Bağırsak Stoması Bulunan Hastaların Tekrar Hastaneye Yatış Nedenlerinin İncelenmesi

Yıl 2022, Cilt: 5 Sayı: 3, 306 - 312, 05.12.2022

Esra Makal Orğan , Sacide Yıldızeli Topçu , Mervegül Özkan

https://doi.org/10.38108/ouhcd.1022578

Öz

Amaç: Bu araştırmanın amacı, bağırsak stoması açılmış olan hastalarda taburculuk sonrası tekrar hastaneye yatış nedenlerinin belirlenmesidir.
Yöntem: Retrospektif ve tanımlayıcı türdeki bu araştırmanın örneklemini Ocak 2013- Aralık 2017 tarihleri arasındaki 5 yıllık süreçte Trakya Üniversitesi Sağlık Araştırma ve Uygulama Merkezi Genel Cerrahi Servisi’nde bağırsak cerrahisi geçirerek, stoma açılan 112 hasta oluşturmaktadır. Verilerin toplanmasında, araştırmacılar tarafından oluşturulan ve hastaların demografik ve sağlıkla ilgili bilgilerini sorgulayan veri toplama formu kullanıldı.
Bulgular: Hastaların %19.6 (n=22)’sında taburculuk sonrası komplikasyon geliştiği ve bu komplikasyonların da %31.8 (n=7)’ini peristomal cilt komplikasyonlarının, %31.8 (n=7)’ini de stomaya ilişkin fonksiyon bozukluklarının oluşturduğu belirlendi. Stoma cerrahisi geçirmiş hastaların %45.5 (n=51)’inin taburculuk sonrası tekrar hastaneye yattığı ve tekrar hastaneye yatan hastaların %33.3 (n=17)’ünde hastaneye yatış nedeninin stomaya ilişkin yaşanan sorunlar olduğu saptandı.
Sonuç: Stoma cerrahisi uygulanan hastalar taburculuktan sonra, basit girişimlerle çözülebilecek ve önlenebilecek stoma ile ilişkili sorunlar nedeniyle tekrar hastaneye yatmaktadır. Stomalı hastalar ile çalışan hemşirelerin stoma bakımı ve stoma sorunlarının önlenmesine yönelik hastaları bilgilendirmeye özen göstermeleri ve hastalara sundukları bakımı ve sonuçlarını kayıt altına aldıkları etkin bir hemşirelik bakımı sağlamaları önerilmektedir.

Anahtar Kelimeler

Hemşirelik, Bağırsak Stoması, Stoma Komplikasyonları, Hastaneye Tekrar Yatış

Destekleyen Kurum

Destekleyen kurum bulunmamaktadır.

Teşekkür

Veri toplama sürecindeki yardım ve destekleri için sağlık uzmanlarına teşekkür ederiz.

Investigation of the Reasons for Rehospitalization of Patients with Intestinal Stoma

Öz

Objective: The purpose of this study is to determine the reasons for re-hospitalization after discharge in patients with intestinal stoma.
Methods: The sample of this retrospective and descriptive study consists of 112 patients who underwent intestinal surgery at the Trakya University Health Research and Application Center General Surgery Service and opened a stoma in a 5-year period between January 2013 and December 2017. A “Data Collection Form” was used to collect the data, which was created by the researchers and inquired about the demographic and health-related information of the patients.
Results: Complications developed after discharge in 19.6% (n = 22) of the patients and 31.8% (n = 7) of these complications were peristomal skin complications and 31.8% (n = 7) were dysfunction related to stoma. It was determined that 45.5% (n = 51) of the patients who had stoma surgery were re-hospitalized after discharge and 33.3% (n = 17) of the patients who were re-hospitalized were found to have problems related to the stoma.
Conclusion: Patients who undergone stoma surgery were hospitalized again after being discharged due to stoma-related problems that can be solved and prevented with simple interventions. It is recommended that nurses working with stoma patients should take care to inform patients about stoma care and prevention of stoma problems and provide effective nursing care in which they record the care they provide to patients and their results.

Anahtar Kelimeler

Nursing, Intestinal Stoma, Stoma Complications, Hospital Readmission

Kaynakça

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