesiology and reanimation, cardiovascular surgery, urology, gynecology and obstetrics clinics; and we found that the treatment of delirium was known by anesthesiology and reanimation, cardiovascular surgery and general surgery clinic doctors.

Keywords:

Delirium, Behavior, Anesthesia, Surgery, Intensive care unit,

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