Hossein ASGAR POUR, Fatma DEMİR KORKMAZ, Gülver HACIOĞLU

KORONER ARTER BYPASS GREFT AMELİYATI SONRASI HASTALARA VERİLEN DİREKT BAKIM TÜRÜ VE HARCANAN ZAMANIN İNCELENMESİ

Amaç: Bu araştırmada koroner arter bypass greft ameliyatı sonrası hastalara verilen direkt bakımın türü ve harcanan zamanın incelenmesi amaçlanmıştır. Gereç ve Yöntem: Araştırma 28 Şubat- 28 Haziran tarihleri arasında bir üniversite hastanesinin Kalp Damar Cerrahisi Yoğun Bakım ünitesinde yatan 30 hasta üzerinde gerçekleştirilmiştir. Koroner arter bypass greft ameliyatı geçiren hastalar, yoğun bakım ünitesine alındıktan itibaren servise nakil olana kadar gözlenerek hastalara verilen direkt bakımın türü belirlenmiş ve her bir bakım için harcanan süre kronometre ile ölçülmüştür. Bulgular ve Sonuç: Bu çalışma sonucunda koroner arter bypass greft ameliyatı geçiren hastaların ameliyat sonrası dönemde ortalama 22 saat 40 dakika yoğun bakım ünitesinde kaldıkları ve bu dönemde hastalara ortalama 3 saat 14 dakika direkt bakım yapıldığı belirlenmiştir. Ayrıca bu dönemde hemşire iş yükü 9 saat 42 dakika olarak saptanmıştır

Anahtar Kelimeler:

Koroner arter bypass greft, ameliyat sonrası dönem, direkt bakım, hemşirelik

DETERMINATION OF THE TIME AND TYPE OF DIRECT CARE GIVEN TO PATIENTS AFTER CORONARY ARTERY BYPASS GRAFT

Objective: In this study it was aimed to determine the time and type of direct care given to patients after coronary artery bypass graft. Methods: The study was performed between 28 February and 28 June 2008 on 30 patients who were staying intensive care unit of a university hospital after coronary artery bypass graft surgery. The type of direct care was determined by observing the patients who undergone coronary artery bypass graft surgery from their coming to intensive care unit until transportation to ward and each time consumed for caring has been measured by chronometer. Results: At the end of the study it was determined that the patients who undergone coronary artery bypass graft surgery have been stayed in the intensive care unit for 22 hours and 40 minutes with an average and average direct caring was given to patients during this period was three hours and 14 minutes. Conclusion: In addition the nurse workload has been calculated as nine hours and 42 minutes

Keywords:

Coronary artery bypass graft, post operative period, direct care, nursing,

PDF

___

By Lynn VD, Anthony WM, Darlene Rourke (2002). Recovering from cardiac surgery: what patients want you to know. American journal of critical care. 11, 333.
Capuano TA, Barber R, Sullivan K (1997). Bridging the care continum for open heart surgery patient. Nursing management, 28:2, 32.
Danış B, Dindar B, Nur ülke B ve ark (2001). Ege üniversitesi hastanesi hemşire insan gücü planlanması ve hemşirelik bakım standartları. Ege üniversitesi hemşirelik yüksekokulu. Bornova- İzmir.1-64.
Hassan M, Smith JM, Engel AM (2006): Predictor and outcomes of sternal wound complication in patients after coronary artery bypass graft surgery. The american surgeon journal, 72:6, 515- 520.
Jalali R (1998). The side effects of mechanical ventilation after open heart surgery in the patients of intensive care unit. Medical sceince of kermanshah university, Ph.D Thesis. Kermanshah-İran. 38-56.
Martin CG, Turkelson SL (2006). Nursing care of the patient undergoing coronary artery bypass grafting. Cardiovascular nurse, 21:2, 109-117.
Memariyan R (1998). Application of concepts in nursing.1edition. University of tarbiyat modares publisher. Tahran- İran. 24-28.
Okutan H, Kutsal A (2001). Açık kalp ameliyat geçiren yaşlı hastalarda ameliyat sonrası yoğun bakım. Turkish journal of geriatrics, 4:3, 120-126.
Özden M (1989). Hastaların bakım gereksinimlerine göre hemşirelerin direkt bakım yüklerinin incelenmesi. Ege üniversitesi hemşirelik yüksekokulu. Yüksek lisans tezi İzmir. 4-49.
Roques F, Gabrielle F, Michel P and et al (1993). Quality of care in adult heart surgery: proposal for a self-assessment approach based on a French multicenter study. European journal of cardio-thoracic surgery,9:8, 433-439.
Yun J.K, Hyeoun AP (2005): Analysis of nursing records of cardiac-surgery patients based on the nursing process and focusing on nursing outcomes. International journal of medical informatics, 74:11, 952-959.