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Kardiyovasküler Cerrahi Sonrası Yoğun Bakımda Yaşanan Sorunlar ve Hemşirelik Bakımı

Year 2019, Volume: 1 Issue: 2, 122 - 127, 20.08.2019

Abstract

Dünya’da
ve ülkemizde ölüm nedenleri arasında ilk sırada olan kardiyovasküler
hastalıkların tedavisinde cerrahi yöntemler önemli yer tutmaktadır. Kardiyovasküler
cerrahi sonrası tedavi/bakım ve izlemi yoğun bakım ünitesinde sürdürülen
hastalarda; atrial fibrilasyon, pulmoner sorunlar, ağrı, kanama, inme, akut böbrek
yetmezliği, enfeksiyon, gastrointestinal sorunlar, anksiyete, depresyon, deliryum
ve uyku bozuklukları gibi ciddi sağlık sorunları görülebilmektedir. Cerrahi
girişim sonrası yoğun bakım ünitesinde hastalarda yaşanabilecek sorunlara yönelik,
bireye özgü bakımın planlanması ve uygulanması durumunda bu sorunlar önemli düzeyde
önlenebilmektedir. Hemşire kalp damar cerrahisi sonrası yaşanabilecek
sorunların farkında olmalıdır. Bu derlemenin amacı, kardiyovasküler cerrahi
sonrası hastaların yoğun bakım ünitesinde yaşadığı sorunları ve bu sorunlara yönelik
uygulanan hemşirelik bakımını irdelemektir.

References

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Problems after Cardiovascular Surgery in Intensive Care Unit and Nursing Care

Year 2019, Volume: 1 Issue: 2, 122 - 127, 20.08.2019

Abstract

Surgical
methods play an important role in the treatment of cardiovascular diseases,
which are the leading causes of death in the world and in our country. Serious
health problems such as atrial fibrillation, pulmonary problems, pain,
bleeding, stroke, acute renal failure, infection, gastrointestinal problems,
anxiety, depression, delirium and sleep disorders can occur in cardiovascular surgery
patients undergoing treatment / care and follow-up in intensive care unit.
These problems can be prevented by planning and implementing
individual-specific care for the problems that may occur in the intensive care
unit after surgery. The nurse should be aware of the problems that may occur
after cardiovascular surgery. The aim of this review is to examine the problems
of patients in the intensive care unit after cardiovascular surgery and the nursing
care for these problems.

