Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları:  Yoğun Bakım Sonrası Sendromu

Kelebek Girgin, Nermin; Kahveci, Ferda Sohret; Erbay Dalli, Oznur

doi:10.5336/anesthe.2020-80057

Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları: Yoğun Bakım Sonrası Sendromu

Öznur ERBAY, (Bursa Uludağ Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Yoğun Bakım Bilim Dalı, Bursa, Türkiye)

Nermin KELEBEK GİRGİN, (Bursa Uludağ Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Yoğun Bakım Bilim Dalı, Bursa, Türkiye)

Ferda Şöhret KAHVECİ (Bursa Uludağ Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Yoğun Bakım Bilim Dalı, Bursa, Türkiye)

Türkiye Klinikleri Anesteziyoloji Reanimasyon Dergisi

12 0

Yıl: 2021 Cilt: 19 Sayı: 1 Sayfa Aralığı: 36 - 45 Metin Dili: Türkçe DOI: 10.5336/anesthe.2020-80057 İndeks Tarihi: 12-05-2023

Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları: Yoğun Bakım Sonrası Sendromu

Öz:

Her yıl milyonlarca hasta, yoğun bakıma kabul edilmekte ve bunların 1/3’ü mekanik ventilatöre ihtiyaç duymaktadır. Durumu kritik derecede olan bu bireyler, hastalıklar, yaralanmalar, ventilatörler veya diğer tedaviler nedeniyle çeşitli sağlık sorunları yaşayabilmektedir. Bu tür sorunlar, yoğun bakım izlemi süresince tehlikeli süreç atlatılsa da her zaman tamamen ortadan kaldırılamayabilir ve bireyin taburculuk sonrası yaşamında da devam edebilir. Yoğun bakım sonrası sendromu; yoğun bakımda yatış sırasında ve taburcu olduktan sonra hastalarda or taya çıkan fiziksel, bilişsel ve mental bozukluklar ile uzun vadeli prog nozu ifade eder. Bu durum, ayrıca hastaların ailelerinde de mental olarak ortaya çıkabilmektedir. Yoğun bakımda kalan hastaların yarı sından fazlası, sendrom sonucu ortaya çıkan bozukluklardan en az bi rine sahip olmaktadır. Bu durum, kritik hastalık sonrası hayatta kalan bireylerin yaşamını ciddi olarak etkilemekte ve hastalar güçsüzlük, kas kaybı, dikkat eksikliği, hafıza kaybı, anksiyete, depresyon gibi birçok problemle karşı karşıya kalmaktadır. Bu tür olumsuzlukların önlenmesi için yoğun bakım sonrası sendromunun, multidisipliner ekip anlayışı çerçevesinde değerlendirilmesi ve önlemeye yönelik stratejilerin be nimsenmesi kritik rol oynamaktadır. Sendrom, günümüz yoğun bakım tıbbı ve alandaki sağlık profesyonelleri tarafından göz ardı edilmemesi ve önemsenmesi gereken hedefler içinde yerini almalıdır. Bu derlemede sendromun oluşumu, risk faktörleri ve önleme stratejileri tartışılarak, yoğun bakım alanında sıklıkla ihmal edilen bir konuya ışık tutmak ve sağlık profesyonellerinin farkındalığını artırmak amaçlanmaktadır

Anahtar Kelime:

The Neglected Consequences of Critical Illness Survivors: Post-Intensive Care Syndrome

Öz:

Millions of patients are admitted to intensive care every year, and one third of these require a mechanical ventilator. These critically ill individuals may experience various health problems due to illnesses, injuries, ventilators or other treatments. Even though the dangerous process is overcome during intensive care follow-up, such problems may not always be completely eliminated and may continue in the life of the individual after discharge. Post-intensive care syndrome refers to the long-term prognosis of patients as well as physical, cognitive and mental disorders that occur during hospitalization in intensive care and after discharge. This situation can also occur in families of patients. More than half of the patients staying in the intensive care unit have at least one of the disorders resulting from the syndrome. This situation seriously affects the lives of individuals who survive critical illness and patients face many problems such as weakness, muscle wasting, attention deficit, memory loss, anxiety and depression. Evaluation of post-intensive care syndrome within the framework of a multidisciplinary team understanding and adoption of prevention strategies play a critical role in preventing such adversities. The syndrome should be among the goals that should not be ignored and considered by today's intensive care medicine and health professionals in the field. In this review, the formation of the syndrome, risk factors and prevention strategies are discussed, aimed to shed light on this frequently neglected issue in the intensive care field and to increase the awareness of health professionals.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Bibliyografik

