Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı
Yıl: 2019 Cilt: 11 Sayı: 3 Sayfa Aralığı: 313 - 323 Metin Dili: Türkçe DOI: 10.5336/nurses.2018-62177 İndeks Tarihi: 08-05-2020
Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı
Öz: Kardiyak cerrahisi sonrası erken dönemde en sık görülen psikiyatrik rahatsızlık olan deliryum, hafif ya da belirgin nörobilişsel fonksiyon bozukluğuna yol açan, hipoperfüzyon ya da infarkttarzında serebral hasarlanma veya majör bir komplikasyon olarak ortaya çıkabilmektedir. Serebralhasarın altta yatan nedenleri arasında beynin kan akımındaki değişiklikler, emboliler ve kardiyopulmoner baypas esnasındaki hemodinamik değişiklikler sayılabilir. Kardiyak cerrahi sonrası deliryumun önlenmesi yoğun bakım ünitesinde başlamalı, serviste devam etmeli ve taburculuk sonrasıdönemi de kapsamalıdır. Hemşireler, hastalarla sürekli iletişim içinde olmaları nedeni ile deliryumdaki hastaların oryantasyonlarında, deliryum gelişimini önlemede ve tedavisinde anahtar konumdadırlar. Değerlendirmede bireysel risk faktörleri kadar çevresel risk faktörleri de dikkatealınarak predispozan faktörler önlenmeli, bireye özgü hemşirelik bakımı planlanarak uygulanmalıve sonuçları değerlendirilmelidir. Bu çalışma, kardiyak cerrahi geçiren hastalarda deliryum gelişim insidansını, risk faktörlerini, önleyici/tedavi edici girişimleri ve hemşirelik bakımını literatürışığında tartışmak amacıyla yapılmıştır.
Anahtar Kelime: Konular:
Delirium and Nursing Care After Cardiac Surgery
Öz: Delirium, the most common psychiatric disorder in the early postoperative period, may present as a major complication of cerebral injury or hypoperfusion or infarction, leading to mild or significant neurocognitive dysfunction. The underlying causes of serebral injury include; changes in the blood flow of the brain, emboli and hemodynamic changes during cardiopulmonary bypass. Prevention of delirium after cardiac surgery should begin in the intensive care unit, continue at the service and include post-discharge period. Since nurses are in constant communication with the patient, they are the key to the prevention and treatment of delirium in the orientation of the patients in the delirium. Considering the environmental risk factors as well as individual risk factors, the predisposing factors should be prevented, individualized nursing care should be planned and applied and the results should be evaluated. This article discusses the incidence of delirium development, risk factors, preventive/therapeutic interventions and nursing care in patients undergoing cardiac surgery to discuss the literature.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
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| APA | PAMUK CEBECİ S (2019). Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı. , 313 - 323. 10.5336/nurses.2018-62177 |
| Chicago | PAMUK CEBECİ Sevil Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı. (2019): 313 - 323. 10.5336/nurses.2018-62177 |
| MLA | PAMUK CEBECİ Sevil Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı. , 2019, ss.313 - 323. 10.5336/nurses.2018-62177 |
| AMA | PAMUK CEBECİ S Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı. . 2019; 313 - 323. 10.5336/nurses.2018-62177 |
| Vancouver | PAMUK CEBECİ S Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı. . 2019; 313 - 323. 10.5336/nurses.2018-62177 |
| IEEE | PAMUK CEBECİ S "Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı." , ss.313 - 323, 2019. 10.5336/nurses.2018-62177 |
| ISNAD | PAMUK CEBECİ, Sevil. "Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı". (2019), 313-323. https://doi.org/10.5336/nurses.2018-62177 |
| APA | PAMUK CEBECİ S (2019). Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, 11(3), 313 - 323. 10.5336/nurses.2018-62177 |
| Chicago | PAMUK CEBECİ Sevil Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi 11, no.3 (2019): 313 - 323. 10.5336/nurses.2018-62177 |
| MLA | PAMUK CEBECİ Sevil Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, vol.11, no.3, 2019, ss.313 - 323. 10.5336/nurses.2018-62177 |
| AMA | PAMUK CEBECİ S Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi. 2019; 11(3): 313 - 323. 10.5336/nurses.2018-62177 |
| Vancouver | PAMUK CEBECİ S Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi. 2019; 11(3): 313 - 323. 10.5336/nurses.2018-62177 |
| IEEE | PAMUK CEBECİ S "Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı." Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, 11, ss.313 - 323, 2019. 10.5336/nurses.2018-62177 |
| ISNAD | PAMUK CEBECİ, Sevil. "Kardiyak Cerrahisi Sonrası Deliryum ve Hemşirelik Bakımı". Türkiye Klinikleri Hemşirelik Bilimleri Dergisi 11/3 (2019), 313-323. https://doi.org/10.5336/nurses.2018-62177 |