References

  • Akbari, M.,& Celik, S. S. (2015). The effects of discharge training and counseling on post-discharge problems in patients undergoing coronary artery bypass graft surgery. Iranian Journal of Nursing and Midwifery Research, 20(4), 442.
  • Aktaş, Y. Y., Karabulut, N., Yılmaz, D., et al. (2015). Kalp damar cerrahisi yoğun bakım ünitesinde tedavi gören hastaların algıladıkları çevresel stresörler. Kafkas Tıp Bilimleri Dergisi, (3), 81-86.
  • Akyolcu, N. (2017). Ameliyat Sonrası Hemşirelik Bakımı. İçinde N. Akyolcu, N. Kanan ve G. Aksoy (Eds.). Cerrahi Hemşireliği I. İstanbul, Nobel Tıp Kitapevi; 365.
  • Allen, S. J. (2014). Gastrointestinal complications and cardiac surgery. The Journal Of Extra-Corporeal Technology, 46(2), 142.
  • Andersson, B., Andersson, R., Brandt, J., et al. (2010). Gastrointestinal complications after cardiac surgery–improved risk stratification using a new scoring model. Interactive Cardiovascular And Thoracic Surgery, 10(3), 366-370.
  • Anyanwu, A. C., Filsoufi, F., Salzberg, S. P., et al. (2007). Epidemiology of stroke after cardiac surgery in the current era. The Journal Of Thoracic And Cardiovascular Surgery, 134(5), 1121-1127.
  • Arsenault, K. A., Yusuf, A. M., Crystal, E., et al. (2013). Interventions for preventing post-operative atrial fibrillation in patients undergoing heart surgery,1-145.
  • Ateş, M., Kayacıoğlu, İ., Şaşkın, H., et al. (2003). Açık kalp cerrahisi sonrası kanama nedeniyle yapılan revizyon ameliyatları (2 yıllık izlem). Türk Göğüs Kalp Damar Cerrahisi Dergisi, 11(4), 207-210.
  • Bagienski, M., Kleczynski, P., Dziewierz, A., et al. (2017). Incidence of postoperative delirium and its impact on outcomes after transcatheter aortic valve implantation. The American Journal of Cardiology, 120(7), 1187-1192.
  • Banbury, M. K., Brizzio, M. E., Rajeswaran, J., et al. (2006). Transfusion increases the risk of postoperative infection after cardiovascular surgery. Journal of the American College of Surgeons, 202(1), 131-138.
  • Baufreton, C. (2010). Role of surgical factors in strokes after cardiac surgery. Archives of Cardiovascular Diseases, 103(5), 326-332.
  • Bennett, M., Dent, C. L., Ma, Q., et al. (2008). Urine NGAL predicts severity of acute kidney injury after cardiac surgery: a prospective study. Clinical journal of the American Society of Nephrology, 3(3), 665-673.
  • Bucerius, J., Gummert, J. F., Borger, M. A., et al. (2003). Stroke after cardiac surgery: A risk factor analysis of 16,184 consecutive adult patients. The Annals of Thoracic Surgery, 75(2), 472-478.
  • Canbaz, S., Ege, T., Sunar, H., et al. (2000). Koroner arter cerrahisi sonrası atrial fibrillasyon gelişimindeki belirleyicilerin irdelenmesi. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 8(4), 767-770.
  • Cappabianca, G., Mariscalco, G., Biancari, F., et al. (2016). Safety and efficacy of prothrombin complex concentrate as first-line treatment in bleeding after cardiac surgery. Critical Care, 20(1), 5.
  • Chelemer, S. B., Prato, B. S., Cox Jr, P. M., et al. (2002). Association of bacterial infection and red blood cell transfusion after coronary artery bypass surgery. The Annals of Thoracic Surgery, 73(1), 138-142.
  • Cogan, J. (2010). Pain management after cardiac surgery. In Seminars in cardiothoracic and vascular anesthesia Sage CA: Los Angeles, CA: SAGE Publications.14(3), 201-204.
  • Colson, P. H., Gaudard, P., Fellahi, J. L., et al. (2016). Active bleeding after cardiac surgery: A prospective observational multicenter study. PloS One, 11(9).
  • Connerney, I., Shapiro, P. A., McLaughlin, J. S., et al. (2001). Relation between depression after coronary artery bypass surgery and 12-month outcome: a prospective study. The Lancet, 358(9295), 1766-1771.
  • Cordeiro, A. L. L., Melo, T. A. D., Neves, D., et al. (2016). Inspiratory muscle training and functional capacity in patients undergoing cardiac surgery. Brazilian Journal of Cardiovascular Surgery, 31(2), 140-144.
  • CS, Investigators, 2017. DELIRIUM-CS, I., Canadian, C. C. C. S. I., & Group and the Canadian Critical Care Trials Group. Incidence of delirium after cardiac surgery: Protocol for the DELIRIUM-CS Canada cross-sectional cohort study, CMAJ open, 5(3), 565.
  • Çavdar, İ. & Akyüz, N. (2017). Ameliyat Sonrası Ağrı ve Yönetimi. İçinde N. Akyolcu, N. Kanan ve G. Aksoy (Eds.). Cerrahi Hemşireliği I. İstanbul, Nobel Tıp Kitapevi; 367.
  • Çelik, S. (2007). Kardiyak Cerrahi Girişim Sonrası Solunum Komplikasyonları. Yoğun Bakım Hemşireliği Dergisi, 11(2), 67-73.
  • Dal, Ü., Bulut, H., Demir, S. G. (2012). Cerrahi girişim sonrası hastaların evde yaşadıkları sorunlar. Bakırköy Tıp Dergisi, 8(1); 34-40.
  • Demir Korkmaz, F. (2017). Kalp damar sistemi cerrahisinde bakım. İçinde F. Eti Aslan (Ed.). Cerrahi Bakım Vaka Analizleri İle Birlikte (2. Baskı). Ankara: Akademisyen Tıp Kitapevi; 729-806.
  • Direk, F., & Celik, S. S.(2012). Postoperative problems experienced by patients undergoing coronary artery bypass graft surgery and their self-care ability after discharge. Turkish J Thorac Cardiovasc Surg, 20(3), 530-5
  • Duman E.A. (2016). Açık Kalp Cerrahisi Öncesi Anksiyetenin, Ameliyat Sonrası Ağrı Ve Uyku Kalitesine Etkisi. Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü. Cerrahi Hastalıklar Hemşireliği Yüksek Lisans Tezi.
  • Erdil, F. & Özhan Elbaş, N. (2012). Kalp Cerrahisi Ve Hemşirelik Bakımı. İçinde Cerrahi Hastalıkları Hemşireliği. 297-334.
  • Eti Aslan, F., Badir, A., Karadag Arli, S., et al. (2010). Patients’ experience of pain after cardiac surgery. Contemporary Nurse, 34(1), 48-54.
  • Eti Aslan, F. & Uslu, Y. (2014). Ağrı Sınıflandırılması. F. Eti Aslan (Ed.). İçinde Ağrı Doğası ve Kontrolü. Ankara: Akademisyen Kitapevi, 57.
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There are 84 citations in total.

