Murat YILDIZ, Figen AKOĞLAN, İsa KARAKAYA, Deniz ÇELİK, Fatma Büşra ÇEVİK

Göğüs hastalıkları kliniklerinde çalışan hemşirelerin noninvaziv mekanik ventilasyon bilgi düzeyi

Amaç: Noninvaziv mekanik ventilasyon (NIMV), hastaya invaziv bir yöntem kullanmadan maske aracılığı ile pozitif basınçlı solunum desteği vermeyi sağlayan bir uygulamadır. Bir göğüs hastalıkları hastanesinde çalışan hemşirelerin NIMV hakkındaki bilgi düzeylerini belirlenmesi amaçlandı. Yöntem: Hemşirelerin bilgi düzeyini ölçmek için Tarhan ve arkadaşları tarafından 2015 yılında geliştirilen anket, hastanemiz göğüs hastalıkları yoğun bakım ünitesi, göğüs hastalıkları klinikleri ve acil servis de çalışıp katılımcı olmayı kabul eden 128 hemşireye uygulandı. Hemşirelerin demografik özelikleri ve NIMV bilgi düzeyleri ölçüldü. Bulgular: NIMV alınan toplam puan ortalaması 36,51 ± 4,56 idi. Katılımcıların %82,8’sı kadın, %54,7’si 30 yaş altındaydı. Ankete katılan hemşirelerin çalışılan klinik dağılımına göre bakıldığında, %63,3’ü göğüs hastalıkları servislerinde, %20,3’ü göğüs hastalıkları yoğun bakım kliniğinde, %16,4’ü acil servisde çalışmaktaydı. NIMV sorularından alınan puan ortalaması sadece çalışılan kliniğe göre istatistiksel olarak anlamlı farklı bulundu (p

Anahtar Kelimeler:

NIMV bilgi düzeyi, hemşire, Göğüs hastalıkları hemşireliği

Noninvasive mechanical ventilation knowledge level of nurses working in chest diseases clinics

Objective: Noninvasive mechanical ventilation (NIV) is an application that provides positive pressure respiratory support to the patient through a mask without using an invasive method. We aimed to determine the knowledge level of nurses working in a chest diseases hospital about NIV. Methods: The questionnaire, which was developed by Tarhan et al. in 2015 to measure the knowledge level of nurses, was applied to 128 nurses who agreed. Nurses were working in the chest diseases intensive care unit, chest diseases clinics, and emergency services in our hospital comprised the study group. The demographic characteristics and NIV knowledge levels of the nurses were evaluated. Results: The mean total score was 36.51±4.56. 82.8% of the participants were women and 54.7% were under 30 years old. Most of the nurses worked in the chest disease clinics (63.3%), chest disease intensive care clinics (20.3%), and emergency rooms (16.4%). The mean score obtained from the NIMV questionnaire was found to be statistically significantly different only according to the clinic worked in (p

Keywords:

