Buzdağının Görünmeyen Yüzünü Keşfetmek: Ortopedi Hastalarında Kompartman Sendromu Ve Hemşirelik Yaklaşımları

Kompartman sendromu, erken tanılanamadığında bireylerin yaşam kalitesini bozabilen ciddi bir durumdur. Genellikle travma, ameliyat, immobilizasyon ve enfeksiyon nedeniyle meydana gelen kompartman sendromunun akut, kronik ve crush olarak üç tipi vardır. Özellikle ortopedik cerrahi geçiren ve travmaya maruz kalan kişilerde görülme sıklığı daha fazla olduğundan, kompartman sendromunun önlenmesinde, erken tanılanmasında ve gerekli girişimlerin başlatılmasında ortopedi hemşirelerine büyük sorumluluklar düşmektedir. Son derece önemli olan bu sorun erken saptanamadığında amputasyon ile sonuçlanabilmektedir. Önemi büyük olmasına rağmen ülkemizde hemşirelik literatüründe bu konuya yeterince yer verilmemiştir. Bu gereksinim doğrultusunda yazılan bu derleme makalede kompartman sendromunun tanımı, insidansı, etyolojisi, fizyopatolojik süreci, belirti ve bulguları, önlenmesi, erken tanılanması, tedavisi ve hemşirelik bakımına ilişkin bilgiler sunulmuştur.

Exploring Invisible Part of The Iceberg: Compartment Syndrome in Orthopaedic Patients and Nursing Approaches

Compartment syndrome is a serious condition, if it can not be early diagnosis that may impair the quality of life of individuals. Generally trauma, surgery, immobilization, and infections are caused by compartment syndrome that included three types as acute, chronic and crush. Because of the incidence of compartment syndrome is higher in individuals especially who is exposed to trauma and orthopedic surgery, orthopedic nurses have great responsibilities related compartment syndrome prevention, early diagnosis, and initiation of necessary interventions. This problem is extremely important when if it can not early diagnosis, so it can be result in amputation. Despite of compartment syndrome has great importance, this subject has not been given enough in nursing literature in our country. Through with the requirements of this review article written and it was provided the knowledge on description of compartment syndrome, incidence, etiology, pathophysiological process, signs and symptoms, prevention, early diagnosis, treatment and nursing care

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