Sevim ÇELİK, Yaşar DEMİRAY, Tuğrul ACAR, Hediye KÖYMEN, Yağmur COŞKUN, Özlem DOĞRU, Selda KESKİN, Seher Kaya

Yoğun Bakım Hemşirelerinin Enteral Tüp Aracılığıyla İlaç Uygulamalarının Değerlendirilmesi

Amaç: Bu araştırmanın amacı, erişkin yoğun bakım ünitelerinde çalışan hemşirelerin enteral tüp aracılığıyla ilaç uygulamalarını değerlendirmektir.Gereç ve Yöntem: Kesitsel tipte tanımlayıcı araştırma, 19 Mart- 9 Nisan 2012 tarihleri arasında, 91 yoğun bakım hemşiresi ile gerçekleştirildi. Veriler veri toplama formu ile toplandı. Veriler sayı, yüzde, ortalama, standart sapma, ki kare ve Fisher’s kesin testi ile değerlendirildi.Bulgular: Enteral tüp aracılığıyla ilaç verme işlemi öncesi hemşirelerin %70.3’ünün enteral tüpün yerini her zaman kontrol ettikleri, musluk suyu ile tüp açıklığını sağladıkları (%58.2), ellerini yıkadıkları (%96.6) ve eldiven giydikleri (%95.5) belirlendi. Hemşirelerin (%94.5) ilacı uygularken ilacın farmasötik şeklini kontrol ettikleri, ilacı bolüs olarak uyguladıkları (%87.9) ve ilacı uyguladıktan sonra hemen beslenmeye geçtikleri (%56) bulundu. Uygulamalar ile hemşirelerin çalışma yılı, eğitimi ve kurs alma durumları arasında anlamlı farklılık saptandı (p<0.05).Sonuç: Hemşirelerin enteral tüp aracılığı ile ilaç uygulamalarında hatalar yaptıkları saptandı.

Anahtar Kelimeler:

Enteral ilaç uygulama; hemşire; hemşirelik; yoğun bakım

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Aim: The aim of this study was to analyze drug administrations via enteral tube of nurses working intensive care unit Material and Method: Cross-sectional descriptive study was realized with 91 intensive care nurses between 19 March and 9 April, 2012. Data were collected by a survey form. Data were evaluated by number, mean, standart deviation, percentages, chi-square and Fisher’s exact tests. Results: Before drug administration via enteral tube, it was determined that 70.3% of nurses were always checked the location of enteral tube, provided clarity of the tube with tap water (58.2%), washed their hands (96.6%), wore of gloves (95.5%). During drug administration, it was found that the nurses were controlled pharmaceutic form of drug (94.5%), applied as a bolus of drug (87.9%), immediately passed nutritional after applying medication (56%). It was determined that there was statistical significant difference between applications of nurses and nurses’s work years, education, training (p

Keywords:

Enteral drug administration, nurse, nursing, intensive care patient,

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