NIMV knowledge level, nurse, Chest diseases nursing,

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Saltürk C, Kargın F, Berk Takır H, Adıgüzel N, Güngör G, Balcı M, et al. Yoğun bakım ünitesinde gece noninvaziv mekanik ventilasyon maske uygulama sıklığı. Göztepe Tıp Dergisi 2012; 27: 90-3. https://doi:10.5222/J.GOZTEPETRH.2012.090
Carron M, Freo U, BaHammam AS, Dellweg D, Guarracino F, Cosentini R, et al. Complications of non-invasive ventilation techniques: a comprehensive qualitative review of randomized trials. Br J Anaesth 2013; 110: 896-914. https://doi.org/10.1093/bja/aet070
Hill NS. Where should noninvasive ventilation be delivered? Respir Care. 2009 Jan;54(1):62-70. PMID: 19111107.
Browning J, Atwood B, Gray A. Use of non-invasive ventilation in UK emergency departments. Emerg Med J 2006; 23:920-1. https://doi.org/10.1136/emj.2006.038950
Merve Tarhan, Özcan Hançer, Fulya Polat, Songül Akbaş Gökduman, Levent Dalar. Noninvasive Mechanical Ventilation Knowledge Level of the Nurses: A Questionnaire Survey in a Tertiary Care Training and Research Hospital. 2015;17(3):163-170. https://doi.org/10.5152/ejp.2015.14633
Carlucci A, Delmastro M, Rubini F, Fracchia C, Nava S. Changes in the practice of non-invasive ventilation in treating COPD patients over 8 years. Intensive Care Med 2003; 29: 419-25. https://doi.org/10.1007/s00134-002-1574-1
Elliott MW, Confalonieri M, Nava S. Where to perform noninvasive ventilation? Eur Respir J 2002; 19: 1159-6. https://doi.org/10.1183/09031936.02.00297202
Oppersma E, Doorduin J, van der Heijden EH, van der Hoeven JG, Heunks LM. Noninvasive ventilation and the upper airway: should we pay more attention? Crit Care 2013; 17: 245. https://doi.org/10.1186/cc13141
Plant PK, Owen JL, Elliott MW (2000) Early use of non-invasive ventilation for acute exacerbations of chronic obstructive pulmonary disease on general respiratory wards: a multicentre randomised controlled trial. Lancet 355:1931–1935. https://doi.org/10.1016/s0140-6736(00)02323-0
Antonelli M, Conti G, Rocco M, Bufi M, De Blasi RA, Vivino G, Gasparetto A, Meduri GU (1998) A comparison of noninvasive positivepressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure. N Engl J Med 339: 429–43. https://doi.org/10.1056/NEJM199808133390703
Raurell-Torredà M, Argilaga-Molero E, Colomer-Plana M, Ródenas-Francisco A, Garcia-Olm M. Nurses' and physicians' knowledge and skills in non-invasive ventilation: Equipment and contextual influences. Enferm Intensiva. 2019 Jan-Mar;30(1):21-32. English, Spanish. https://doi.org/10.1016/j.enfi.2018.04.006.
Confalonieri M, Gazzaniga P, Gandola L, AiolfiS, Della Porta R, Frisinghelli A, Bellone A. He-modynamic response during initiation of non-invasive positive pressure ventilation in COPDpatients with acute ventilatory failure. RespirMed. 1998;92(2):331-7. https://doi.org/10.1016/s0954-6111(98)90117-2
Gay PC. Complications of noninvasive ventilation in acute care. Respir Care. 2009 Feb;54(2):246-57; discussion 257-8. PMID: 19173756.
Mas A, Masip J. Noninvasive ventilation in acute respiratory failure. Int J Chron Obstruct Pulmon Dis 2014; 9: 837-52. https://doi.org/10.2147/COPD.S42664
Nava S. Interfaces for NPPV. In: Brochard L, Hill N, eds. Noninvasive positive pressure ventilation in acute respiratory failure. Paris, France, International Concencus Conferance in Intens Care Med 2000:2.
Saatci E, Miller DM, Stell IM, Lee KC, Moxham J. Dynamic dead space in face masks used with noninvasive ventilators: a lung model study. Eur Respir J 2004; 23: 129-35. https://doi.org/10.1183/09031936.03.00039503
Çelikel T. Noninvazif mekanik ventilasyon. Yoğun Bakım Dergisi 2002;2(4): 225-45
García-Maribona J, González M, Blanco JM, Monroyt JC. Caring for noninvasive ventilation patients. In: A. Medina, M. Pons, F. Martinón Torres, editors. Non-invasive ventilation in Pediatrics. 2nd ed. 2004; pp. 65-74.
Turan G, Şengöz İnan A, Akgün N, Taşçıoğlu J, Göktaş P. The effective usage time of the humidifier/Bactriel filters in the mechanical ventilator circuits. J Clin Anal Med 2011; 2: 46-8. https://doi.org/10.4328/JCAM.353