Göğüs hastalıkları kliniklerinde çalışan hemşirelerin noninvaziv mekanik ventilasyon bilgi düzeyi

Year 2022, Volume: 13 Issue: 46, 122 - 131, 01.08.2022

Murat Yıldız , Deniz Çelik , Fatma Çevik , İsa Karakaya , Figen Akoğlan

https://doi.org/10.17944/mkutfd.964796

Abstract

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<.05). Göğüs hastalıkları yoğun bakım çalışanlarının hem acil hem de göğüs servislerinde çalışanlara göre puan ortalaması daha istatistiksel olarak anlamlı düzeyde yüksek bulundu. Ayrıca NIMV eğitimini hekimlerden alan katılımcıların puan ortalaması hekimlerden almayanlara göre istatistiksel olarak anlamlı derecede yüksek bulundu.
Sonuç: Eğitimli, bilgili ve deneyimli bir hemşire ekibine sahip olmanın tedavinin başarısını doğrudan etkileyebileceği kanaatindeyiz. Ayrıca seçilen klinik, NIV uygulamaları için yeterli teknik ve fiziksel imkanlara sahip olmalıdır.

Keywords

NIMV bilgi düzeyi, hemşire, Göğüs hastalıkları hemşireliği

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

Abstract

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<.05). The mean score of the chest diseases intensive care workers was found significantly higher than others. In addition, the average score of the participants who received NIV training from physicians was found significantly higher than those who did not receive it from physicians
Conclusion: We conclude that having an educated, knowledgeable and experienced team of nurses can directly affect the success of the treatment. Also, the clinic should have sufficient technical and physical facilities for NIV applications.

Keywords

NIMV knowledge level, nurse, Chest diseases nursing

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