Details

Primary Language Turkish
Subjects Nursing
Journal Section Derleme Makaleleri
Authors

Tuğba Çam Yanık 0000-0002-9053-9397

Seher Gürdil Yılmaz 0000-0001-6528-9448

Publication Date August 20, 2019
Published in Issue Year 2019 Volume: 1 Issue: 2

Cite

APA Çam Yanık, T., & Gürdil Yılmaz, S. (2019). Kardiyovasküler Cerrahi Sonrası Yoğun Bakımda Yaşanan Sorunlar ve Hemşirelik Bakımı. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 1(2), 122-127.
AMA Çam Yanık T, Gürdil Yılmaz S. Kardiyovasküler Cerrahi Sonrası Yoğun Bakımda Yaşanan Sorunlar ve Hemşirelik Bakımı. UHSJN. August 2019;1(2):122-127.
Chicago Çam Yanık, Tuğba, and Seher Gürdil Yılmaz. “Kardiyovasküler Cerrahi Sonrası Yoğun Bakımda Yaşanan Sorunlar Ve Hemşirelik Bakımı”. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 1, no. 2 (August 2019): 122-27.
EndNote Çam Yanık T, Gürdil Yılmaz S (August 1, 2019) Kardiyovasküler Cerrahi Sonrası Yoğun Bakımda Yaşanan Sorunlar ve Hemşirelik Bakımı. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 1 2 122–127.
IEEE T. Çam Yanık and S. Gürdil Yılmaz, “Kardiyovasküler Cerrahi Sonrası Yoğun Bakımda Yaşanan Sorunlar ve Hemşirelik Bakımı”, UHSJN, vol. 1, no. 2, pp. 122–127, 2019.
ISNAD Çam Yanık, Tuğba - Gürdil Yılmaz, Seher. “Kardiyovasküler Cerrahi Sonrası Yoğun Bakımda Yaşanan Sorunlar Ve Hemşirelik Bakımı”. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 1/2 (August 2019), 122-127.
JAMA Çam Yanık T, Gürdil Yılmaz S. Kardiyovasküler Cerrahi Sonrası Yoğun Bakımda Yaşanan Sorunlar ve Hemşirelik Bakımı. UHSJN. 2019;1:122–127.
MLA Çam Yanık, Tuğba and Seher Gürdil Yılmaz. “Kardiyovasküler Cerrahi Sonrası Yoğun Bakımda Yaşanan Sorunlar Ve Hemşirelik Bakımı”. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, vol. 1, no. 2, 2019, pp. 122-7.
Vancouver Çam Yanık T, Gürdil Yılmaz S. Kardiyovasküler Cerrahi Sonrası Yoğun Bakımda Yaşanan Sorunlar ve Hemşirelik Bakımı. UHSJN. 2019;1(2):122-7.

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