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APA	Erbay Dalli O, Kelebek Girgin N, Kahveci F (2021). Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları: Yoğun Bakım Sonrası Sendromu. , 36 - 45. 10.5336/anesthe.2020-80057
Chicago	Erbay Dalli Oznur,Kelebek Girgin Nermin,Kahveci Ferda Sohret Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları: Yoğun Bakım Sonrası Sendromu. (2021): 36 - 45. 10.5336/anesthe.2020-80057
MLA	Erbay Dalli Oznur,Kelebek Girgin Nermin,Kahveci Ferda Sohret Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları: Yoğun Bakım Sonrası Sendromu. , 2021, ss.36 - 45. 10.5336/anesthe.2020-80057
AMA	Erbay Dalli O,Kelebek Girgin N,Kahveci F Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları: Yoğun Bakım Sonrası Sendromu. . 2021; 36 - 45. 10.5336/anesthe.2020-80057
Vancouver	Erbay Dalli O,Kelebek Girgin N,Kahveci F Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları: Yoğun Bakım Sonrası Sendromu. . 2021; 36 - 45. 10.5336/anesthe.2020-80057
IEEE	Erbay Dalli O,Kelebek Girgin N,Kahveci F "Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları: Yoğun Bakım Sonrası Sendromu." , ss.36 - 45, 2021. 10.5336/anesthe.2020-80057
ISNAD	Erbay Dalli, Oznur vd. "Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları: Yoğun Bakım Sonrası Sendromu". (2021), 36-45. https://doi.org/10.5336/anesthe.2020-80057

APA	Erbay Dalli O, Kelebek Girgin N, Kahveci F (2021). Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları: Yoğun Bakım Sonrası Sendromu. Türkiye Klinikleri Anesteziyoloji Reanimasyon Dergisi, 19(1), 36 - 45. 10.5336/anesthe.2020-80057
Chicago	Erbay Dalli Oznur,Kelebek Girgin Nermin,Kahveci Ferda Sohret Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları: Yoğun Bakım Sonrası Sendromu. Türkiye Klinikleri Anesteziyoloji Reanimasyon Dergisi 19, no.1 (2021): 36 - 45. 10.5336/anesthe.2020-80057
MLA	Erbay Dalli Oznur,Kelebek Girgin Nermin,Kahveci Ferda Sohret Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları: Yoğun Bakım Sonrası Sendromu. Türkiye Klinikleri Anesteziyoloji Reanimasyon Dergisi, vol.19, no.1, 2021, ss.36 - 45. 10.5336/anesthe.2020-80057
AMA	Erbay Dalli O,Kelebek Girgin N,Kahveci F Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları: Yoğun Bakım Sonrası Sendromu. Türkiye Klinikleri Anesteziyoloji Reanimasyon Dergisi. 2021; 19(1): 36 - 45. 10.5336/anesthe.2020-80057
Vancouver	Erbay Dalli O,Kelebek Girgin N,Kahveci F Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları: Yoğun Bakım Sonrası Sendromu. Türkiye Klinikleri Anesteziyoloji Reanimasyon Dergisi. 2021; 19(1): 36 - 45. 10.5336/anesthe.2020-80057
IEEE	Erbay Dalli O,Kelebek Girgin N,Kahveci F "Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları: Yoğun Bakım Sonrası Sendromu." Türkiye Klinikleri Anesteziyoloji Reanimasyon Dergisi, 19, ss.36 - 45, 2021. 10.5336/anesthe.2020-80057
ISNAD	Erbay Dalli, Oznur vd. "Hayatta Kalan Kritik Hastaların İhmal Edilen Sonuçları: Yoğun Bakım Sonrası Sendromu". Türkiye Klinikleri Anesteziyoloji Reanimasyon Dergisi 19/1 (2021), 36-45. https://doi.org/10.5336/anesthe.2020-80057