Öz
Giriş
Evde yatağa bağımlı olan trakeostomili çocuklar basınç yaralanmaları riskine karşı savunmasızdır. Bu çalışma, evde trakeostomili çocuğuna bakım veren annelerin basınç yaralarına yönelik uygulamalarını belirlemeyi ve ilişkili faktörleri tespit etmeyi amaçladı.
Yöntemler
Bu kesitsel tanımlayıcı çalışma, dahil edilme kriterlerini karşılayan trakeostomili çocuğa sahip 190 anne ile gerçekleştirildi. Veri toplamak için kapsamlı, yarı yapılandırılmış bir anket kullanıldı. Tanımlayıcı analizlerin yanı sıra, değişkenler arasındaki ilişkiyi test etmek için ki-kare istatistiksel testi uygulandı.
Bulgular
Trakeostomili çocuğa sahip annelerin %60,5’i bası yaralarını önleme konusunda yeterli bilgiye sahip değildi. Trakeostomili çocuklarda bası yaraları çoğunlukla perkütan endoskopik gastrostomi (%36,8) ve trakeostomi tüpleri (%33,2) gibi tıbbi cihazlar nedeniyle gelişti. Bakım veren annelerin bası yaraları hakkındaki bilgileri, uygulamaları (çocuğun pozisyonlandırılması, cildin nemlendirilmesi, masaj yapılması vb.) ve bası yaralarının varlığı arasında anlamlı bir korelasyon bulundu (p=0,000).
Sonuç
Tıbbi teknolojiye bağımlı olarak evde bakım gören trakeostomili çocuklarda tıbbi cihazlara bağlı bası yarası riski yüksektir. Hemşireler ve bakım verenler için trakeostomili çocuklarda risk faktörlerini belirlemek büyük önem taşımaktadır. Bakım verenlerin bası yaralarını önlemeye yönelik bilgi ve uygulamalarını geliştirmek amacıyla eğitim programları düzenlenmelidir.
Anahtar Kelimeler: Bakım verici, tıbbi cihazlar, pediyatrik, basınç yarası, trakeostomi
Kaynakça
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